PATTERN OF COGNITIVE IMPAIRMENT AFTER GIVING TOTAL INTRAVENOUS ANAESTHESIA VS GENERAL ANAESTHESIA FOR ELECTROCONVULSIVE THERAPY IN PATIENTS WITH DEPRESSIVE EPISODE SEVERE

Electroconvulsive Therapy in Patients With Depressive Episode

Authors

  • Usman Eijaz Malik Combined Military Hospital Skardu/National University of Medical Sciences (NUMS) Pakistan
  • Nadeem Ahmed Combined Military Hospital Skardu/National University of Medical Sciences (NUMS) Pakistan
  • Raza Rahim Hyder Combined Military Hospital Skardu/National University of Medical Sciences (NUMS) Pakistan

Keywords:

Anesthesia general, Anesthesia intravenous, Depressive disorder, Electroconvulsive therapy, Neuropsychological test

Abstract

Objective: To study the pattern of cognitive impairment after giving total intravenous anesthesia Vs general
anesthesia for ECT for patients of Depressive Episode Severe.
Study Design: Randomized controlled trial.
Place and Duration of Study: Combined Military Hospital Skardu, from 15 Jul 2015 till 15 Jan 2016.
Material and Methods: Hundred patients fulfilling the inclusion criteria were included by consecutive sampling technique for this study and divided in to two groups of 50 each. Patients of group A were given TIVA (propofol + succinylcholine). Patients in group B received GA (propofol + succinylcholine + isoflurane). Cognitive functions of patient were assessed by psychiatrist via mini mental state examination (MMSE) test before ECT and two weeks after ECT respectively.
Results: Both the groups were assessed for cognitive impairment after TIVA Vs GA. In group A the MMSE
showed less cognitive impairment as compared to group B (p<0.05).
Conclusion: Cognitive impairment is less in total intravenous anesthesia as compared to general anesthesia for ECT in patients of depressive episode severe.

 

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Published

30-10-2017

Issue

Vol. 67 No. 5 (2017): October

Section

Original Articles

How to Cite

1.
Malik UE, Ahmed N, Hyder RR. PATTERN OF COGNITIVE IMPAIRMENT AFTER GIVING TOTAL INTRAVENOUS ANAESTHESIA VS GENERAL ANAESTHESIA FOR ELECTROCONVULSIVE THERAPY IN PATIENTS WITH DEPRESSIVE EPISODE SEVERE: Electroconvulsive Therapy in Patients With Depressive Episode. Pak Armed Forces Med J [Internet]. 2017 Oct. 30 [cited 2024 Dec. 22];67(5):753-56. Available from: https://pafmj.org/PAFMJ/article/view/926