Efficacy Of Electroconvulsive Therapy After Propofol And Methohexital Anesthesia

Below is result for Efficacy Of Electroconvulsive Therapy After Propofol And Methohexital Anesthesia in PDF format. You can download or read online all document for free, but please respect copyrighted ebooks. This site does not host PDF files, all document are the property of their respective owners.

Medical Evaluation of Patients Undergoing Electroconvulsive

these patients. The technique and efficacy of ECT have been reviewed in the Journal.1 In this article, we present an approach for medical consultants, with special attention to patients with coexisting medical conditions and to the management of complica-tions that may occur after the procedure. Background


seizures during electroconvulsive therapy, in our case reports describe seizures during anesthesia with propofol (1-4) and epileptiform patterns in- Propofol, when compared to methohexital

A Bayesian framework systematic review and meta-analysis of

in electroconvulsive therapy for ketamine and methohexital may be preferred to propofol or thiopental in regard of effectiveness in depression scores and increased Anesthesia with propofol

Patient education: Electroconvulsive therapy (ECT) (Beyond

for and efficacy of electroconvulsive therapy (ECT) ) If your doctor suggests that you be treated with ECT, it is because he or she believes that you have a disorder that will improve with ECT. Discuss this with your doctor. Before ECT begins, your doctor will carefully assess your medical condition to make sure that ECT is safe for you.

comparison of anesthetics in electroconvulsive therapy: an

therapy.10 The anesthetic of choice until the mid-2000s was methohexital because of its proven safety profile, effective-ness, and relatively low cost.4 However, a lack of availability of methohexital has led to the use of other anesthetics. Propofol is an anesthetic that is administered intrave-

A within-subject comparison of seizure duration with

7.111 Kovac AL, Pardo M: A comparison between etomidate and methohexital for anesthesia in 112 ECT. Convulsive Ther 8:118-125, 1992 113 8. Greenberg L, Boccio R, Fink M: A comparison of etomidate and methohexital anesthesia 114 for electroconvulsive therapy. Ann Clin Psychiatry 1:39-42, 1989

Medication management during electroconvulsant therapy

with increased risk of complications from the general anesthesia and induction of seizure activity.1 ECT is considered safe with a mortality of ~1/10,000 patients or 1/80,000 treatments.6 Most patients report some adverse cognitive effects during and after a course of ECT, such as postictal confusion state (the result of both anesthesia

Graylands Hospital Drug Bulletin

Propofol Propofol is a short acting anaesthetic agent with rapid onset of action. It has an advantage of better haemodynamic control with lower postictal blood pressure and heart rate control compared to etomidate, ketamine, sevoflurane, thiopental and methohexital.37 Propofol also has better recovery times

Comparative Study of Hemodynamic Changes during Induction of

lepti form activity following electroconvulsive therapy is longer after anesthetic induction with etomidate versus methohexital or propofol. Somatosensory evoked potential amplitudes are enhanced by etomidate, and motor evoked potential amplitudes are suppressed less by etomidate than propofol, thiopental, or

Letters to the Editor

Effects of Propofol on Electroconvulsive Therapy Seizure Duration Dear Editor: Propofol is an anesthetic agent alternative to methohexital. It is widely used because it is associated with smaller hemodynamic response during electro-convulsive therapy (ECT) (1). Studies have shown that propofol reduces seizure duration,

open access to scientific and medical research Open Access

relaxant was left to the discretion of the anesthesia provider. Subjects 1 and 2 received ketamine and propofol. Subject 3 received methohexital and propofol, except for sessions 4 and 5, during which she received ketamine and succinylcho-line. Subjects 4 and 5 received methohexital and propofol. Results

EKT Narkose

with anesthesia (p<0.001) - favoring etomidate and ketamine over thiopental and propofol Impact of ketamine, etomidate, thiopental and propofol as anesthetic on seizure parameters and seizure quality in electroconvulsive therapy: A retrospective study Carolin Hoyer, Laura Kranaster, Christoph Janke, Alexander Sartorius

Influence of valproate on the required dose of propofol for

Background: Propofol is often used as an anesthetic agent for electroconvulsive therapy (ECT). In recent studies, propofol was shown to possess significant seizure-shortening properties during ECT. Valproate is a mood stabilizer used mainly in the treatment of bipolar affective disorder.

Anesthesia and ECT

Etomidate or a 1 : 1 ketamine and propofol combination may be the best method to achieve general anaesthesia in the ECT setting. There is a need for large randomised prospective studies comparing the effect of methohexital, thiopental, propofol, ketamine, propofol+ketamine 1 : 1 and etomidate in the ECT treatment of major depressed patients. These

General anesthesia for electroconvulsive therapy with Brugada

duration : impact on the efficacy and safety of electroconvulsive therapy. Psychiatr Clin North Am 14 : 803-843, 1991 14. Geretsegger C, Nickel M, Judendorfer B, Rochowanski E, Novak E, Aichhorn W : Propofol and methohexital as anesthetic agents for electroconvulsive therapy : a randomized, double-blind comparison of electroconvulsive

Is ketamine propofol mixture (ketofol) an appropriate

Novak E, aichhorn W. Propofol and methohexital as anesthetic agents for electroconvulsive therapy: a randomized, double-blind comparison of electroconvulsive therapy seizure quality, therapeutic efficacy, and cognitive performance. J ECt 2007;23:239-43. 7. Kranaster l, Kammerer-CierniochJ, HoyerC, Sartorius a.

Say, are you psychiatrists still using ECT? 14833 November

Anesthesia for ECT is usually induced with thiopental sodium or methohexital (propofol shortens ECT seizure length and may compromise efficacy), followed by suc-cinylcholine to produce virtually complete muscle paraly-sis. Monitoring of cardiac rhythm, oxygen saturation and blood pressure helps to ensure safety. Stimulation with

Ketamine: old dogs, new tricks

methohexital anesthesia with ECT. J Neuropsychiatry Clin Neurosci. 2003;15(1):27-34. 4. McDaniel WW, Sahota AK, Vyas BV, et al. Ketamine appears associated with better word recall than etomidate after a course of 6 electroconvulsive therapies. J ECT. 2006;22(2):103-106. 5. Takeshita H, Okuda Y, Sari A. The effects of ketamine on

Cover Page

with short or long term efficacy of ECT. Pharmacogenetics is the science to investigate an individual s sensitivity and response to a variety of drugs or the outcome after therapeutic intervention via studying genetic variations and gene-gene interactions.3 Clinical insights into pharmacogenetics of ECT and

Managing specific problems within anesthesia Alexander Sartorius

with anesthesia (p<0.001) - favoring etomidate and ketamine over thiopental and propofol Impact of ketamine, etomidate, thiopental and propofol as anesthetic on seizure parameters and seizure quality in electroconvulsive therapy: A retrospective study Carolin Hoyer, Laura Kranaster, Christoph Janke, Alexander Sartorius

Olukayode Abayomi FWACP

Electroconvulsive therapy (ECT) is the electrical induction of cerebral seizure activity to treat certain mental and neurological illnesses. severe depressive illness associated with delusions or retardation (Buchan et al, 1992) depressed patients in whom antidepressant drug treatment has not been effective (Prudic et al, 1990).

Welcome to Somatics, the World's Leader in ECT Innovation and

brief-pulse electroconvulsive therapy instrument. In just a few years Somatics became the leading manufacturer of this equipment world-wide, incorporating patent after patent into the design until, at present, Thymatron® instruments, accessories, and supplies are protected by 12 U.S. patents (foreign patents granted and pending).

3-17-15 ECT 101

Relapse Rates at 6 months after ECT course Placebo- 84% Nortryptiline- 60% Nortryptiline/Lithium- 39%, 32% Maintenance ECT- 37% JAMA July 18th, 2007- Vol 298 No 3 Sackeim, HA, Continuation pharmacotherapy in the prevention of relapse following electroconvulsive therapy: a randomized trial. JAMA 285: 1299-1307, 2001

Anesthesia at Remote Locations - gmch.gov.in

Radiation Therapy External beam radiation treatments, usually for children with malignancies,and intraoperative radiationto tumor massesthat cannotbe completely resected Direct observation of the patient is not possible General anesthesia ordeep‐sedation techniques with propofol are

Kos E, Kruc A. Electroconvulsive therapy (ECT) in modern

Anesthesia technique. Through intravenous line the patient receives general anesthesia. The induction agent of choice is methohexital. Other induction agents include propofol, thiopental, etomidate and ketamine.5 Preoxygenation. The patient is preoxygenated with sup-plemental oxygen, with the goal of maintaining oxygen saturation near 100%.

Pediatric Electroconvulsive Therapy

Intravenous anesthesia Methohexital KEY POINTS Ongoing collaboration and open lines of communication between multidisciplinary teams is key to the development of a successful pediatric electroconvulsive therapy program. Anesthesia planning for pediatric electroconvulsive therapy is divided into preprocedural, intraprocedural, and postprocedural

Cover Page

Electroconvulsive therapy (ECT) has shown apparent efficacy in treatment of patients with depression and other mental illnesses who do not respond to psychotropic medications or need urgent control of their symptoms. Pharmacogenetics contributes to an individual s sensitivity and response to a variety of drugs.

Propofol and electroconvulsive therapy in a patient at risk

cacy of electroconvulsive therapy after propofol and metho- hexital anesthesia. Convulsive Therapy 1994; 10: 212 219. 20. Avramov MN, Husain MM, White PF. The comparative effects of methohexital, propofol and etomidate for electroconvulsive therapy. Anesthesia and Analgesia 1995; 81: 596 602. 21. Kirkby KC, Beckett WG, Matters RM, King TE

Intravenous theophylline is the most effective intervention

efficacy of ECT have been made in the last years [5]. Several studies thereby focused on drug management, for example S-ketamine was shown to lead to longer motor seizure duration than metohexital [6]. When eto-midate was given for induction of anesthesia longer motor and electroencephalographic (EEG) seizures were observed compared to propofol

ECT May Cause Three Types of Memory Disturbance

Methohexital (0.75 1 mg/kg) Short-acting barbiturate Most commonly used Low anticonvulsant effect Low cost Thiopental (2 5 mg/kg) Greater risk of cardiac side effects Ketamine (0.5 1 mg/kg) Proconvulsant Tends to worsen ECT induced HR and BP changes Propofol (2 3 mg/kg) Anticonvulsant effects Etomidate (0.2 0.3 mg/kg)

Ketamine and ECT: better alone than together?

glutamate after electroconvulsive treatment: a quantitative proton MR spectroscopy study at 9 4 T in an animal model of depression. World J Biol Psychiatry 2012; 13: 447 57. 9 Li DJ, Wang FC, Chu CS, et al. Significant treatment effect of add-on ketamine anesthesia in electroconvulsive therapy in depressive patients: a meta-analysis.

Anesthesia for Electroconvulsive Therapy

Methohexital along with propofol and etomidate remain the mainstay of induction agents. Efficacy of therapy is Anesthesia for Electroconvulsive Therapy 187.

Alfentanil has no proconvulsive effect during electro

tive effects of methohexital, propofol, and etomidate for electroconvulsive therapy. Anesth Analg 1995; 81: 596 602. 3 Christensen P, Kragh-Sorensen P, Sorensen C, et al. EEG- monitored ECT: a comparison of seizure dura-tion under anesthesia with etomidate and thiopentone. Convuls Ther 1986; 2: 145 50.

Clinical applications of electroconvulsive therapy and

vulsant properties. Methohexital is frequently preferred due to its minimal anticonvulsant effects and favorable cardiac side-effect profile [30]. Of the hypnotic agents, propofol can pro-duce a considerably shortened seizure duration in addition to an increase in mean blood pres-sure [30]. Accordingly, the use of propofol may

Catatonic Regression in ASD other Neurodevelopmental Disorders

Sedation brief with etomidate, methohexital, propofol Muscle blockade succinylcholine Oxygenation MECTA 5000Q - Brief-pulse (4 sec) bitemporal/bifrontal electrode Resistance: lack of knowledge, media, legal restrictions Ghaziuddin, Electroconvulsive Therapy in Children & Adolescents, 2013 Dr. Ghaziuddin

Latest Evidence Newsletter

After excluding the trials responsible for heterogeneity, depression scores of patients who were administered methohexital were found to be significantly more improved than those who received propofol (p = 0.001). On the contrary, those who were administered propofol had lower depression scores than those with thiopental at the end

Comparative Study between Intravenous Thiopentone Sodium and

doses of methohexital. 8 The use of propofol can significantly shorten the duration of seizure activity and its effect on the antidepressant action of ECT has been a concern. However, the ECT seizure duration in this study, after larger dose of propofol (1.5 mg/kg), was significantly longer than after

Dra. Gema Bañuls, Dr. Jose Tatay

The safety and efficacy of electroconvulsive therapy in patients over age 75. Gormley N. Int J Geriatr Psychiatry. 1998 Dec;13(12):871-4. Safety and efficacy of electroconvulsive therapy in patiens over age 85. Tomac TA. Am J Geriatr Psychiatry. 1997;5(2):126-30. Electro electroconvulsive therapy use in geriatric depression. Kramer BA.

The Canadian Journal of Psychiatry

Anesthesia for electroconvulsive therapy: effects of propofol and methohexital on seizure activity and recovery. Anesth Analg 1994;79:75 9. 5. Malsch E, Gratz I, Mani S, Backup C, Levy S. Efficacy of electroconvulsive therapy after propofol and methohexital anesthesia. Convuls Ther 1994;10:212 9. 6. Stadtland C, Erfurth A, Ruta U, Michael N