Preventive effect of dexmedetomidine on postictal delirium after electroconvulsive therapy
نویسندگان
چکیده
منابع مشابه
Predictors of electroconvulsive therapy postictal delirium.
BACKGROUND Postictal delirium is a common adverse effect of electroconvulsive therapy (ECT) and can be dangerous to both patient and staff caring for them in the postanesthesia care unit. However, little is known about predictors of postictal delirium. OBJECTIVES The aim of this study was to identify predictors of postictal delirium. We hypothesized that both patient and ECT treatment variabl...
متن کاملDexmedetomidine for the management of postictal agitation after electroconvulsive therapy with S-ketamine anesthesia
OBJECTIVES Postictal agitation (PIA) represents one of the most common complications during a modified electroconvulsive therapy (ECT) course. Its clinical management can be challenging especially in cases with poor response to benzodiazepines. Dexmedetomidine, a highly selective alpha-2 adrenoceptor agonist acting predominantly in the locus coeruleus, exerts sedative effects without causing re...
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Clozapine, a commonly used atypical antipsychotic, can precipitate a severe withdrawal syndrome. In this report, we describe a case of delirium with catatonic features emerging after the immediate cessation of clozapine subsequent to concerns of developing neuroleptic malignant syndrome. After multiple treatments were found to be inefficacious, electroconvulsive therapy (ECT) was initiated, res...
متن کاملECT-induced postictal delirium and electrode placement.
The authors report eight instances of ECT-induced postictal (emergence) delirium that occurred after bilateral ECT, right unilateral ECT, or left unilateral ECT. They conclude that postictal delirium is a random phenomenon unrelated to lateralized hemispheric mechanisms.
متن کاملEffects of adding dexmedetomidine to ketamine on heart rate and blood pressure changs in psychiatric patients undergoing electroconvulsive therapy
Introduction: Electroconvulsive therapy (ECT) is used to treat generalized seizures in psychiatric diseases. The aim of this study was to evaluate the effect of adding dexmedetomidine to ketamine on heart rate and blood pressure changes in in psychiatric patients undergoing electroconvulsive therapy (ECT) Materials and Methods: In this randomized, double-blind randomized clinical trial, taken p...
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ژورنال
عنوان ژورنال: European Journal of Anaesthesiology
سال: 2020
ISSN: 0265-0215
DOI: 10.1097/eja.0000000000001113