Etomidate versus Propofol for Electroconvulsive Therapy in Patients with Major Depressive Disorders in Terms of Clinical Responses to Treatment: A Retrospective Analysis
General anesthetic agents may be associated with the clinical efficacy of electroconvulsive therapy (ECT), as they may influence seizure quality and duration. Hence, a retrospective study was conducted to compare the clinical effects and seizure variables of etomidate and propofol during ECT. Patien...
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MDPI AG
2023-07-01
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| Series: | Brain Sciences |
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| Online Access: | https://www.mdpi.com/2076-3425/13/7/1023 |
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| author | In-Young Yoon Jung-Hee Ryu Sang-Hwan Do Beomjun Min Chang-Hoon Koo |
| author_facet | In-Young Yoon Jung-Hee Ryu Sang-Hwan Do Beomjun Min Chang-Hoon Koo |
| author_sort | In-Young Yoon |
| collection | DOAJ |
| description | General anesthetic agents may be associated with the clinical efficacy of electroconvulsive therapy (ECT), as they may influence seizure quality and duration. Hence, a retrospective study was conducted to compare the clinical effects and seizure variables of etomidate and propofol during ECT. Patients treated with ECT under anesthesia with etomidate (n = 43) or propofol (n = 12) were retrospectively analyzed. Seizure variables (seizure duration, intensity, and threshold) and hemodynamic changes during ECT were assessed and recorded. Clinical responses to treatment were evaluated using the Clinical Global Impression scale and mood at discharge after the course of ECT. Adverse effects were also recorded. The demographic characteristics were similar between the two groups. There were no significant differences in the Clinical Global Impression scale scores, mood at discharge, and adverse effects between the two groups (<i>p</i> > 0.05); however, etomidate was associated with a significantly longer motor (42.0 vs. 23.65 s, <i>p</i> < 0.001) and electroencephalogram (51.8 vs. 33.5 s, <i>p</i> < 0.001) seizure duration than propofol. In conclusion, etomidate showed more favorable seizure profiles than propofol during ECT; however, both agents (etomidate and propofol) were associated with similar clinical efficacy profiles at discharge. |
| first_indexed | 2024-03-11T01:14:41Z |
| format | Article |
| id | doaj.art-79648c7f1287438a929a469cd87f1611 |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-11T01:14:41Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-79648c7f1287438a929a469cd87f16112023-11-18T18:34:15ZengMDPI AGBrain Sciences2076-34252023-07-01137102310.3390/brainsci13071023Etomidate versus Propofol for Electroconvulsive Therapy in Patients with Major Depressive Disorders in Terms of Clinical Responses to Treatment: A Retrospective AnalysisIn-Young Yoon0Jung-Hee Ryu1Sang-Hwan Do2Beomjun Min3Chang-Hoon Koo4Department of Psychiatry, Seoul National University Bundang Hospital, Seongnam 13620, Republic of KoreaDepartment of Anesthesia and Pain Medicine, Seoul National University Bundang Hospital, Seongnam 13620, Republic of KoreaDepartment of Anesthesia and Pain Medicine, Seoul National University Bundang Hospital, Seongnam 13620, Republic of KoreaChung Psychiatric Clinic, Seoul 06614, Republic of KoreaDepartment of Anesthesia and Pain Medicine, Seoul National University Bundang Hospital, Seongnam 13620, Republic of KoreaGeneral anesthetic agents may be associated with the clinical efficacy of electroconvulsive therapy (ECT), as they may influence seizure quality and duration. Hence, a retrospective study was conducted to compare the clinical effects and seizure variables of etomidate and propofol during ECT. Patients treated with ECT under anesthesia with etomidate (n = 43) or propofol (n = 12) were retrospectively analyzed. Seizure variables (seizure duration, intensity, and threshold) and hemodynamic changes during ECT were assessed and recorded. Clinical responses to treatment were evaluated using the Clinical Global Impression scale and mood at discharge after the course of ECT. Adverse effects were also recorded. The demographic characteristics were similar between the two groups. There were no significant differences in the Clinical Global Impression scale scores, mood at discharge, and adverse effects between the two groups (<i>p</i> > 0.05); however, etomidate was associated with a significantly longer motor (42.0 vs. 23.65 s, <i>p</i> < 0.001) and electroencephalogram (51.8 vs. 33.5 s, <i>p</i> < 0.001) seizure duration than propofol. In conclusion, etomidate showed more favorable seizure profiles than propofol during ECT; however, both agents (etomidate and propofol) were associated with similar clinical efficacy profiles at discharge.https://www.mdpi.com/2076-3425/13/7/1023etomidatepropofolefficacyseizureClinical Global Impression scale |
| spellingShingle | In-Young Yoon Jung-Hee Ryu Sang-Hwan Do Beomjun Min Chang-Hoon Koo Etomidate versus Propofol for Electroconvulsive Therapy in Patients with Major Depressive Disorders in Terms of Clinical Responses to Treatment: A Retrospective Analysis Brain Sciences etomidate propofol efficacy seizure Clinical Global Impression scale |
| title | Etomidate versus Propofol for Electroconvulsive Therapy in Patients with Major Depressive Disorders in Terms of Clinical Responses to Treatment: A Retrospective Analysis |
| title_full | Etomidate versus Propofol for Electroconvulsive Therapy in Patients with Major Depressive Disorders in Terms of Clinical Responses to Treatment: A Retrospective Analysis |
| title_fullStr | Etomidate versus Propofol for Electroconvulsive Therapy in Patients with Major Depressive Disorders in Terms of Clinical Responses to Treatment: A Retrospective Analysis |
| title_full_unstemmed | Etomidate versus Propofol for Electroconvulsive Therapy in Patients with Major Depressive Disorders in Terms of Clinical Responses to Treatment: A Retrospective Analysis |
| title_short | Etomidate versus Propofol for Electroconvulsive Therapy in Patients with Major Depressive Disorders in Terms of Clinical Responses to Treatment: A Retrospective Analysis |
| title_sort | etomidate versus propofol for electroconvulsive therapy in patients with major depressive disorders in terms of clinical responses to treatment a retrospective analysis |
| topic | etomidate propofol efficacy seizure Clinical Global Impression scale |
| url | https://www.mdpi.com/2076-3425/13/7/1023 |
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