Propofol and methohexital as anesthetic agents for electroconvulsive therapy: A randomized, double-blind comparison of electroconvulsive therapy seizure quality, therapeutic efficacy, and cognitive performance

Journal of ECT

Volumn 23, Issue 4, 2007, Pages 239-243

  Geretsegger, Christian ^a,c   Nickel, Marius ^b   Judendorfer, Berthold ^a   Rochowanski, Erika ^a   Novak, Erich ^a   Aichhorn, Wolfgang ^a  

^a PARACELSUS MEDICAL UNIVERSITY   (Austria)

^b MEDICAL UNIVERSITY OF GRAZ   (Austria)

^c University Clinic for Psychiatry and Psychotherapy I   (Austria)

Author keywords

Cognitive performance; ECT; Methohexital; Propofol; Seizure efficacy index

Indexed keywords

ANESTHETIC AGENT; ATROPINE; METHOHEXITAL; PROPOFOL; SUXAMETHONIUM;

ADULT; ANESTHESIA; ARTICLE; CLINICAL ARTICLE; CLINICAL TRIAL; COGNITION; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DEPRESSION; DIASTOLIC BLOOD PRESSURE; DISEASE DURATION; DOUBLE BLIND PROCEDURE; DRUG EFFICACY; ELECTROCONVULSIVE THERAPY; ELECTROENCEPHALOGRAPHY; FOLLOW UP; HUMAN; HYPOTHESIS; MAJOR DEPRESSION; MEAN ARTERIAL PRESSURE; METHODOLOGY; PULSE RATE; RANDOMIZED CONTROLLED TRIAL; SEIZURE; STATISTICAL SIGNIFICANCE; SYSTOLIC BLOOD PRESSURE; TREATMENT DURATION; TREATMENT OUTCOME;

ADULT; ANESTHESIA, GENERAL; ANESTHETICS, INTRAVENOUS; BIPOLAR DISORDER; BLOOD PRESSURE; CHRONIC DISEASE; COGNITION; DEPRESSIVE DISORDER, MAJOR; DOSE-RESPONSE RELATIONSHIP, DRUG; DOUBLE-BLIND METHOD; ELECTROCONVULSIVE THERAPY; ELECTROENCEPHALOGRAPHY; FEMALE; FOLLOW-UP STUDIES; HUMANS; MALE; METHOHEXITAL; MIDDLE AGED; NEUROPSYCHOLOGICAL TESTS; PERSONALITY INVENTORY; PROPOFOL; RECURRENCE; TREATMENT OUTCOME;

EID: 37349051373     PISSN: 10950680     EISSN: 15334112     Source Type: Journal    
DOI: 10.1097/0b013e31814da971     Document Type: Article

References (37)

1. Geretsegger C, Rochowanski E, Kartnig C, et al. Propofol and methohexital as anesthetic agents for electroconvulsive therapy: a comparison of seizure-quality measures and vital signs. J ECT. 1998;14:28-35.
2. Folk JW, Kellner CH, Beale MD, et al. Anesthesia for electroconvulsive therapy. J ECT. 2000;16:157-170.
3. Gazdag G, Koscis N, Lipcssey A. Rates of electroconvulsive therapy use in Hungary in 2002. J ECT. 2004;20:42-44.
4. Gaines GY, Rees I. Electroconvulsive therapy and anesthetic considerations. Anesth Analg. 1986;65:1345-1356.
5. Bailine SH, Petrides G, Doft M, et al. Indications for the use of propofol in electroconvulsive therapy. J ECT. 2003;19:129-132.
6. American Psychiatric Association. Task force for ECT. The practice of ECT: recommendations for treatment, training, and privileging. Convuls Ther. 1990;2:85-120.
7. Modica PA, Tempelhoff R, White PF. Pro- and anticonvulsant effects of anesthetics (Part II). Anesth Analg. 1990;70:433-444.
8. Ding Z, White PF. Anesthesia for electroconvulsive therapy. Anesth Analg. 2002;94:351-364.
9. Dew RE, Kimball JN, Rosenquist PB, et al. Seizure length and clinical outcome in electroconvulsive therapy using methohexital or thiopental. J ECT. 2005;21:16-18.
10. Ayd FJ. Methohexital (Brevital): a new anesthetic for electroconvulsant therapy. Dis Nerv Syst. 1961;22:388-390.
11. Pitts FN, Gilles MD, Steward W, et al. Induction of anesthesia with methohexital and thiopental in electroconvulsive therapy. N Engl J Med. 1965;273:353-360.
12. Calarge CA, Crowe RR, Gergis SD, et al. The comparative effects of sevoflurane and methohexital for electroconvulsive therapy. J ECT. 2003;19:221-225.
13. Gazdag G, Koscis N, Tolna J, et al. Etomidate versus propofol for electroconvulsive therapy in patients with schizophrenia. J ECT. 2004;20:225-229.
14. Fredman B, d'Etienne J, Smith I, et al. Anesthesia for electroconvulsive therapy: effects of propofol and methohexital on seizure activity and recovery. Anesth Analg. 1994;79:75-79.
15. Avramov MN, Husain MM, White PF. The comparative effects of methohexital, propofol, and etomidate for electroconvulsive therapy. Anesth Analg. 1995;81:596-602.
16. Dwyer R, McCaughey W, Lavery J, et al. Comparison of propofol and methohexitone as anesthetic agents for electroconvulsive therapy. Anaesthesia. 1988;43:459-462.
17. Scott AI. Contemporary practice of electroconvulsive therapy. Br J Hosp Med. 1994;51:334-338.
18. Simpson KH, Halsall PJ, Carr CME, et al. Propofol reduces seizure duration in patients having anesthesia for electroconvulsive therapy. Br J Anesth. 1988;61:343-344.
19. Swartz CM. Propofol anesthesia in ECT. Convuls Ther. 1992;8:262-266.
20. Kirkby KC, Beckett WG, Matters RM, et al. Comparison of propofol and methohexitone in anaesthesia for ECT: effect on seizure duration and outcome. Aust N Z J Psychiatry. 1995;29:299-303.
21. Sneyd JR. Excitatory events associated with propofol anesthesia: a review. J Royal Soc Med. 1992;85:288-291.
22. Malsch E, Gratz I, Mani S, et al. Efficacy of electroconvulsive therapy after propofol and methohexital anestesia. Convuls Ther. 1994;10:212-219.
23. Fear CF, Littlejohns CS, Rouse E, et al. Propofol anaesthesia in electroconvulsive therapy. Reduced seizure may not be relevant. Br J Psychiatry. 1994;165:506-509.
24. Butterfield NN, Graf P, Macleod BA, et al. Propofol reduces cognitive impairment after electroconvulsive therapy. J ECT. 2004;20:3-9.
25. Martensson B, Bartfai A, Hallen B, et al. A comparison of propofol and methohexital as anesthetic agents for ECT: effects on seizure duration, therapeutic outcome, and memory. Biol Psychiatry. 1994;35:179-189.
26. Sakamoto A, Hoshino T, Suzuki N, et al. Effects of propofol anesthesia on cognitive recovery of patients undergoing electroconvulsive therapy. Psychiatry Clin Neurosci. 1999;53:655-660.
27. Fink M. Energy dosing in ECT: threshold stimulation or formula? Convuls Ther. 1997;13:4-6.
28. Lehrl S. Mehrfachwahl-Wortschatz-Intelligenztest (MWT-B) (Multiple Choice Vocabulary Intelligence Test). Balingen: Splitta; 1989.
29. Hamilton M. Development of a rating scale; for primary depressive illness. Br J Soc Clin Psychol. 1976;6:278-296.
30. Zerssen VD. Die Befindlichkeits-Skala, Bf-S. (The Existential Orientation Scale). Weinheim: Belz; 1976.
31. Erzigkeit H. Kurztest zur Erfassung von Gedächtnis- und Aufmerksamkeitsstörungen (Short Test for Assessing Deficits of Memory and Attention). Erlangen: Geromed; 2001.
32. Lehrl S, Gallwitz A, Blaha L, et al. Geistige Leistungsfähigkeit (Mental Performance Ability). Ebersberg: Vless; 1992.
33. Oswald WD, Roth E. Der Zahlen-Verbindungs-Test, ZVT (The Numbers-Connection Test). Goettingen: Hogrefe; 2000.
34. Hofmann J. Die Welt der Begriffe. Psychologische Untersuchungen zur Organization des menschlichen Wissens. Goettingen: Belz; 1986.
35. Sachs L. Angewandte Statistik (Applied Statistics). Berlin: Springer-Verlag; 1997.
36. Dufner J, Jensen U, Schumacher E. Statistik mit SAS (Statistics With SAS). Stuttgart: Teubner Verlag; 1992.
37. Stevens J. Applied multivariate statistics for the social science. Mahwah, NJ: Lawrence and Erlbaum; 1992.