Clinicsl Evaluation of Electroconvulsive Therapy under General Anesthesia / 대한마취과학회지

ABSTRACT

This is the report of our clinical experience of 1365 cases of aneethesia for eelectroconvu lsive therapy at the Department of Anesthsiology, Maryknoll Hospital, during the period of March, 1989 to February, 1986. To prevent complications, suck as compressed fracture of the spine, and to improve doctor-patient relationship, softening electroconvulsive therapy is the preferred treatment for indicated cases.The results were as follows: 1) Diagnostic distribution of the patients treated by E.C,T. were schizophrenia 74.3%, affective disorder 15.0%, other psychosis 10.7$. 2) Average number of treatments given to a patient were average 6.7 times, for the entire group,7.8times for schizophrenia, 8.2 times for the patients with mania,5.5 times for the Patients with major depression, 5.6 times for the patients with the other psychosises. 3) Medication required was sufficient with half the dosage of uaual surgical procedu res ; ie, atropine sulfate 0.008 mg/kg, thiopental sodium 2.5 mg/kg, and succinylcholine 0.5 mg /kg. 4) Duration of apnea averaged 2 minutes 30 seconds, awakening averaged 10 minutes, and average duration per treatment was 15 min. 5) Few patients complained of discomfort or phobia, and less personnel and less effort were required. Complications and side effecta due to anesthesia were minimal.