Volume 5, Number 4 (Journal of Anesthesiology and Pain 2015)                   JAP 2015, 5(4): 11-20 | Back to browse issues page


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haghighi M, CHAVOSHI T, ghazanfar tehran S, khanjanian G, soleimani R, NEMATLLAHY M, et al . Effective factors in peripheral seizure production in patients undergoing Electroconvulsive Therapy from anesthesia perspective. JAP. 2015; 5 (4) :11-20
URL: http://jap.iums.ac.ir/article-1-5204-en.html

1- associated professo rasht/gums/arc , manesthesist@yahoo.com
2- resident of anesthesiology rasht/gums/arc
3- assistant professor GUMS
4- NURSE ANESTHESIST rasht/gums/arc
Abstract:   (1287 Views)
Aim and Background: Electroconvulsive therapy(ECT) is one of the most effective and prompt therapies for
severe psychotic issues. This study aims to distinguish the impact of age, disease and medications on the seizure
caused by ECT.
Methods and Materials: 123 patients were studied and categorized according to their age, psychotic disorder
and medications (anti-psychotics, anti-depressive or both of them). The correlation of these variants with seizure
duration were discussed in every session of ECT.The seizure duration was recorded based on clinical convulsion
and EEG parameters. The failure or success of ECT was evaluated by seizure time measurement to be less or
greater than 20 sec, respectively.
Findings: There was no significant difference observed between men and women in regards to the average
seizure duration in different sessions (6 sessions) (P=0.25).There was either no significant difference observed
in seizure duration in various sessions between patients under and above 40 years of age(P=0.45). Again
no significant difference was seen in seizure duration among patients with psychotic and mood disorders or
between patients using anti-psychotic or anti- psychotic and anti- depressant drugs for therapy, respectively
(P=0.38 and P=0.14).
Conclusions: Accurate knowledge about patients who are candidate to receive Electroconvulsive Therapy is
very important. Type of psychologic disorder, type of drug protocol and the number of sessions of ECT, all are
the factors which should be considered in every ECT procedure.
Keywords: Electroconvulsive therapy, seizure duration, success rate
Full-Text [PDF 397 kb]   (560 Downloads)    
Type of Study: Original | Subject: Special
Received: 2015.04.27 | Accepted: 2015.06.1 | Published: 2015.06.22

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