Paper Information

Journal:   JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN)   FALL 2011 , Volume 2 , Number 5; Page(s) 0 To 0.
 
Paper: 

THE EVALUATION OF BLOOD GLUCOSE AND SERUM ELECTROLYTE CHANGES BEFORE AND AFTER ELECTROCONVULSIVE THERAPY UNDER GENERAL ANESTHESIA

 
 
Author(s):  EBRAHIM SOLTANI ALI REZA, MALEKI ANAHID, GOODARZI MEHRDAD*, AFKHAM KHOSRO, AKHOONDZADEH SHAHIN, KAZEMI HADI, ARBABI SHAHRIAR, PEYRO ABDOLLAH
 
* DEPARTMENT OF ANESTHESIOLOGY, CHILDREN MEDICAL CENTER, TEHRAN UNIVERSITY OF MEDICAL SCIENCES, TEHRAN, IRAN
 
Abstract: 

Background: Electroconvulsive therapy (ECT) is used in the treatment of various medical conditions such as severe depression, mainly in situations where the patient does not respond effectively to drug treatment and during pregnancy where drug intake can result in severe complication for fetus. ECT carried out under general anesthesia, therefore before ECT some physical exam and some lab data is necessary. Patients who are ECT candidates also include diabetic patients which renders the study of the effect of ECT on blood glucose and serum electrolyte level significantly important.
Methods: Blood sample were taken from patients before induction of anesthesia. After 30 seconds preoxygenation anesthesia was induced by making use of sodium thiopental and succinylcholine. 20 minutes after ECT, the second blood samples were taken. The resulting data was gathered and then subjected to statistical analysis.
Results: To investigate changes in blood sugar and serum electrolytes level in 70 patients who were subjected to ECT, significant changes were noted in pre and post ECT in glucose between men and women and sodium in men and women and potassium in men. But no significant changes were noted in pre and post ECT calcium level and in potassium level in women.
Conclusion: ECT carried out under general anesthesia, therefore pre ECT physical exam and blood samples are required. Electrolytes change under ECT, therefore attention to these electrolytes specially sodium and potassium are important.

 
Keyword(s): BLOOD GLUCOSE CHANGE, SERUM ELECTROLYTES, ELECTRO CONVULSION THERAPY
 
References: 
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