This course gives nurse anesthesiologists a focused, practical roadmap for safely managing ECT—from preoperative assessment and airway planning to real-time management of hemodynamic and respiratory responses. You’ll review best practices for monitoring, choice of induction agents and neuromuscular blockers, and strategies to minimize cardiovascular risk while preserving seizure quality. Emphasis is placed on patient selection, collaboration with psychiatry, and evidence-based drug selection so you can optimize both safety and therapeutic efficacy for adults undergoing ECT.