잠시만 기다려 주세요. 로딩중입니다.

全身麻醉下에 Electroconvulsive therapy를 施行한 100例의 臨床的 考察

Clinical Evaluation of Electro-convulsive Therapy under the General Anesthesia

대한마취과학회지 1969년 2권 1호 p.49 ~ 52
黃淸子 (  ) - 延世大學校 醫科大學 麻醉科學敎室

金晟烈 (  ) - 延世大學校 醫科大學 麻醉科學敎室
林柱澤 (  ) - 延世大學校 醫科大學 麻醉科學敎室

Abstract


In 1938 Cerletti described a method of producing convulsions by electricity and began its use the treatment of schizophrenias. In avoider to avoid fractures or dislocation and to diminish the risk,
convulsion may be modified by means of drugs which inhibit the action of acetylcholine at neuromuscular junctions and often the muscular contractions combining ultra short acting barbiturate especially
thiopental sodium. Since ultra short acting barbiturat, like thiopental, require postanesthesia supervision of the patient for up to an hour, the recentlyintroduced ultrashort-acting nonbarbiturate anesthetic agent, propanidid, was investigated for comparison with thiopental sodium.
One hundred psychiatric patients under the diagnosis of involutional melancholia, manic depressive psychosis, schizophrenia and neurotic ´depression, divided into two equal groups, were subjected to electroconvulsive therapy by thiopental- succinylcholine (Group 1) and propanidid-succinyl choline (Group 2).
In our study, there were no definite change in blood pressure and heart rate after electroconvulsive therapy in both group.
Duration of apnea in Group 2 averaged 63 seconds longer than in Group 1, but awakening and ambulation averaged 5 minutes and 40 minutes shorter than in Group 1.
Complications after E.C. T. were minimal and not significant defferent between two groups.

키워드

원문 및 링크아웃 정보
 
등재저널 정보
KCI
KoreaMed
KAMS