Electroconvulsive Therapy Under General Anesthesia With XXXX , Laryngeal Mask Airways, and Bispectral Index.

@entity1 @entity1363 @entity410 @entity390 @entity681 @entity391 @entity1875 @entity544 @entity933 @entity85 @entity925 @entity2897
OBJECTIVES: Electroconvulsive therapy (ECT) has @entity85 when carried out with muscle relaxants under general anesthesia. However, @entity410 quality can be affected by the depth of anesthesia and choice of anesthetic agent. The purpose of this study was to describe a general anesthetic technique for ECT by using laryngeal mask, bispectral index (BIS), and muscle relaxant monitoring. METHODS: Twenty-one @entity1 , between ages 18 and 70 years (American Society of Anesthesiologists physical status I-III), who underwent a total of 89 sessions of ECT were examined in a retrospective study. Anesthesia was induced by use of @entity1875 (1.0 mg/kg) followed by @entity2897 (0.2 mg/kg). The BIS, train-of-four, and end-tidal @entity544 were all monitored continuously. A laryngeal mask airway was used to maintain and protect the airway during the procedure. Electroconvulsive therapy stimuli were applied bilaterally when the train-of-four was assessed as being zero and BIS scores were 70. All @entity1 then received 5  g @entity681 and 2 mg @entity1363 , while titrated to maintain the BIS value at 40 to 50, before the muscle relaxation exhibited complete recovery. RESULTS: The mean duration of treatment process takes approximately 82.5 minutes. Mean (SD) @entity410 length was 58.8 (28.3) seconds, with 4.5% incidence of restimulation per treatment. Incidence of awareness was 0%. No @entity1 exhibited @entity933 , @entity390 , @entity391 , or @entity925 in the postseizure phase. CONCLUSIONS: Bispectral index monitoring of the depth of anesthesia may have improved @entity410 quality, and awareness did not occur.
