Sevoflurane versus propofol for electroconvulsive therapy: effects on seizure parameters, anesthesia recovery, and the bispectral index

Melekşah PEKEL; Nadide Aysun POSTACI; İsmail AYTAÇ; Derya KARASU; Hüseyin KELEŞ; Özlem ŞEN; Bayazit DİKMEN; Erol GÖKA

Makale detayları

Sevoflurane versus propofol for electroconvulsive therapy: effects on seizure parameters, anesthesia recovery, and the bispectral index

Yazarlar:

Melekşah PEKEL | Nadide Aysun POSTACI | İsmail AYTAÇ | Derya KARASU | Hüseyin KELEŞ | Özlem ŞEN | Bayazit DİKMEN | Erol GÖKA

Yayıncı:

TUBITAK

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Turkish Journal of Medical Sciences 2016 Vol.46 Issue 3, pp.756-763

Belge Tipi:

Makale

Yayın Tarihi:

5/2016

Belge Dili:

İngilizce

Document ID (Org No.):

2000752077

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Özet:

 

Background/aim: In this prospective randomized cross-over study we compare the effects of sevoflurane versus propofol for electroconvulsive therapy (ECT) anesthesia.  Materials and methods: Twenty four patients (ASA I-III, 18-65 years old) receiving ECT three times per week were included. Anesthesia was induced with either propofol (0.75 mg/kg iv) or 5% sevoflurane in 100% oxygen. Consecutive ECT sessions followed a 2 × 2 crossover design and a 2-day washout period until the 10th ECT. Intravenous succinylcholine (1 mg/kg) was administered while bispectral index (BIS) values were ≤60%.   Results: Electromyogram and electroencephalogram seizure duration, postictal suppression index, BIS values, mean arterial blood pressure (MAP), heart rate, times to start of spontaneous respiration, eye opening, understanding verbal commands, and side effects were compared. No differences were found between the regimens for seizure activity and recovery. At the end of ECT, MAP was higher with sevoflurane. Although BIS values were higher after sevoflurane, no differences between the regimens were found in terms of the need of muscle relaxants and in hypnosis levels.    Conclusion: Sevoflurane (5%) may be an effective alternative to propofol for induction of anesthesia for ECT.

Makale detayları

Sevoflurane versus propofol for electroconvulsive therapy: effects on seizure parameters, anesthesia recovery, and the bispectral index

Yazarlar: Melekşah PEKEL | Nadide Aysun POSTACI | İsmail AYTAÇ | Derya KARASU | Hüseyin KELEŞ | Özlem ŞEN | Bayazit DİKMEN | Erol GÖKA

Yayıncı: TUBITAK

Ana Başlıklar: Sağlık teşvikleri

Dergi: Turkish Journal of Medical Sciences 2016 Vol.46 Issue 3, pp.756-763

Belge Tipi: Makale

Yayın Tarihi: 5/2016

Belge Dili: İngilizce

Document ID (Org No.): 2000752077

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

Sayı

Yazarlar:

Melekşah PEKEL | Nadide Aysun POSTACI | İsmail AYTAÇ | Derya KARASU | Hüseyin KELEŞ | Özlem ŞEN | Bayazit DİKMEN | Erol GÖKA

Yayıncı:

TUBITAK

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Turkish Journal of Medical Sciences 2016 Vol.46 Issue 3, pp.756-763

Belge Tipi:

Makale

Yayın Tarihi:

5/2016

Belge Dili:

İngilizce

Document ID (Org No.):

2000752077

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144