A study time of onset, quality of anesthesia used during Electroconvulsive therapy at tertiary health care centre at tertiary physciatric institution
Journal Title: Medpulse International Journal of Anesthesiology - Year 2019, Vol 9, Issue 1
Abstract
Background: Electroconvulsive therapy (ECT) is a well-established psychiatric treatment in which seizures are electrically induced in anesthetized patients for therapeutic effects. Aims and Objectives: to study time of onset, quality of anesthesia used during Electroconvulsive therapy at tertiary health care centre at tertiary physciatric institution. Methodology: This was a cross sectional study carried out in the department of Anesthesiology in the patients undergoing Electro Convulsive therapy at tertiary physciatric institution were enrolled into the study during the one year period i.e. April 2017 to April 2018, the statistical analysis was done by unpaired t-test and analyzed by SPSS 19 version of the software. Result: The majority of the patients were in the age group of 40-50 were 40.32%, followed by 30-40 were 22.58 %, 50-60 were 17.74%, 20-30 were 11.29%, >60 were 8.06%. The majority of the patients were Male i.e. 53.23% and Female were 46.77%. The onset of induction of anesthesia was significantly more in Group II i.e. 53±3.82 as compared to Group I 47±3.45(t=6.05, df=52, p<0.0001). Quality of anesthesia was compared using Outcome measures like were significant more Number of ECTs i.e. 81 and 61(t=4.72, df=52, p<0.0001), significantly more in Group I i.e. Duration of seizure (seconds) 97 ± 26 and 81 ±29 (t=7.82, df=52,p<0.0001), Less Duration of recovery (minutes) - 4.49 ± 2.65 and 6.32 ± 3(t=8.23, df=52,p<0.0001); Less duration of Change in heart rate (%) - 5 ± 13 and 12 ± 13 (t=5.23, df=52,p<0.001); Change in Blood pressure (%) - 9 ± 15 and 21 ± 17 (t=4.12,df=52,p<0.01 ). Conclusion: it can be concluded from our study with respect to onset, quality of anesthesia used during Electroconvulsive therapy the profopol found to be superior as compared to thiopentoene
Authors and Affiliations
Abhijeet Kumar Sharma, Santosh Kumar, Sanjay Munda
Comparison of surgical field - sevoflurane versus propofol based anaesthesia in functional endoscopic sinus surgery
Background: Functional endoscopic sinus surgery requires a bloodless surgical field in order to facilitate the ease and thoroughness of the surgery to produce good surgical results without complication. Aim: To ompare se...
Study of intravenously administered dexmedetomidine on isoflurane requirement and perioperative haemodynamic stability in elective surgery
Background and Aims: In this study we observe the effect of dexmedetomidine as an adjuvant to general anesthesia on cardiovascular response to intubation and extubation, hemodynamic stability, requirement of Isoflurane c...
A study of post-operative pain and sedation in response to low dose dexmedetomidine infusion in patients undergone laparoscopic surgery
Background: The laparoscopic surgeries allow significant reduction in post-operative pain, there may be pain resulting from the diaphragmatic irritation. Multimodal analgesia is now recommended to prevent and treat the p...
Efficacy of dexmedetomidine infusion in patients undergoing tympanoplasty surgery under local anaesthesia
Background: Tympanoplasty is done under local anaesthesia using a microscope and require good surgical field visibility. Dexmedetomidine is a highly selective α2 adrenergic agonist used for analgesia and sedation, sympat...
Comparison of Propofol and Thiopentone as anaesthetic agents for electroconvulsive therapy - A prospective, double blinded cross over trial
Background: The ideal anaesthetic agent for electroconvulsive therapy (ECT) should provide a smooth, rapid induction and recovery with minimal antagonistic effect on the seizure activity. We compared two induction agents...