Incidence and risk factors for oxygen desaturation during recovery from modified electroconvulsive therapy: A prospective observational study

Journal of Anaesthesiology, Clinical Pharmacology
Rohini SurveGanne Sesha Umamaheswara Rao

Abstract

Electroconvulsive therapy (ECT) is an established modality of treatment for severe psychiatric illnesses. Among the various complications associated with ECT, oxygen desaturation is often under reported. None of the previous studies has evaluated the predictive factors for oxygen desaturation during ECT. The objective of this study was to evaluate the incidence of oxygen desaturation during recovery from anesthesia for modified ECT and evaluate its risk factors in a large sample. All patients aged above 15 years who were prescribed a modified ECT for their psychiatric illness over 1 year were prospectively included in this observational study. The association between age, body mass index (BMI), doses of thiopentone and suxamethonium, stimulus current, ECT session number, pre- and post-ECT heart rate and mean arterial pressure, seizure duration, and pre- and post ECT oxygen saturation, was systematically studied. The incidence of oxygen desaturation was 29% (93/316 patients). Seizure duration and BMI were found to be significantly correlated with post ECT desaturation. In this prospective observational study, the incidence of oxygen desaturation during recovery from anesthesia for ECT was high. The study identified obesity and d...Continue Reading

References

Nov 1, 1988·British Journal of Anaesthesia·J RäsänenM R Hodges
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Aug 1, 2009·American Journal of Respiratory and Critical Care Medicine·Paul E PeppardMary J Morrell
Jan 12, 2012·Journal of Clinical and Experimental Neuropsychology·Karim YamoutDonald L Bliwise

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Citations

Aug 18, 2017·Journal of Neurosurgical Anesthesiology·Kamath SriganeshG S Umamaheswara Rao
Feb 11, 2021·Neuropsychiatric Disease and Treatment·Pichai IttasakulPhern-Chern Tor

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Methods Mentioned

BETA
pharmacotherapy

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