Expert Opinion on Guidelines

Vol. 25 No. 2 (2024): ALPHA PSYCHIATRY
DOI: https://doi.org/10.5152/alphapsychiatry.2024.231463

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Published: Apr 25, 2024
Keywords:
Transnasal humidified rapid-insufflation ventilatory exchange, apneic oxygenation, electroconvulsive therapy, expert consensus

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Can-Jin Deng
Department of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China
Sha Nie
Department of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China
Jian-Xin Mai
Department of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China
De-Cheng Zou
Department of Psychiatry, The Third People's Hospital of Foshan, Foshan, Guangdong, China
Wei Deng
Department of Psychiatry, Affiliated Mental Health Center, Zhejiang University School of Medicine, Hangzhou, China
Xiong Huang
Department of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China
Qin Xie
Department of Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei , China
Wei Huang
Department of Psychiatry, Affiliated Wuhan Mental Health Center, Tongji Medical College of Huazhong University of Science & Technology, Wuhan, Hubei, China
Wei Jiang
Shenzhen Kangning Hospital and Shenzhen Mental Health Center, Shenzhen, China
Xing-Bing Huang
Department of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China
Yu-Tao Xiang
Department of Public Health and Medicinal Administration, Unit of Psychiatry, Institute of Translational Medicine, University of Macau, Macao SAR, China
Wei Zheng
Department of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China
Yu-Ping Ning
Department of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China

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

Main Article Content

Can-Jin Deng
Department of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China
Sha Nie
Department of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China
Jian-Xin Mai
Department of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China
De-Cheng Zou
Department of Psychiatry, The Third People's Hospital of Foshan, Foshan, Guangdong, China
Wei Deng
Department of Psychiatry, Affiliated Mental Health Center, Zhejiang University School of Medicine, Hangzhou, China
Xiong Huang
Department of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China
Qin Xie
Department of Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei , China
Wei Huang
Department of Psychiatry, Affiliated Wuhan Mental Health Center, Tongji Medical College of Huazhong University of Science & Technology, Wuhan, Hubei, China
Wei Jiang
Shenzhen Kangning Hospital and Shenzhen Mental Health Center, Shenzhen, China
Xing-Bing Huang
Department of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China
Yu-Tao Xiang
Department of Public Health and Medicinal Administration, Unit of Psychiatry, Institute of Translational Medicine, University of Macau, Macao SAR, China
Wei Zheng
Department of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China
Yu-Ping Ning
Department of Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China

Abstract

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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