ISSN 1302-6631
 

Original Research (Original Article) 


Cerebral oxygenation during electroconvulsive therapy

Bengü Gülhan Aydın, Gamze Küçükosman, Nuray Atasoy.

Abstract
Objective: Electroconvulsive therapy (ECT) is an effective and life-saving treatment modality, while its effects and side effects are still being discussed. In our study, we aimed to demonstrate the effect of O2 administration on the cerebral oxygenation measured by Near Infrared Spectroscopy and the complications after ECT in the apnea period of ECT. Methods: This prospective, observational study was carried out with 40 patients whom ECT had been planned and who were undergoing ECT for the first time. Cerebral oximeter sensors and Bispectral index (BIS) monitoring were applied in all patients as well as routine monitoring. The participants were randomly divided into two groups. The patients who received administration of 6 L/min O2 through nasal cannula were included in Group O (n=20), and the patients who were not administered O2 were included in Group C (n=20). Hemodynamic data after induction, during the seizures and at the 10th min after the seizures, EtCO2, regional cerebral tissue oxygen saturation (rSO2), BIS values and complications after ECT were recorded in both groups. Results: No significant difference was determined between the groups with regard to rSO2 alteration values measured during the seizures and demographic characteristics. Desaturation (SpO2<90%) was observed in 12.5% of our patients. Of these five patients, four were in Group C, and one was in Group O. The EtCO2 values after the seizures was found to be significantly higher in Group C. The complication rate after ECT was also high in Group K. Discussion: Cerebral oxygen monitoring does not seem clinically useful in procedures with increased cerebral oxygen consumption, such as that in ECT in which the anesthesia time is short. In addition, it has been concluded that administration of oxygen during apnea may reduce respiratory complications that may occur during and after ECT.

Key words: Apnea ,Electroconvulsive Therapy, Oxygenation



Elektrokonvulsif tedavi sırasında beyin oksijenlenmesi

Ozet
Amaç: Elektrokonvülzif tedavi (EKT), etkin ve yaşam kurtarıcı bir tedavi yöntemi olmakla beraber, etkisi ve yan etkileri hala tartışılmaktadır. Çalışmamızda EKT’nin apne döneminde oksijen (O2) uygulamasının Near Infrared Spektroskopi ile serebral oksijenizayon üzerine ve EKT sonrası komplikasyonlar üzerine etkisini değerlendirmeyi amaçladık. Yöntem: Bu ileriye dönük, gözlemsel çalışmaya ilk kez EKT planlanan 40 hasta katılmıştır. Tüm hasta-lara serebral oksimetre ve bispektral indeks sensörleri (BİS) uygulandı. Hastalar nazal kanül ile 6 L/dk O2 uygula-ması yapılan hastalar Grup O (s=20), O2 uygulanmayan hastalar Grup K (s=20) olarak rastgele ikiye ayrıldı. Nöbet sırasında ve nöbetten 10 dakika sonra hemodinamik veriler, end-tidal karbondioksit (EtCO2), bölgesel serebral doku oksijen satürasyonu (rSO2) ve BİS değerleri ile EKT sonrası komplikasyonlar kaydedildi. Sonuçlar: Nöbet sırasında ölçülen rSO2’deki değişim ve demografik özellikler açısından gruplar arasında anlamlı bir fark saptanmadı (p>0.05). EKT sırasında desatürasyon (SpO2<%90) hastalarımızın %12.5'inde gözlendi. Bu beş hastanın dördü Grup K'de, biri Grup O'da idi. Nöbet sonrası EtCO2 değerleri Grup C'de anlamlı olarak yüksek bulundu. EKT sonrası görülen komplikasyon oranı Grup K’de daha yüksek bulundu. Tartışma: EKT gibi serebral oksijen tüketiminin arttığı prosedürlerde anestezi süresinin kısa olması nedeniyle serebral oksijen monitorizasyonunun klinik olarak yararı görülememiştir. Bunun yanında apne döneminde O2 uygulanmasının EKT sırasında ve sonrasında oluşabilecek solunum komplikasyonlarını azaltabileceği kanısına varılmıştır.

Anahtar Kelimeler: Apne, Elektrokonvülsif Tedavi, Oksijenizasyon


 
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How to Cite this Article
Pubmed Style

Aydin BG, Kucukosman G, Atasoy N. [Cerebral oxygenation during electroconvulsive therapy]. Anadolu Psikiyatri Derg. 2018; 19(5): 472-477. Turkish. doi:10.5455/apd.290888


Web Style

Aydin BG, Kucukosman G, Atasoy N. [Cerebral oxygenation during electroconvulsive therapy]. http://www.anadolupsikiyatri.net/?mno=290888 [Access: July 20, 2018]. Turkish. doi:10.5455/apd.290888


AMA (American Medical Association) Style

Aydin BG, Kucukosman G, Atasoy N. [Cerebral oxygenation during electroconvulsive therapy]. Anadolu Psikiyatri Derg. 2018; 19(5): 472-477. Turkish. doi:10.5455/apd.290888



Vancouver/ICMJE Style

Aydin BG, Kucukosman G, Atasoy N. [Cerebral oxygenation during electroconvulsive therapy]. Anadolu Psikiyatri Derg. (2018), [cited July 20, 2018]; 19(5): 472-477. Turkish. doi:10.5455/apd.290888



Harvard Style

Aydin, B. G., Kucukosman, G. & Atasoy, N. (2018) [Cerebral oxygenation during electroconvulsive therapy]. Anadolu Psikiyatri Derg, 19 (5), 472-477. Turkish. doi:10.5455/apd.290888



Turabian Style

Aydin, Bengu Gulhan, Gamze Kucukosman, and Nuray Atasoy. 2018. [Cerebral oxygenation during electroconvulsive therapy]. Anatolian Journal of Psychiatry, 19 (5), 472-477. Turkish. doi:10.5455/apd.290888



Chicago Style

Aydin, Bengu Gulhan, Gamze Kucukosman, and Nuray Atasoy. "[Cerebral oxygenation during electroconvulsive therapy]." Anatolian Journal of Psychiatry 19 (2018), 472-477. Turkish. doi:10.5455/apd.290888



MLA (The Modern Language Association) Style

Aydin, Bengu Gulhan, Gamze Kucukosman, and Nuray Atasoy. "[Cerebral oxygenation during electroconvulsive therapy]." Anatolian Journal of Psychiatry 19.5 (2018), 472-477. Print.Turkish. doi:10.5455/apd.290888



APA (American Psychological Association) Style

Aydin, B. G., Kucukosman, G. & Atasoy, N. (2018) [Cerebral oxygenation during electroconvulsive therapy]. Anatolian Journal of Psychiatry, 19 (5), 472-477. Turkish. doi:10.5455/apd.290888





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