Journal of Isfahan Medical School

Journal of Isfahan Medical School

Comparison of the Effect of Ketamine and Sodium Thiopental on Blood Pressure and Heart Rate during Electroconvulsive Therapy in Patients Admitted to the Ward of Psychiatry; A Double-Blind Randomized Clinical Trial

Document Type : Original Article (s)

Authors
Behzad Nazemroaya 1
Amir Shafa 2
Maryam Khizab 3
1 Assistant Professor, Anesthesiology Research Center AND Department of Anesthesiology and Critical Care, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Assistant Professor, Department of Anesthesiology and Critical Care, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
3 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Background: Electroconvulsive therapy (ECT) is one the most effective therapies for the treatment of patients with psychotic disorders. Ketamine increases the seizure duration after electroconvulsive therapy. However, the routine use of ketamine may be limited due to concerns about the side effects. The aim of this study was to compare the effect of ketamine and sodium thiopental on blood pressure and heart rate during and after electroconvulsive therapy.Methods: The study included 64 patients who were candidates for receiving electroconvulsive therapy seizures. Consequently, patients were divided into two groups of 32 patients. Each patient received drug randomly. The collected data were analyzed using independent t and chi-square tests.Findings: Mean arterial pressure (MAP) at the fifth (P = 0.001) and tenth (P = 0.003) minutes after the seizures was higher in ketamine group. Mean heart rate at the first (P = 0.020), fifth (P = 0.001) and tenth (P = 0.002) minutes after the seizures was significantly greater in ketamine group, too. In addition, the duration of seizures in ketamine group was significantly higher than the sodium thiopental group (P = 0.001).Conclusion: Although, anesthesia induced by ketamine during electroconvulsive therapy increased blood pressure, heart rate and seizure duration, but due to lower medical complication, ketamine is an appropriate option for anesthesia in electroconvulsive therapy.
Keywords
Electroconvulsive Therapy
Ketamine
Sodium thiopental
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Journal of Isfahan Medical School
Volume 34, Issue 402 - Serial Number 402
September and October 2016
Pages 1197-1204

  • Receive Date 13 August 2016
  • Accept Date 06 April 2022