Comparative Study between Intravenous Thiopentone Sodium and Propofol on the Recovery Profile of the Patients after Electroconvulsive Therapy
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 4
Abstract
Abstract Introduction: The use of electroconvulsive therapy (ECT) to induce a generalized epileptic seizure was first described in 1938 and was performed without anesthesia for almost 30 years. Modification of treatment process, improvement in the anesthetic management, and greater attention to the preparation for emergencies have resulted in a high level of safety for ECT and its acceptance as a treatment in psychiatry. Objectives: Objectives of the study were to study the recovery profile after electroshock in patients undergoing ECT with intravenous thiopentone sodium versus propofol. Materials and Methods: This study was conducted on psychiatric patients (18-45 years), who belonged to the American Society of Anesthesiologists Grade I or II, and were already on medication. Each patient underwent a series of prescribed ECT. In this study, two treatment groups were included: ECT with thiopentone sodium (Group A) and ECT with propofol (Group B), as induction agents. A total 60 cases were included in the study. Un-paired t-test was applied for the analysis. Results: No significant difference in the baseline value of oxygen saturation between the two groups. Duration of apnea was more in the propofol group; statistically not significant (P > 0.5). In the recovery profile, time taken for spontaneous eye opening was less in the propofol group; statistically not significant (P > 0.5). Time taken for verbal communication and phonation; for orientation of patient to name, place, and time; for patients sitting with support and sitting without support was less in the propofol group; statistically significant (P < 0.05). Mean sedation score was 2.40 with the thiopentone sodium group as against only 1.07 with the propofol group, and this difference was statistically significant. Conclusions: Propofol was superior to thiopentone sodium with respect to recovery and side effects after ECT.
Authors and Affiliations
Santosh N Bodkhe, Roshan M Shende, Pankaj R Bhople, Sonal Agrawal
Keywords
Related Articles
- EP ID EP468406
- DOI -
- Views 131
- Downloads 0
Clinical and Anthropometric Profile of Congenital Heart Disease in Children Admitted in Pediatric Ward
Introduction: Congenital heart disease (CHD) is defined as an abnormality in “cardio circulatory” structure or function that is present since birth; incidence being 8 CHD’s per 1000 live births. Early establishment of di...
Accuracy of Magnetic Resonance Cholangiopancreatography versus Endoscopic Retrograde Cholangiopancreatography in Pancreaticobiliary Disorders
Introduction: Magnetic resonance cholangiopancreatography (MRCP) is an alternative to diagnostic endoscopic retrograde cholangiopancreatography (ERCP) for investigating biliary obstruction. Aim: The aim of the study was...
Analysis of the Outcome of Total Knee Replacement in Obese and Overweight Patients with Varus and Valgus Deformities
Introduction: The study was done with the objective to evaluate clinical and functional outcomes of total knee replacement in obese patients in terms of relief of pain and range of movements. Materials and Methods: The s...
Toothache of Non-Dental Origin: A Review of Its Mechanism and Clinical Characteristics
Objective: To review the clinical presentations of the various types of non-odontogenic pains which may be mistaken as dental pain in clinical practice. Materials and Methods: A search was initiated on web using PubMed/M...
Comparison of Analgesic Efficacy of Peritubal Infiltration of Ropivacaine versus Ropivacaine and Morphine in Percutaneous Nephrolithotomy Under Fluoroscopic Guidance
Background: The root cause of pain in percutaneous nephrolithotomy (PCNL) surgery is dilatation of renal capsule and parenchymal tract which is rich in pain-sensitive nerve fibers. A nephrostomy tube is retained which ca...