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Article

Review of the Effects of Anesthetic Agents Used as Premedication for Patients Undergoing Electroconvulsive Therapy with Diagnoses of Bipolar Disorder or Major Depression on Convulsion, Recovery Period, and Hemodynamic Parameters

by
Volkan Ozen
1,* and
Mehmet Emin Orhan
2
1
Department of Anesthesiology and Reanimation, Okmeydani Training and Research Hospital Kasimpasa Building, Beyoğlu, 34440 İstanbul, Türkiye
2
Department of Anesthesiology and Reanimation, Gulhane Education and Research Hospital, Ankara, Türkiye
*
Author to whom correspondence should be addressed.
J. Mind Med. Sci. 2019, 6(2), 271-277; https://doi.org/10.22543/7674.62.P271277
Submission received: 5 August 2019 / Revised: 5 September 2019 / Accepted: 5 October 2019 / Published: 9 October 2019

Highlights

  • Premedication should be administered before the electroconvulsive therapy.
  • Premedication may prevent hemodynamic responses that may occur as a response to this therapy. It also prevents the occurrence of side effects.

Abstract

Objective: The aim of this study was to examine the effects of anesthetic agents used as premedication in patients undergoing electroconvulsive therapy (ECT) for diagnoses of bipolar disorder or major depression in terms of convulsion, recovery period, and hemodynamic parameters. Materials and Method: This retrospective study was carried out by screening the anesthesia forms of patients in a psychiatry clinic in Turkey. Results: Researchers reviewed 104 patient files, of which 39 fit the inclusion criteria. 26 patients were given premedication; 13 patients were not given premedication. The study found a significant difference between the group to which dexmedetomidine was given and the non-premedication group in terms of mean arterial blood pressure and heart rate. A significant difference was also found between the group to which midazolam was given and the non-premedication group in terms of peripheral oxygen saturation. Conclusion: Premedication before ECT may be used to reduce the side effects after ECT without affecting convulsions and the recovery period.
Keywords: convulsion; electroconvulsive therapy; hemodynamic; premedication; recovery convulsion; electroconvulsive therapy; hemodynamic; premedication; recovery

Share and Cite

MDPI and ACS Style

Ozen, V.; Orhan, M.E. Review of the Effects of Anesthetic Agents Used as Premedication for Patients Undergoing Electroconvulsive Therapy with Diagnoses of Bipolar Disorder or Major Depression on Convulsion, Recovery Period, and Hemodynamic Parameters. J. Mind Med. Sci. 2019, 6, 271-277. https://doi.org/10.22543/7674.62.P271277

AMA Style

Ozen V, Orhan ME. Review of the Effects of Anesthetic Agents Used as Premedication for Patients Undergoing Electroconvulsive Therapy with Diagnoses of Bipolar Disorder or Major Depression on Convulsion, Recovery Period, and Hemodynamic Parameters. Journal of Mind and Medical Sciences. 2019; 6(2):271-277. https://doi.org/10.22543/7674.62.P271277

Chicago/Turabian Style

Ozen, Volkan, and Mehmet Emin Orhan. 2019. "Review of the Effects of Anesthetic Agents Used as Premedication for Patients Undergoing Electroconvulsive Therapy with Diagnoses of Bipolar Disorder or Major Depression on Convulsion, Recovery Period, and Hemodynamic Parameters" Journal of Mind and Medical Sciences 6, no. 2: 271-277. https://doi.org/10.22543/7674.62.P271277

APA Style

Ozen, V., & Orhan, M. E. (2019). Review of the Effects of Anesthetic Agents Used as Premedication for Patients Undergoing Electroconvulsive Therapy with Diagnoses of Bipolar Disorder or Major Depression on Convulsion, Recovery Period, and Hemodynamic Parameters. Journal of Mind and Medical Sciences, 6(2), 271-277. https://doi.org/10.22543/7674.62.P271277

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