INTRODUCTION:Ever since its discovery, Electro Convulsive Therapy (ECT) has continued to occupy a central place in the armamentarium of psychiatrists inspite of advances in psycho pharmaco therapy. Despite both medical and legal opposition it is still widely practiced as one of the cheapest, safest and yet one of the most effective therapeutic technique in the whole of medical sciences. Due to trauma caused to the patient physically and psychologically with unmodified direct electro convulsive therapy in the past it has now been modified with anaesthesia.The aim of ECT is to produce a grand mal seizure.It is the seizure rather than the electrical stimulus which is responsible for the therapeutic effect.
Electro convulsive therapy can produce severe disturbances in the cardio vascular system most commonly a transient period of hypertension and changes in the …show more content…
Most of the studies to date have compared methohexital with propofol for seizure duration, haemodymanic sand recovery profile. Propofol induction for MECT was shown to have shorter seizure duration
Propofol was compared to thiopentone sodium as anaesthetic induction agent and heart rate, blood pressure, seizure response to MECT and recovery(As evaluated by time taken to open eyes on command and being able to sit unaided)weremonitored. Patients were also asked to walk a distance of 10 metres unaided 20 minutes after induction. Greater haemodynamic stability and shorter seizure times were noted with propofol.These patients also showed better quality of walking unaided after 20 minutes.
Our study compared 40 patients who were to undergo MECT. Blood pressure, heart rate, seizure duration, recovery (As determined by moving limbs to commands)were recorded. Our findings were comparable in that seizure duration was shorter,the re was more stable haemodnyamics and faster psychomotor recovery in patients in who man anaesthesia was induced with
Electro convulsive therapy can produce severe disturbances in the cardio vascular system most commonly a transient period of hypertension and changes in the …show more content…
Most of the studies to date have compared methohexital with propofol for seizure duration, haemodymanic sand recovery profile. Propofol induction for MECT was shown to have shorter seizure duration
Propofol was compared to thiopentone sodium as anaesthetic induction agent and heart rate, blood pressure, seizure response to MECT and recovery(As evaluated by time taken to open eyes on command and being able to sit unaided)weremonitored. Patients were also asked to walk a distance of 10 metres unaided 20 minutes after induction. Greater haemodynamic stability and shorter seizure times were noted with propofol.These patients also showed better quality of walking unaided after 20 minutes.
Our study compared 40 patients who were to undergo MECT. Blood pressure, heart rate, seizure duration, recovery (As determined by moving limbs to commands)were recorded. Our findings were comparable in that seizure duration was shorter,the re was more stable haemodnyamics and faster psychomotor recovery in patients in who man anaesthesia was induced with