Document Detail


End-tidal carbon dioxide monitoring stabilized hemodynamic changes during ECT.
MedLine Citation:
PMID:  12621274     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Accumulation of carbon dioxide (CO2) can disturb systemic and cerebral hemodynamics in patients receiving electroconvulsive therapy (ECT). The purpose of this study was to identify the effects of end-tidal CO2 monitoring on hemodynamic changes in patients who received ECT under propofol anesthesia. ECT was prescribed to 40 patients under propofol anesthesia. Ventilation was assisted using a face mask and 100% oxygen, with or without end-tidal CO2 monitoring. Heart rate was significantly increased in patients without end-tidal CO2 monitoring at 1 to 5 minutes after electrical stimulation (p < 0.01). Mean arterial blood pressure and middle cerebral artery blood flow velocity in the group without end-tidal CO2 monitoring were significantly larger than the values in the group with the monitor at 1 to 5 minutes after electrical stimulation. Arterial CO2 tension in the group without end-tidal CO2 monitoring was larger than the value in the group with the monitoring at 1 minute (45+/-5 mm Hg with the monitor and 56+/-8 without the monitor) and 5 minutes (37+/-4 mm Hg with the monitor and 51+/-8 without the monitor) after electrical stimulation (p < 0.01). Application of end-tidal CO2 monitoring is considered beneficial for safe and effective anesthesia management of patients undergoing ECT, especially patients with an intracranial disorder or ischemic heart disease.
Authors:
Shigeru Saito; Yuji Kadoi; Fumio Nihishara; Chizu Aso; Fumio Goto
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  The journal of ECT     Volume:  19     ISSN:  1095-0680     ISO Abbreviation:  J ECT     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-03-06     Completed Date:  2003-06-10     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9808943     Medline TA:  J ECT     Country:  United States    
Other Details:
Languages:  eng     Pagination:  26-30     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology and Reanimatology, Gunma University School of Medicine, 3-39-22, Showamachi, Maebashi, 371-8511, Japan. shigerus@news.sb.gunma-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Anesthetics, Intravenous / administration & dosage
Brain / blood supply
Brain Diseases / complications
Carbon Dioxide / analysis*
Electroconvulsive Therapy*
Female
Hemodynamics*
Humans
Male
Middle Aged
Monitoring, Physiologic
Myocardial Ischemia / complications
Propofol / administration & dosage
Chemical
Reg. No./Substance:
0/Anesthetics, Intravenous; 124-38-9/Carbon Dioxide; 2078-54-8/Propofol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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