A COMPARATIVE STUDY FOR MODIFIED ELECTRO CONVULSIVE THERAPY UNDER GENERAL ANAESTHESIA USING THIOPENTONE, OR ETOMIDATE AS INDUCTION AGENTS ALONG WITH LOW DOSE OF SUCCINYLCHOLINE.

Corresponding Author:
V. V. Lokeswari,
Sri Lakshmi Narsimha Residency,
TF2, Visalakshinagar, Visakhapatnam-43,
Andhra Pradesh, India.
E-mail: lokikos23@gmail.com

ABSTRACT

BACKGROUND

Modified ECT is a procedure that should be carried out in an anaesthetised person. The essential elements of anaesthesia include rapid loss of consciousness, effective attenuation of the hemodynamic response to the electrical stimulus, avoidance of gross movements, minimal interference with seizure activity and prompt recovery of spontaneous ventilation and consciousness

Aims & Objectives- The aim of the study is to compare the hemodynamic parameters, induction time, seizure duration, recovery time, when using Thiopentone sodium, Etomidate as induction agents in patients undergoing modified elective ECT.

MATERIALS AND METHODS

This is a prospective randomised control study, conducted in 100 patients of ASA I and II undergoing modified ECT using thiopentone sodium (50) and Etomidate (50) as induction agents. Haemodynamics, induction time, seizure duration, recovery time are recorded at regular intervals.

RESULTS

Seizure duration is prolonged in Etomidate group compared to Thiopentone group. Induction time and recovery time (R1 return of spontaneous ventilation and R2 able to walk from recovery room) is significantly faster in Etomidate group.

CONCLUSION

Etomidate is better choice than thiopentone due to rapid and smooth induction, early and smooth recovery. Hence minimum hospitalization is needed for ambulatory patients.

KEY WORDS

Etomidate, Thiopentone Sodium, Electroconvulsive Therapy (ECT), Seizure Duration.