scholarly journals Use of dexmedetomidine with Propofol in modified electroconvulsive therapy: stable hemodynamics, optimum seizure duration and early recovery

2018 ◽  
Vol 4 (2) ◽  
Author(s):  
Keerty Garg ◽  
Kiran Sharma ◽  
Mohit Jindal ◽  
Aseem Garg
Keyword(s):  
Electroconvulsive Therapy ◽  
Early Recovery ◽  
Seizure Duration ◽  
Modified Electroconvulsive Therapy

The Bispectral Electroencephalogram During Modified Electroconvulsive Therapy Under Propofol Anesthesia-Relation With Seizure Duration and Awakening

2011 ◽  
Vol 27 (2) ◽  
pp. 114-118 ◽  
Author(s):  
Satinder Gombar ◽  
Deepika Aggarwal ◽  
Ashish Kumar Khanna ◽  
Kanti Kumar Gombar ◽  
Bir Singh Chavan
Keyword(s):  
Electroconvulsive Therapy ◽  
Seizure Duration ◽  
Modified Electroconvulsive Therapy

scholarly journals Etomidate versus propofol for motor seizure duration during modified electroconvulsive therapy

2020 ◽  
Vol 14 (1) ◽  
pp. 62
Author(s):  
GurkaranKaur Sidhu ◽  
Seema Jindal ◽  
Samiksha Kumari ◽  
Preeti Kamboj ◽  
Rajeev Chauhan
Keyword(s):  
Electroconvulsive Therapy ◽  
Seizure Duration ◽  
Motor Seizure ◽  
Modified Electroconvulsive Therapy

Effect of divided supplementation of remifentanil on seizure duration and hemodynamic responses during electroconvulsive therapy under propofol anesthesia

2010 ◽  
Vol 25 (1) ◽  
pp. 29-33 ◽  
Author(s):  
Kohki Nishikawa ◽  
Misako Higuchi ◽  
Toshiya Kawagishi ◽  
Yuki Shimodate ◽  
Michiaki Yamakage
Keyword(s):  
Electroconvulsive Therapy ◽  
Seizure Duration ◽  
Hemodynamic Responses

Propofol Anaesthesia in Electroconvulsive Therapy

1994 ◽  
Vol 165 (4) ◽  
pp. 506-509 ◽  
Author(s):  
Christopher F. Fear ◽  
Carl S. Littlejohns ◽  
Eryl Rouse ◽  
Paul McQuail
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Electroconvulsive Therapy ◽  
Rating Scale ◽  
Induction Agent ◽  
Double Blind Study ◽  
Major Depressive ◽  
Seizure Duration ◽  
Double Blind ◽  
Induction Agents

BackgroundThe induction agent propofol is known to reduce electroconvulsive therapy (ECT) seizure duration. It is assumed that outcome from depression is adversely affected by this agent. This study compares propofol and methohexitone as induction agents for ECT.MethodIn a prospective, randomised, double-blind study 20 subjects with major depressive disorder (DSM-III-R criteria) received propofol or methohexitone anaesthesia. The Hamilton Depression Rating Scale and Beck Depression Inventory were used to assess depression before therapy, at every third treatment, and at the end of therapy. Seizure duration was measured using the cuff technique.ResultsMean seizure durations (P < 0.01) and mean total seizure duration (P < 0.01) were shorter in the propofol group. There was no difference in outcome.ConclusionsUse of propofol may not adversely affect outcome from depression and it is not necessarily contraindicated as an induction agent for ECT. Our results should be interpreted cautiously, and larger studies are needed.

Modified Electroconvulsive Therapy Attitudes Questionnaire

2020 ◽  
Author(s):  
Lauren Alexander ◽  
Kevin Malone ◽  
Eimear Counihan ◽  
Jennifer Kennedy ◽  
Darren Roddy ◽  
...  
Keyword(s):  
Electroconvulsive Therapy ◽  
Therapy Attitudes ◽  
Modified Electroconvulsive Therapy

Adding a Low Dose of Fentanyl to Propofol in Patients Receiving Electroconvulsive Therapy: A Randomized Controlled Trial

2021 ◽  
Vol 104 (10) ◽  
pp. 1692-1697
Keyword(s):  
Blood Pressure ◽  
Electroconvulsive Therapy ◽  
Low Dose ◽  
Controlled Trial ◽  
Optimal Dose ◽  
Hemodynamic Response ◽  
Mean Difference ◽  
Seizure Duration ◽  
American Society ◽  
To Receive

Objective: To evaluate the effects of low-dose fentanyl combined with a reduced dose of propofol on seizure duration and hemodynamic response during electroconvulsive therapy (ECT). Materials and Methods: Twenty-two patients with the American Society of Anesthesiologist Physical Status II to III undergoing ECT were enrolled in the present study. One hundred and five bilateral ECT sessions randomized to receive thiopental 2 mg/kg, propofol 1 mg/kg, and fentanyl 0.3 mcg/kg, followed by propofol 0.5 mg/kg. Succinylcholine 0.5 mg/kg was used for muscle paralysis. Seizure duration, awakening time and hemodynamic changes were compared between groups. Results: One hundred and five bilateral ECT treatments were randomized into thiopental group (n=35), propofol group (n=35), and fentanyl plus propofol group (n=35). The thiopental and fentanyl plus propofol groups had longer EEG and motor seizure durations than the propofol group, but the differences were not statistically significant. There was no difference in stimulus intensity across groups. However, fentanyl plus propofol group had statistically significant prolonged awakening time compare with thiopental group [mean difference 2.71, (95% CI 0.37 to 5.06, p=0.019)] and propofol group (mean difference 2.77, 95% CI 0.42 to 5.12, p=0.016). Only systolic blood pressure in propofol group was significantly lower than thiopental group [mean difference –10.4, (95% CI –19.4 to –1.38, p=0.018)]. There were no significant differences in diastolic blood pressure (df=2, F=2.546, p=0.083), heart rate (df=2, F=0.596, p=0.553), or oxygen saturation across group (df=2, F=2.914, p=0.059). Conclusion: Using a combination of low-dose fentanyl and low-dose propofol during ECT could be beneficial. Further investigation is needed to establish the optimal dose of propofol and fentanyl. Keywords: Electroconvulsive therapy; Fentanyl, Hemodynamic response; Propofol; Thiopental; Seizure duration

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