dc.contributor.author |
Begec, Z |
|
dc.contributor.author |
Kayhan, GE |
|
dc.contributor.author |
Toprak, HI |
|
dc.contributor.author |
Sahin, T |
|
dc.contributor.author |
Konur, H |
|
dc.contributor.author |
Colak, C |
|
dc.contributor.author |
Durmus, M |
|
dc.contributor.author |
Ersoy, MO |
|
dc.date.accessioned |
2022-03-28T13:56:13Z |
|
dc.date.available |
2022-03-28T13:56:13Z |
|
dc.date.issued |
2013 |
|
dc.identifier.uri |
http://hdl.handle.net/11616/58947 |
|
dc.description.abstract |
We compared the effectiveness of three anaesthetic regimens (propofol alone, propofol with remifentanil and sevoflurane alone), with respect to seizure duration and seizure quality in patients undergoing electroconvulsive therapy. |
|
dc.description.abstract |
Thirty-nine patients underwent a total of 234 electroconvulsive therapy treatments in this prospective, observer blinded, crossover study. Each patient received either propofol 1 mg/kg alone (Group P), propofol 0.5 mg/kg and remifentanil 1 mu g/kg (Group R), or sevoflurane alone 6% (Group S) for their initial electroconvulsive therapy session. The patients subsequently received an alternative regimen in their next session, such as from propofol 1 mg/kg alone to propofol 0.5 mg/kg and remifentanil 1 mu g/kg, from propofol 1 mg/kg alone to propofol 0.5 mg/kg and remifentanil 1 mu g/kg to sevoflurane alone 6%, or from sevoflurane alone 6% to a continuing alternation between drugs at each session, until their sixth session. Muscle paralysis was achieved with 1 mg/kg succinylcholine. Seizure duration, postictal suppression index, early and midictal amplitude were recorded. The mean motor and electroencephalogram seizure durations were significantly longer in Groups P and R compared to Group S (P <0.001). The postictal suppression index and early and midictal amplitude values were not significantly different among the groups. |
|
dc.description.abstract |
These findings indicate that the three anaesthetic regimens had similar effects on seizure quality parameters, although sevoflurane was associated with shorter seizure durations than propofol or propofol-remifentanil. |
|
dc.source |
ANAESTHESIA AND INTENSIVE CARE |
|
dc.title |
Sevoflurane alone and propofol with or without remifentanil for |
|
dc.title |
electroconvulsive therapy-a randomised, crossover study |
|