Title
Three Anaesthesic Method in Electroconvulsive Theraphy
Sevoflurane Alone and Propofol With or Without Remifentanil in Electroconvulsive Therapy
Phase
Phase 4Lead Sponsor
Inonu UniversityStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
AnesthesiaIntervention/Treatment
propofol sevoflurane remifentanil ...Study Participants
39To compare the effectiveness of three different anesthetic regimens (propofol, remifentanil-propofol and sevoflurane in ECT.
The purpose of this study is to compare the effectiveness of three different anesthetic regimens (propofol, remifentanil-propofol and sevoflurane) with respect to seizure duration, postictal suppression index, early and midictal amplitude, hemodynamic variables and recovery profiles in ECT.
1 mg/kg propofol IV (over 15 sec) during anesthesia induction
1 µg/kg IV (over 60 sec)remifentanil and 0.5 mg/kg propofol IV (over 15 sec)during anesthesia induction
Sevoflurane was started at 6% for induction and continued at 1% until the electrical stimulus was delivered
The patients in Group P received 1 mg/kg propofol IV (over 15 sec) during anesthesia induction
Patients in Group R received remifentanil 1 µg/kg IV (over 60 sec) and 0.5 mg/kg propofol IV (over 15 sec)during anesthesia induction
In Group S, sevoflurane was started at 6% for induction and continued at 1% until the electrical stimulus was delivered, at which time it was stopped.
Inclusion Criteria: Upremedicated ASA I-II (American Society of Anesthesiologists's physical status) patients, Patients scheduled for six ECT sessions for a variety of psychiatric conditions (major depression, schizophrenia) Exclusion Criteria: Involuntary patient status Patients with known or self-declared needle or mask phobia Pregnancy Asthma Cerebrovascular disease, History of myocardial infarction in the previous 6 months, Atrial fibrillation or flutter,heart block, A known or family history of reactions to the study drugs.