THE EFFECT OF ELECTROCONVULSIVE THERAPY ON THE INTRA OCULAR PRESSURE IN THE PATIENTS WITH MAJOR DEPRESSION

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BORJIAN BOROUJENI SH.; MAHJOUBIFARD M.

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Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2009 | Volume:30 | Issue:63-64 Page(s): 54-59

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Title

THE EFFECT OF ELECTROCONVULSIVE THERAPY ON THE INTRA OCULAR PRESSURE IN THE PATIENTS WITH MAJOR DEPRESSION

Author(s)

BORJIAN BOROUJENI SH. | MAHJOUBIFARD M. | Issue Writer Certificate

Keywords

ECTQ3

IOPQ3

PROPOFOLQ3

SUCCINYLCHOLINEQ3

Abstract

Background: ElECTroconvulsive therapy (ECT) is a therapeutic procedure in many of psychiatric disorders such as major depression, mania, acute schizophrenia resistant to medical therapy and many other disorders.For prevention of bone fractures and joint dislocations during tonic-colonic convulsion due to ECT SUCCINYLCHOLINE should be used. Intraocular pressure (IOP) rise with SUCCINYLCHOLINE as well as tonic-colonic convulsion, IOP decrease with PROPOFOL. There is not any paper about the effECT of ECT with PROPOFOL and SUCCINYLCHOLINE on the IOP.Materials and methods: 100 patients 20-40 years old ASA Class 1 or 2 without any ophthalmic disorders were enrolled. All of their medications were discontinued since 48 hours before ECT treatment. The baseline IOP values were determined after tetracaine eye drop application, and then the patients received intravenously atropine 0.5mg, PROPOFOL 0.75mg/kg, SUCCINYLCHOLINE 1mg/kg with 1 minute intervals then elECTrical stimulation applied via a bi-frontal elECTrode.IOP values measured before any drug administration, before elECTrical application as well as 1, 5 and 10 minutes after termination of the convulsion.Results: The baseline IOP (14.81±3.6) decreased significantly (13.18±3.55) after PROPOFOL but increased significantly (15.52±3.58) after SUCCINYLCHOLINE, the IOP also increased significantly1 minute after convulsion (18.32 ±3.49) and 5 minutes after convulsion (15.41±3.46), but it returned to the baseline10 minutes after convulsion (14.68 ±3.57).Conclusion: In conclusion, IOP increased after ECT but the IOP values never reached to pathologic zone at this study, so we regarding to IOP, ECT is a safe procedure in the normal eye patients. Further studies recommended in oldest patients with ophthalmic diseases or at the presents of antipsychotic drugs.

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APA: Copy

BORJIAN BOROUJENI, SH., & MAHJOUBIFARD, M.. (2009). THE EFFECT OF ELECTROCONVULSIVE THERAPY ON THE INTRA OCULAR PRESSURE IN THE PATIENTS WITH MAJOR DEPRESSION. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 30(63-64), 54-59. SID. https://sid.ir/paper/63292/en

Vancouver: Copy

BORJIAN BOROUJENI SH., MAHJOUBIFARD M.. THE EFFECT OF ELECTROCONVULSIVE THERAPY ON THE INTRA OCULAR PRESSURE IN THE PATIENTS WITH MAJOR DEPRESSION. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2009;30(63-64):54-59. Available from: https://sid.ir/paper/63292/en

IEEE: Copy

SH. BORJIAN BOROUJENI, and M. MAHJOUBIFARD, “THE EFFECT OF ELECTROCONVULSIVE THERAPY ON THE INTRA OCULAR PRESSURE IN THE PATIENTS WITH MAJOR DEPRESSION,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 30, no. 63-64, pp. 54–59, 2009, [Online]. Available: https://sid.ir/paper/63292/en

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