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01-12-2012 | Clinical Report

Management of poor postictal suppression during electroconvulsive therapy with propofol anesthesia: a report of two cases

Author: Jonathan T. Stewart

Published in: Journal of Anesthesia | Issue 6/2012

Abstract

There is increasing evidence that a greater degree of postictal suppression (the abruptness and magnitude of the EEG voltage drop at the end of the seizure) may be associated with better clinical response to electroconvulsive therapy. Retrospective studies have shown better postictal suppression when propofol is used for induction rather than the more commonly used methohexital. We report two patients in whom poor postictal suppression was rectified by switching from methohexital to propofol. The clinical significance of this improvement in postictal suppression is unclear, and prospective studies will be needed to clarify any clinical benefits.

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Title: Management of poor postictal suppression during electroconvulsive therapy with propofol anesthesia: a report of two cases
Author: Jonathan T. Stewart
Publication date: 01-12-2012
Publisher: Springer Japan
Published in: Journal of Anesthesia / Issue 6/2012
Print ISSN: 0913-8668
Electronic ISSN: 1438-8359
DOI: https://doi.org/10.1007/s00540-012-1455-x

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Management of poor postictal suppression during electroconvulsive therapy with propofol anesthesia: a report of two cases

Abstract

Keynote webinar | Spotlight on medication adherence

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Abstract

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