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Journals / Anestezi Dergisi / 2017 / Cilt: 25 - Sayı: 4

EVALUATION OF ELECTROCONVULSIVE THERAPY CASES UNDER ANESTHESIA

ANESTEZİ ALTINDA ELEKTROKONVÜLSİF TEDAVİ ALAN OLGULARIN DEĞERLENDİRİLMESİ

Müge ÇAKIRCA
İsmail AYTAÇ
Oya KILICI
Mustafa BAYDAR
Pages
192–196
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Anesthesiologists should aim to choose appropriate agent to increase the efficacy of treatment by payingattention the patients co-morbidities, seizure durations and adverse effects

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: In this retrospective study, we present anestetics efficiency and follow-up t management in ElectroconvulsiveTherapy (ECT) anesthesia.
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Key Findings & Data:Method: Thirty six patients’ 323 seance demographic data were evaluated retrospectively; including number of EKT, selectedanesthetic, doses and convulsion durations.Results: We determine %79.1 thiopenthal (255 seance), %20.1 propofol (65 seance), %4.3 propofol+ketamin (14 seance),%4.9 propofol+dexmedetomidin (16 seance), %1.9 propofol+lidokain (6 seance) mananged in Ekt anesthesia.
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Conclusion & Impact:Anesthesiologists should aim to choose appropriate agent to increase the efficacy of treatment by payingattention the patients co-morbidities, seizure durations and adverse effects
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: In this retrospective study, we present anestetics efficiency and follow-up t management in ElectroconvulsiveTherapy (ECT) anesthesia. Method: Thirty six patients’ 323 seance demographic data were evaluated retrospectively; including number of EKT, selectedanesthetic, doses and convulsion durations.Results: We determine %79.1 thiopenthal (255 seance), %20.1 propofol (65 seance), %4.3 propofol+ketamin (14 seance),%4.9 propofol+dexmedetomidin (16 seance), %1.9 propofol+lidokain (6 seance) mananged in Ekt anesthesia. The mean of motorseizure duration found for thiopenthal 185 sc, for propofol 65 sc, for propofol+ketamin 14 sc, for propofol+dexmedetomidin 10 scand for propofol+lidokain 5 sc.Conclusion: The most frequently used agent in EKT anesthesia is barbiturates. Other hipnotic agents can be used but thataffects seizure duration and treatment efficacy; various adverse effects may also occur, such as hipertension, tachycardia,bradycardia and allergy. Anesthesiologists should aim to choose appropriate agent to increase the efficacy of treatment by payingattention the patients co-morbidities, seizure durations and adverse effects

Özet

Amaç: Bu retrospektif çalışmada Elektrokonvülsif Tedavi (EKT) anestezisi sırasında uygulanan anestetik ajanların kliniketkinlik ve takipleri sunulmaktadır. Yöntem: EKT uygulanan 36 olgunun 323 seanslık anestezi kayıtları geriye dönük olarak demografik veriler, EKT sayısı,kullanılan ilaçlar, dozajları ve nöbet süreleri açısından değerlendirildi.Bulgular: Olgularda %79.1 tiyopental (255 seans), %20.1 propofol (65 seans), %4.3 propofol+ketamin (14 seans), %4.9propofol+deksmedetomidin (16 seans), %1.9 propofol+lidokain (6 seans) kullanıldığı belirlendi. Motor nöbet süresi tiyopentaliçin 185 sn, propofol için 65 sn, propofol+ketamin için 14 sn, propofol+deksmedetomidin için 10 sn, propofol+lidokain için 5 snolarak tespit edildi. Sonuç: EKT anestezisinde en sık kullanılan ajan barbitüratlardır. Diğer hipnotik ajanlar da EKT anestezisinde tercih edilsede motor nöbet süresini ve tedavinin etkinliğini etkilemekte ve hipertansiyon, taşikardi, bradikardi, alerji gibi çeşitli yan etkileroluşturabilmektedir. Anestezist, hastanın mevcut hastalıklarına, nöbet süresine ve oluşan yan etkilere göre uygun ajanı seçerektedavinin etkinliğini artırmayı hedeflemelidir

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Cite This Article

ÇAKIRCA, M., AYTAÇ, İ., KILICI, O., BAYDAR, M. (2017). EVALUATION OF ELECTROCONVULSIVE THERAPY CASES UNDER ANESTHESIA. Anestezi Dergisi, Cilt: 25 - Sayı: 4, 192–196. https://ajindex.com/articles/355528

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