Health Condition 1: F339- Major depressive disorder, recurrent, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: diagnosed with major depressive disorder (as per DSM-5 criteria) Treatment resistant depression with clinical indication of ECT
Exclusion criteria
Exclusion criteria: Patients with any comorbid psychiatric disorders (except tobacco use disorder). Patients with pre-existing cognitive impairment because of any cause will be excluded to ensure baseline cognitive homogeneity. Patients with medical conditions contraindicating the use of ketofol, ketamine or etomidate Pregnancy and lactation Allergy or hypersensitivity to ketofol, ketamine, etomidate Patient refusal
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| to compare the effects of ketofol, ketamine, and etomidate anesthesia on neuropsychological outcomes in major depressive disorder patients undergoing ECT. Cognitive and depression severity assessments, using MOCA and PHQ-9, are conducted at baseline, after week one, and post-final ECT sessions for evaluationTimepoint: baseline evaluation night before first ECT, second evaluation one week after , third after completion of all ECT sessions | — |
Secondary
| Measure | Time frame |
|---|---|
| - seizure duration, hemodynamic profile, & post convulsion complications, including sialorrhea, myalgia, nausea, & agitation Timepoint: in each ECT session | — |
Countries
India
Contacts
King George Medical University , Lucknow