Seizure duration in unilateral electroconvulsive therapy. A comparison of the anaesthetic agents etomidate and Althesin with methohexitone

Acta Psychiatr Scand. 1984 Jun;69(6):472-83. doi: 10.1111/j.1600-0447.1984.tb02522.x.

Abstract

Seizure duration in unilateral electroconvulsive therapy (ECT) was recorded by means of EEG in an intraindividual comparison of etomidate (dissolved in a soy-bean oil emulsion) 0.3 mg/kg and Althesin (alphaxalone 9 mg and alphadolone 3 mg/ml) 0.6 mg/kg with methohexitone 1 mg/kg body weight. The patients were intubated and alveolar CO2- and O2-concentrations kept constant at 3% (3 kPa) and 92% (92 kPa) respectively. Seizure duration was the same when either etomidate or methohexitone were used, whereas Althesin significantly shortened seizure duration in comparison with methohexitone. Local pain on injection and a subsequent superficial thrombophlebitis occurred frequently with methohexitone. This did not occur with etomidate or Althesin.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Alfaxalone Alfadolone Mixture / pharmacology*
  • Depressive Disorder / therapy
  • Electroconvulsive Therapy / methods*
  • Electroencephalography
  • Etomidate / pharmacology*
  • Female
  • Functional Laterality
  • Humans
  • Imidazoles / pharmacology*
  • Injections, Intravenous
  • Male
  • Methohexital / adverse effects
  • Methohexital / pharmacology*
  • Middle Aged
  • Pain / chemically induced
  • Thrombophlebitis / chemically induced
  • Time Factors

Substances

  • Imidazoles
  • Alfaxalone Alfadolone Mixture
  • Methohexital
  • Etomidate