Sevoflurane alone and propofol with or without remifentanil for electroconvulsive therapy-a randomised, crossover study

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dc.authoridbegeç, zekine/0000-0002-9506-1871
dc.authoridErdogan Kayhan, Gulay/0000-0002-2635-9295
dc.authoridErsoy, Mehmet/0000-0002-0724-2825
dc.authoridDurmus, Mahmut/0000-0001-9594-9064
dc.authoridŞahin, Taylan/0000-0002-9888-6625
dc.authoridÇOLAK, CEMİL/0000-0001-5406-098X
dc.authoridToprak, Hüseyin İlksen/0000-0001-9293-8116
dc.authorwosidbegeç, zekine/ABI-5491-2020
dc.authorwosidDurmuş, Mahmut/AAG-3377-2019
dc.authorwosidErdogan Kayhan, Gulay/JVZ-0037-2024
dc.authorwosidErsoy, Mehmet/ACN-2779-2022
dc.authorwosidDurmus, Mahmut/ABH-3006-2020
dc.authorwosidsahin, taylan/IWD-9406-2023
dc.authorwosidŞahin, Taylan/AAT-4038-2020
dc.contributor.authorBegec, Z.
dc.contributor.authorKayhan, G. Erdogan
dc.contributor.authorToprak, H. I.
dc.contributor.authorSahin, T.
dc.contributor.authorKonur, H.
dc.contributor.authorColak, C.
dc.contributor.authorDurmus, M.
dc.date.accessioned2024-08-04T20:37:33Z
dc.date.available2024-08-04T20:37:33Z
dc.date.issued2013
dc.departmentİnönü Üniversitesien_US
dc.description.abstractWe 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. 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. 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.en_US
dc.identifier.doi10.1177/0310057X1304100209
dc.identifier.endpage206en_US
dc.identifier.issn0310-057X
dc.identifier.issue2en_US
dc.identifier.pmid23530786en_US
dc.identifier.scopus2-s2.0-84876801100en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage202en_US
dc.identifier.urihttps://doi.org/10.1177/0310057X1304100209
dc.identifier.urihttps://hdl.handle.net/11616/96029
dc.identifier.volume41en_US
dc.identifier.wosWOS:000316835100009en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAustralian Soc Anaesthetistsen_US
dc.relation.ispartofAnaesthesia and Intensive Careen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectelectroconvulsive therapyen_US
dc.subjectsevofluraneen_US
dc.subjectpropofolen_US
dc.subjectremifentanilen_US
dc.titleSevoflurane alone and propofol with or without remifentanil for electroconvulsive therapy-a randomised, crossover studyen_US
dc.typeArticleen_US

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