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Journals / Türk Anestezi ve Reanimasyon Dergisi / 2008 / Cilt: 36 - Sayı: 4

Retrospective assessment of our anesthesia practice for electroconvulsive therapy

Elektrokonvülsif tedaviye yönelik anestezi uygulamalarımızın geriye dönük olarak değerlendirilmesi

Ender GEDİK
Ahmet KÖROĞLU
Hüseyin İlksen TOPRAK
Aytaç YÜCEL
Zekine BEGEÇ
M. Özcan ERSOY
Rıfat KARLIDAĞ
Pages
238–243
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

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

Mean duration of motor seizure was 29.78±7.85 min in Group 3 significantly shorter than Group 2 (p

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: Electroconvulsive therapy (ECT) is a treatment method of some psychiatric disorders which is based on to form seizure activity by electrical stimulus.
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Key Findings & Data:The aim of this retrospective study was to evaluate anesthetic agents which were used, the duration of seizure activity and recovery times, hemodynamic changes and the complications of the procedure in patients underwent ECT in our clinic.Materials and Methods: The anesthesia records of 460 ECT procedures performed in our clinic between October 2002-April 2007 were analyzed retrospectively.
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Conclusion & Impact:Mean duration of motor seizure was 29.78±7.85 min in Group 3 significantly shorter than Group 2 (p
🔬Design:Research Article
📍Scope:2002 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim: Electroconvulsive therapy (ECT) is a treatment method of some psychiatric disorders which is based on to form seizure activity by electrical stimulus. The aim of this retrospective study was to evaluate anesthetic agents which were used, the duration of seizure activity and recovery times, hemodynamic changes and the complications of the procedure in patients underwent ECT in our clinic.Materials and Methods: The anesthesia records of 460 ECT procedures performed in our clinic between October 2002-April 2007 were analyzed retrospectively. Patients were allocated to receive propofol 1 mg kg-1 after dexmedetomidine (1 µg kg-1 h-1, 10 min.) premedication (Group 1); propofol 1,2 mg kg-1 (Group 2); propofol 1,5 mg kg-1 (Group 3); or sevoflurane 7 % (Group 4) without premedication as an induction agent.Results: Mean duration of motor seizure was 39.06±10.79 s. in Group 4, significantly longer than Group 1 and 3. Mean duration of motor seizure was 29.78±7.85 min in Group 3 significantly shorter than Group 2 (p

Özet

Amaç: Elektrokonvülsif tedavi (EKT); bazı psikiyatrik hastalıkların tedavisinde elektriksel uyarı yoluyla konvülsiyon oluşturmaya dayanan bir yöntemdir. Geriye dönük olarak yapılan bu çalışmada; kliniğimizde EKT uygulanan hastalarda kullanılan anestezik ajanlar, konvülsiyon ve derlenme süreleri, hemodinamik değişiklikler ve oluşan komplikasyonların değerlendirilmesi.Gereç ve Yöntem: Ekim 2002-Nisan 2007 tarihleri arasında kliniğimizde yapılan 460 EKT uygulamasının anestezi kayıtları geriye dönük olarak incelendi. Olgular uygulanan anestezi yöntemine göre deksmedetomidin (1 µg kg-1 sa-1, 10 dk.) premedikasyonu sonrası 1 mg kg-1 propofol (Grup 1); premedikasyon yapılmaksızın 1,2 mg kg-1 propofol (Grup 2); 1,5 mg kg-1 propofol (Grup 3); % 7 sevofluran (Grup 4) ile indüksiyon uygulananlar olarak gruplandırıldı.Bulgular: Ortalama motor konvülsiyon süresi, Grup 4’de 39.06±10.79 sn. olup, Grup 1 ve 3’ten istatistiksel olarak anlamlı uzundu. Grup 3’te 29.78±7.85 sn. olup Grup 2’den anlamlı kısa idi (p

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Cite This Article

GEDİK, E., KÖROĞLU, A., TOPRAK, H. İ., YÜCEL, A., BEGEÇ, Z., ERSOY, M. Ö., KARLIDAĞ, R. (2022). Retrospective assessment of our anesthesia practice for electroconvulsive therapy. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 36 - Sayı: 4, 238–243. https://ajindex.com/articles/619973

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References (18)

  1. Simpson KH, Lynch L. Anaesthesia and electroconvulsive therapy (ECT). Anaesthesia 1998; 53:615-7
  2. Ishihara K, Sasa M. Mechanism underlying the therapeutic effects of electroconvulsive therapy (ECT) on depression. Jpn J Pharmacol 1999; 80:185-9
  3. Wagner KJ, Möllenberg O, Rentrop M, Werner C, Kochs EF. Guide to anaesthetic selection for electroconvulsive therapy. CNS Drugs 2005; 19:745-58
  4. Gaines GY III, Rees DI. Anesthetic considerations for electroconvulsive therapy. South Med J 1992; 85:469-82
  5. Saito S. Anesthesia management for electroconvulsive therapy: hemodynamic and respiratory management. J Anesth 2005; 19:142-9
  6. Patkar AA, Hill KP, Weinstein SP, Schwartz SL. ECT in the presence of brain tumor and increased intracranial pressure: evaluation and reduction of risk. J ECT 2000; 16:189-97
  7. Fu W, Stool LA, White PF, Husain MM. Is oral clonidine effective in modifying the acute hemodynamic response during electroconvulsive therapy? Anesth Analg 1998; 86:1127-30
  8. Saito S, Nishihara F, Akihiro T, et al. Landiolol and esmolol prevent tachycardia with-out altering cerebral blood flow. Can J Anaesth 2005; 52:1027-34
  9. Kadoi Y, Saito S, Takahashi K, Goto F. Effect of antihypertensive medication on left ventricular function during electroconvulsive therapy: study with transthoracic echocardiography. J Clin Anesth 2006; 18:441-5
  10. Lalla FR, Milroy T. The current status of seizure duration in the practice of electroconvulsive therapy. Can J Psychiatry 1996; 41:299-304
  11. Avramov MN, Husain MM, White PF. The comparative effects of methohexital, propofol, and etomidate for electroconvulsive therapy. Anesth Analg 1995; 81:596-602
  12. Alman KG, Wilson IH. Oxford Handbook of Anaesthesia. Oxford: Oxford University Press; 2001, 1043-95
  13. Bailine SH, Petrides G, Doft M, Lui G. Indications for the use of propofol in electroconvulsive therapy. J ECT 2003; 19:129-32
  14. Rasmussen KG, Spackman TN, Hooten WM. The clinical utility of inhalational anesthesia with sevoflurane in electroconvulsive therapy. J ECT 2005; 21:239-42
  15. Patel SS, Goa KI. Sevoflurane: a review of its pharmacodynamic and pharmacokinetic properties and its clinical use in general anesthesia. Drugs. 1996; 51:658-700
  16. Fink M. What is an adequate treatment in convulsive therapy? Acta Psychatr Scand 1991; 84:424-7
  17. Fredman B, Husain MM, White PF. Anaesthesia for electroconvulsive therapy: use of propofol revisited. Eur J Anaesthesiol 1994; 11:423-5
  18. Bone ME, Wil