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Journals / Türk Anestezi ve Reanimasyon Dergisi / 2004 / Cilt: 32 - Sayı: 4

Effects of remifentanil on thiopental dose, duration of convulsion and to hemodynamic response during electroconvulsive therapy

Elektrokonvülzif tedavide remifentanilin tiyopental dozu, konvülziyon süresi ve hemodinamik yanıta etkisi

Emin ÖNDER
Ümit TURAL
Tülay YILDIZ
Mine SOLAK
Yavuz GÜRKAN
Kamil TOKER
Pages
269–273
Publication Date
2022-11-05
DOI
—
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AI Summary & Key Takeaways

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

Thiopental dose was 30 % lower in Group TR (295 mg) when compared with Group T (205 mg) (P

📌 3 Key Takeaways

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Objective & Hypothesis:The purpose of this study was to investigate the effects of 1 µg kg-1 remifentanil iv administered prior to induction on the dose of thiopental necessary for anaesthesia induction, duration of convulsion and hemodynamic variables during electroconvulsive therapyTwo anaesthesia induction techniques were used in a randomized, prospective and crossover manner in 15 patients ASA I-II, between the ages of 26-44 undergoing electroconvulsive therapy for their psychiatric diseases.
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Key Findings & Data:Same patients received thiopental for anesthesia induction in one session (Group T) and remifentanil 1 µg kg-1 iv followed by thiopental dose in another session (Group TR).
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Conclusion & Impact:Thiopental dose was 30 % lower in Group TR (295 mg) when compared with Group T (205 mg) (P
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

The purpose of this study was to investigate the effects of 1 µg kg-1 remifentanil iv administered prior to induction on the dose of thiopental necessary for anaesthesia induction, duration of convulsion and hemodynamic variables during electroconvulsive therapyTwo anaesthesia induction techniques were used in a randomized, prospective and crossover manner in 15 patients ASA I-II, between the ages of 26-44 undergoing electroconvulsive therapy for their psychiatric diseases. Same patients received thiopental for anesthesia induction in one session (Group T) and remifentanil 1 µg kg-1 iv followed by thiopental dose in another session (Group TR). Thiopental requirement for induction and duration of convulsions were recorded. Heart rate, systolic and diastolic blood pressures were also recorded before and after electroconvulsive therapy at one minute intervals for 5 minutes. Thiopental dose was 30 % lower in Group TR (295 mg) when compared with Group T (205 mg) (P

Özet

Bu çalışmanın amacı, elektrokonvülzif tedavi uygulanacak olgularda anestezi indüksiyonu öncesi uygulanan 1 µg kg-1 iv remifentanilin; indüksiyonda kullanılan tiyopental dozu, konvülziyon süresi ve elektrokonvülzif tedavi sonrası hemodinamik değişkenler üzerine etkilerini araştırmaktı.Psikiyatrik hastalığı nedeni ile elektrokonvülzif tedavi uygulanan 26-44 yaşları arasında, ASA I-II 15 olguda randomize, prospektif ve çaprazlama olacak şekilde iki farklı anestezi indüksiyon tekniği uygulandı. Aynı hastalara anestezi indüksiyonu bir seansta yalnızca tiyopental (Grup T) ile diğer seansta önce 1 µg kg-1 remifentanil iv ardından tiyopental (Grup TR) ile doz titre edilerek sağlandı. İndüksiyon için gerekli tiyopental dozu ve motor konvülziyon süresi kaydedildi. Kalp hızı, sistolik ve diyastolik kan basınçları elektrokonvülzif tedavi öncesi ve sonrasında 1 dk. arayla 5 dk. süreyle kaydedildi.Tiyopental dozu Grup TR’de (295 mg) Grup T’den (205 mg) % 30 daha azdı (p

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Cite This Article

ÖNDER, E., TURAL, Ü., YILDIZ, T., SOLAK, M., GÜRKAN, Y., TOKER, K. (2022). Effects of remifentanil on thiopental dose, duration of convulsion and to hemodynamic response during electroconvulsive therapy. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 32 - Sayı: 4, 269–273. https://ajindex.com/articles/620207

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