Haemodynamic Rebound
Conditions
Keywords
electroconvulsive therapy, sevoflurane, remifentanil
Brief summary
The investigators will be evaluated the effects of a single loading dose of remifentanil (1µg/kg), administered as an adjunct to sevoflurane, on duration of hemodynamic profile, seizure activity, and recovery times during electroconvulsive therapy (ECT) in patients with major depression
Detailed description
Major depressive patients will enrolled this trial. Mean arterial pressure (MAP) and heart rate (HR) and peripheral oxygen saturation values will be recorded prior to anesthetic induction (T1); following anesthetic induction (T2); and 0, 1, 3, and 10 minute after the seizure have ended (T3, T4, T5, and T6, respectively). The peak heart rate during the seizure will be recorded from the Electrocardiogram.
Interventions
Anesthetic induction will be achieved via 8% sevoflurane
After the loss of consciousness remifentanil will be administered to Group sevoflurane-remifentanil in the form of a 1 µg/kg intravenous bolus.
After the loss of consciousness saline will be administered to Group sevoflurane-saline intravenous bolus.
Sponsors
Study design
Eligibility
Inclusion criteria
* Major depressive patients
Exclusion criteria
* younger than 18 years, pregnant, had a history of myocardial infarction in the previous six months, atrial fibrillation or flutter, heart block, unregulated hypertension, cerebrovascular diseases, known drug allergy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The effects of remifentanil on the heart rate after electroconvulsive therapy | 20 minute | Prior to anesthetic induction (T1); following anesthetic induction (T2); and 0, 1, 3, and 10 minute after the seizure have ended (T3, T4, T5, and T6, respectively). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Seizure duration | 20 minute | During electroconvulsive therapy |
| The effects of remifentanil on the mean arterial pressure after electroconvulsive therapy | 20 minute | Prior to anesthetic induction (T1); following anesthetic induction (T2); and 0, 1, 3, and 10 minute after the seizure have ended (T3, T4, T5, and T6, respectively). |
Countries
Turkey (Türkiye)