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ALPHA PSYCHIATRY

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Expert Opinion on Guidelines

Narrative Review and Consensus Recommendations for the Use of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange in Modified Electroconvulsive Therapy

Can-Jin Deng ^{1 2} , Sha Nie ^{1 2} , Jian-Xin Mai ^{1 2} , De-Cheng Zou ³ , Wei Deng ⁴ , Xiong Huang ^{1 2} , Qin Xie ⁵ , Wei Huang ⁶ , Wei Jiang ^{7 8} , Xing-Bing Huang ^{1 2} , Yu-Tao Xiang ^{9 10} , Wei Zheng ^{1 2} , Yu-Ping Ning ^{1 2}

Author Affiliation(s)

Department of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China

Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, China

Department of Psychiatry, The Third People's Hospital of Foshan, Foshan, Guangdong, China

Department of Psychiatry, Affiliated Mental Health Center, Zhejiang University School of Medicine, Hangzhou, China

Department of Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei , China

Department of Psychiatry, Affiliated Wuhan Mental Health Center, Tongji Medical College of Huazhong University of Science & Technology, Wuhan, Hubei, China

Shenzhen Kangning Hospital and Shenzhen Mental Health Center, Shenzhen, China

Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China

Department of Public Health and Medicinal Administration, Unit of Psychiatry, Institute of Translational Medicine, University of Macau, Macao SAR, China

10.

Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China

Alpha Psychiatry 2024; 25: 282-289

DOI: 10.5152/alphapsychiatry.2024.231463

Keywords : Transnasal humidified rapid-insufflation ventilatory exchange, apneic oxygenation, electroconvulsive therapy, expert consensus

Read: 680 Downloads: 276 Published: 25 April 2024

Volume 25, Issue 2, April 2024

Abstract: Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) is a safe, effective, and novel technique that is currently being used in electroconvulsive therapy (ECT). This study aimed to summarize the clinical practices of THRIVE use in ECT to aid physicians and institutions in implementing the best practice guidelines for ECT. Thus, we reviewed the current literature and presented our consensus on the application of THRIVE in ECT in daily clinical practice. This consensus provides information regarding THRIVE use in ECT, including its safety, effectiveness, procedures, precautions, special case management, and application in special populations. Moreover, it guides the standardized use of THRIVE in ECT.

Cite this article as: Deng C, Nie S, Mai J, et al. Narrative review and consensus recommendations for the use of transnasal humidified rapid-insufflation ventilatory exchange in modified electroconvulsive therapy. Alpha Psychiatry. 2024;25(2):282- 289.

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