Sevoflurane as an alternative anaesthetic for electroconvulsive therapy

dc.authoridToprak, Hüseyin İlksen/0000-0001-9293-8116
dc.authoridGedik, Ender/0000-0002-7175-207X
dc.authoridbegeç, zekine/0000-0002-9506-1871
dc.authoridErsoy, Mehmet/0000-0002-0724-2825
dc.authorwosidToprak, Hüseyin İlksen/AAN-4023-2020
dc.authorwosidGedik, Ender/ABI-2971-2020
dc.authorwosidbegeç, zekine/ABI-5491-2020
dc.authorwosidErsoy, Mehmet/ACN-2779-2022
dc.contributor.authorToprak, HI
dc.contributor.authorGedik, E
dc.contributor.authorBegeç, Z
dc.contributor.authorÖztürk, E
dc.contributor.authorKaya, B
dc.contributor.authorErsoy, MÖ
dc.date.accessioned2024-08-04T20:14:46Z
dc.date.available2024-08-04T20:14:46Z
dc.date.issued2005
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjectives: The aim of this study was to investigate the effects of sevoflurane and propofol used in electroconvulsive therapy (ECT) on hemodynamic variables and duration of seizure activity and recovery profiles. Methods: Sixteen patients who were not premedicated, with a mean age 27.1 years, were enrolled in this prospective open trial, receiving a total of 64 ECT treatments. Each patient was given the following 2 anesthetic regimens in random order: In group S, anesthesia was induced with 7% sevoflurame in 100% oxygen at 6 L min (1) fresh gas flow until the loss of consciousness and 1.5 mg kg(-1) propofol in group P. Adequate muscle relaxation was achieved with suxamethonium, 1.0 - 1.2 mg kg(-1). Noninvasive mean arterial pressure (MAP) and heart rate (HR) values, duration of motor seizure activity, and recovery times were recorded. Results: The mean motor seizure duration was significantly longer with sevoflurane (mean [SD]: 43.09 [16.6] s) than with propofol (28.91 [7.9] s; P < 0.05). The MAP 1 minute and 10 minutes after ECT (10 1.25 [7.5] mm Hg and 100.16 [11.0] min mu g, respectively) was significantly increased compared with before ECT (94,56 [6.91 mm fig) in sevoflurane group (P < 0.05). Time to spontaneous breathing, eye opening and obeying commands, and changes in MAP and HR during and after ECT were similar in both regimens. Conclusion: Induction with 7% sevoflurane allows prolonged duration of motor seizures in ECT. We concluded that induction of anesthesia with sevoflurane inhalation is a reasonable alternative for patients undergoing ECT.en_US
dc.identifier.doi10.1097/01.yct.0000166633.73555.28
dc.identifier.endpage110en_US
dc.identifier.issn1095-0680
dc.identifier.issn1533-4112
dc.identifier.issue2en_US
dc.identifier.pmid15905753en_US
dc.identifier.scopus2-s2.0-20444364532en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage108en_US
dc.identifier.urihttps://doi.org/10.1097/01.yct.0000166633.73555.28
dc.identifier.urihttps://hdl.handle.net/11616/93964
dc.identifier.volume21en_US
dc.identifier.wosWOS:000229649900008en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal of Ecten_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectelectroconvulsive therapyen_US
dc.subjectseizuresen_US
dc.subjectanestheticsen_US
dc.subjectpropofolen_US
dc.subjectsevofluraneen_US
dc.titleSevoflurane as an alternative anaesthetic for electroconvulsive therapyen_US
dc.typeArticleen_US

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