Rimaz S, Emir Alavi C, Soltanipour S, Sedighinejad A, Einollahzadeh R, Haghighi M, et al . Efficacy and Safety of Cisatracurium in Electroconvulsive Therapy: A Randomized, Single-blind, Clinical Trial. Caspian J Neurol Sci 2024; 10 (4) :347-353
URL:
http://cjns.gums.ac.ir/article-1-730-en.html
1- Department of Anesthesiology, Anesthesiology Research Center, Faculty of Medicine, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Iran.
2- Department of Anesthesiology, Neuroscience Research Center, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
3- Department of Community Medicine, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
4- Department of Psychiatry, Kavosh Cognitive Behavior Sciences and Addiction Research Center, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran. , dr_pourramzani@yahoo.com
Abstract: (561 Views)
Background: Electroconvulsive therapy (ECT) is widely accepted as a safe and effective treatment in psychiatric patients. Although succinylcholine is the choice of muscle relaxant in this process, its adverse effects and contraindications must be considered.
Objectives: This study investigated the efficacy of cisatracurium as an alternative in ECT patients.
Materials & Methods: This single-blind clinical trial was performed in an academic hospital in Northern Iran from July 2023 to March 2024. A total of 62 eligible ECT patients were enrolled in the survey and randomly divided into succinylcholine (0.5 mg/kg) and cisatracurium (0.1 mg/kg) groups. Seizure duration, mean arterial pressure, heart rate, the time to return to spontaneous breathing, and recovery time were recorded and compared between the two groups.
Results: No significant difference was observed between the two groups regarding seizure duration and hemodynamic parameters (P>0.05). However, the time to return to spontaneous breathing (P=0.0001) and recovery time (P=0.0001) were significantly longer in the cisatracurium group. None of the patients was affected by serious adverse effects.
Conclusion: Cisatracurium is a safe alternative to succinylcholine and can be administrated during ECT.
Type of Study:
Research |
Subject:
Special Received: 2024/07/13 | Accepted: 2024/07/24 | Published: 2024/10/5