4th Nursing World Conference
- August 19-21, 2019
- London, UK
Ms. Kornnika yangan, BNS, a full-time registered nurse, has got a Bachelor’s degree in 2009, and become Nurse Anaesthetist in 2013. Currently, she is interested in educational program, preparation and intravenous fluid insertion. She also has experience on Thai Classical music (Treble fiddle playing) for many years.
Most psychiatrists use electroconvulsive therapy (ECT) under general anaesthesia with muscle relaxants. Normally, a psychiatrist discharges amount of electricity as small as possible to trigger a patient up to the ideal seizure threshold; while an anaesthetist administers drugs such as sodium thiopental and succinylcholine as low as possible to control patient’s cardio-pulmonary system.
Interestingly, the correlation of seizure duration to anaesthetics dosage in patients undergoing successive ECT, has not been mentioned in the previous studies. Investigators believe that this relationship would help to imply the use of appropriate drugs for the benefits of psychiatric patients in normal practice.
This retrospective study has been approved by Siriraj Institutional Review Board (COA: Si445/2017) and registered via Thai Clinical Trial Registry (TCTR20180810002). The data were collected from September 2017 to September 2018. The inclusion criteria were both male and female patients, aged 15-65 years, ASA I-II, presenting with psychosis, and completely treated with successive ECT (six of 25-60 sec convulsive duration in each therapeutic course). The exclusion criteria were patients with uncontrolled medical problems, vertebral osteoporosis or fracture and repeated ECT in one episode.