Retrospective assessment of our anesthesia practice for electroconvulsive therapy

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dc.authorscopusid8861779800
dc.authorscopusid6603851680
dc.authorscopusid6603245381
dc.authorscopusid7005217039
dc.authorscopusid55666804700
dc.authorscopusid6602953248
dc.authorscopusid7004486274
dc.contributor.authorBegeç Z.
dc.contributor.authorKöro?lu A.
dc.contributor.authorGedik E.
dc.contributor.authorYücel A.
dc.contributor.authorToprak H.I.
dc.contributor.authorKarlida? R.
dc.contributor.authorErsoy M.Ö.
dc.date.accessioned2024-08-04T20:02:10Z
dc.date.available2024-08-04T20:02:10Z
dc.date.issued2008
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAim: 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 ?g 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<0.05). Duration of response to verbal stimulus in Group 3 and 4 were longer than Group 1 and 2 (p<0.05). Heart rate was lower in Group 1 compare from baseline value after convulsion at 1. and 10. min (p<0.05). Mean arterial pressure was lower at 10 min after convulsion in Group 1 and 3; at 1. and 10 min after convulsion in Group 4 (p<0.05). Conclusion: We determined that sevoflurane (7 %), 1,2-1,5 mg kg-1 dose of propofol and premedication with dexmedctomidine 1 ? kg-1 h-1 (10 min) prevent acute hemodynamic response to ECT without decreasing the duration of seizure. However, further studies of dexmedetomidine safety and interactions with other drugs are required before recommendation of its use for ECT procedures.en_US
dc.identifier.endpage243en_US
dc.identifier.issn1304-0871
dc.identifier.issue4en_US
dc.identifier.scopus2-s2.0-56049116723en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage238en_US
dc.identifier.urihttps://hdl.handle.net/11616/91451
dc.identifier.volume36en_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.relation.ispartofTurk Anesteziyoloji ve Reanimasyon Dernegi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDexmedetomidineen_US
dc.subjectElectroconvulsive therapyen_US
dc.subjectPropofolen_US
dc.subjectSevofluraneen_US
dc.titleRetrospective assessment of our anesthesia practice for electroconvulsive therapyen_US
dc.title.alternativeElektrokonvülsif tedaviye yönelik anestezi uygulamalarimizin geriye dönük olarak de?erlendirilmesien_US
dc.typeArticleen_US

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