A COMPARATIVE STUDY OF SEVOFLURANE Vs THIOPENTONE SODIUM FOR PATIENTS UNDERGOING ELECTROCONVULSIVE THERAPY

DR.BHAVINI SHAH; DR. CHHAYA SURYAWANSHI; DR.SANTHI NARAMANENI; DR.MRIDUL DUA

Volume : VI, Issue : VI, June - 2016

A COMPARATIVE STUDY OF SEVOFLURANE Vs THIOPENTONE SODIUM FOR PATIENTS UNDERGOING ELECTROCONVULSIVE THERAPY

Dr. Bhavini Shah, Dr. Chhaya Suryawanshi, Dr. Santhi Naramaneni, Dr. Mridul Dua

Abstract :

 BACKGROUND: The aim was to compare use of sevoflurane and thiopentone sodium as anesthetic agent for patients undergoing ECT, with respect to efficacy, hemodynamic stability and recovery. MATERIAL AND METHODS: Randomized study of 30 patients with depression treated with bitempo – parietal electroconvulsive therapy. In group S patients induced with 8% Sevoflurane with oxygen. In Group T patients induced with 3–5 mg/kg inj. Thiopentone sodium I.V. Succinylcholine 0.75 mg/kg I.V was given in both groups as for neuromuscular blockade. We compare hemodynamic parameters including pulse rate, systolic blood pressure, diastolic blood pressure and pulse oximeter and recovery score. RESULTS: At induction there was no statistically significant increase in heart rate and blood pressure in S and T group. After injection of muscle relaxant there was increase in systolic blood pressure and diastolic blood pressure in group S, which is statistically significant. At return of spontaneous respiration there was significant fall in systolic blood pressure and diastolic blood pressure in group T as compared to group S. Modified aldrete score was taken for recovery purpose upto 30 min at interval of 10 min. Even after 30 min post electroconvulsive therapy score in group T was not achieved as compared to group S (10.00±0.00, 9.85±0.36).CONCLUSION: Sevoflurane induction gives faster recovery when compared to thiopentone and it can be another better alternative for ECT.