General Anaesthesia Protocols for Patients Undergoing Electroconvulsive Therapy Retrospective analysis of 504 sessions over a fve-year period at a tertiary care hospital in Oman
Journal Title: Sultan Qaboos University Medical Journal - Year 2017, Vol 17, Issue 1
Abstract
Objectives: Tis study aimed to review general anaesthesia protocols for patients undergoing electroconvulsive therapy (ECT) at a tertiary care hospital in Oman, particularly with regards to clinical profle, potential drug interactions and patient outcomes. Methods: Tis retrospective study took place at the Sultan Qaboos University Hospital (SQUH), Muscat, Oman. Te electronic medical records of patients undergoing ECT at SQUH between January 2010 and December 2014 were reviewed for demographic characteristics and therapy details. Results: A total of 504 modifed ECT sessions were performed on 57 patients during the study period. All of the patients underwent a uniform general anaesthetic regimen consisting of propofol and succinylcholine; however, they received different doses between sessions, as determined by the treating anaesthesiologist. Variations in drug doses between sessions in the same patient could not be attributed to any particular factor. Self-limiting tachycardia and hypertension were periprocedural complications noted among all patients. One patient developed aspiration pneumonitis (1.8%). Conclusion: All patients undergoing ECT received a general anaesthetic regimen including propofol and succinylcholine. However, the interplay of anaesthetic drugs with ECT efcacy could not be established due to a lack of comprehensive data, particularly with respect to seizure duration. In addition, the impact of concurrent antipsychotic therapy on anaesthetic dose and subsequent complications could not be determined.
Authors and Affiliations
Aravind Narayanan| Departments of Anaesthesia & Intensive Care Unit, Sultan Qaboos University Hospital, Muscat, Oman, Chandar Lal| Departments of Anaesthesia & Intensive Care Unit, Sultan Qaboos University Hospital, Muscat, Oman, Hamed Al-Sinawi| Departments of Behavioural Medicine, Sultan Qaboos University Hospital, Muscat, Oman
Keywords
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- EP ID EP14745
- DOI 10.18295/squmj.2016.17.01.009
- Views 327
- Downloads 19
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