Neurologische, neuromusculaire en psychiatrische pathologie

Neurologische, neuromusculaire en psychiatrische pathologie Neurologische, neuromusculaire en psychiatrische pathologie

23.06.2014 Views

Comparison in Outcome during ECT: Propofol versus Methohexital Methohexital Propofol P value Fear et al Dose(mg/kg) 1.13 2.12 1994 HRDS: Pre 24.7 20.9 NS (20 pat) Post 11.5 7.9 NS Malsch et al Dose (mg/kg) 0.75 - 1.5 1.0 - 2.5 1994 Change in (57 pat) HRSD: 23.8 23.0 p = 0.75 Martensson Dose (mg/kg) 1.05 1.32 et al MARDS: Pre 32.8 34.7 p = 0.43 1994 (53 pat) Post 15.7 12.6 p = 0.38

Muscle relaxation Succinylcholine: 0.5 - 1.0 mg/kg – Inverse relationship between dose and seizure activity – Increase in potassium – Muscle pain: 2 % (70 %) – Pseudocholinesterase deficiency: atracurium – Contra-indication to succinylcholine: mivacurium (0.15 mg/kg)

Muscle relaxation<br />

Succinylcholine: 0.5 - 1.0 mg/kg<br />

– Inverse relationship betwe<strong>en</strong> dose and seizure activity<br />

– Increase in potassium<br />

– Muscle pain: 2 % (70 %)<br />

– Pseudocholinesterase defici<strong>en</strong>cy: atracurium<br />

– Contra-indication to succinylcholine: mivacurium (0.15 mg/kg)

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