Document Detail

Orthostatic hemodynamic changes after electroconvulsive therapy treatments.
MedLine Citation:
PMID:  18580557     Owner:  NLM     Status:  MEDLINE    
Falls are common in patients receiving electroconvulsive therapy (ECT) treatments. One cause of falls is orthostatic hypotension. In an effort to deduce whether modifiable anesthetic factors are associated with posttreatment hemodynamic changes, we assessed supine and standing blood pressure and pulse in 62 patients given 295 treatments approximately 2 hours after ECT treatments. Mean changes were -5.25 mm Hg for systolic pressure, 1.5 mm Hg for diastolic pressure, and -17.0 beats per minute for pulse. Neither use of perianesthetic medications such as labetalol, glycopyrrolate, or remifentanil, or ECT technical variables such as seizure duration or electrode placement were associated with orthostatic blood pressure drop in the multivariate model. We conclude that none of the commonly used perianesthetic medications or variations in ECT electrode placement are associated with orthostatic hypotension after ECT treatments.
Keith G Rasmussen; Angela D Leise; Susanna R Stevens
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of ECT     Volume:  24     ISSN:  1095-0680     ISO Abbreviation:  J ECT     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-26     Completed Date:  2008-10-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9808943     Medline TA:  J ECT     Country:  United States    
Other Details:
Languages:  eng     Pagination:  134-6     Citation Subset:  IM    
Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN 55905, USA.
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MeSH Terms
Aged, 80 and over
Anesthetics / adverse effects
Electroconvulsive Therapy*
Hemodynamics / drug effects,  physiology*
Hypotension, Orthostatic / physiopathology*
Middle Aged
Time Factors
Reg. No./Substance:

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