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Ketamine as an Alternative Anesthetic for Augmenting Seizure Durations During Electroconvulsive Therapy : A Retrospective Observational Study
https://tokushima-u.repo.nii.ac.jp/records/2011567
https://tokushima-u.repo.nii.ac.jp/records/20115672387165c-9e55-4a06-b87b-7957bcd6a047
| 名前 / ファイル | ライセンス | アクション |
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ject_40_2_134.pdf (519 KB)
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| Item type | 文献 / Documents(1) | |||||||||||||||||||||||
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| 公開日 | 2024-01-11 | |||||||||||||||||||||||
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| アクセス権 | open access | |||||||||||||||||||||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||||||||||||||||
| 資源タイプ | ||||||||||||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||||||||
| 出版社版DOI | ||||||||||||||||||||||||
| 関連識別子 | https://doi.org/10.1097/YCT.0000000000000981 | |||||||||||||||||||||||
| 関連名称 | 10.1097/YCT.0000000000000981 | |||||||||||||||||||||||
| 出版タイプ | ||||||||||||||||||||||||
| 出版タイプ | AM | |||||||||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||||||||||||||||||||
| タイトル | ||||||||||||||||||||||||
| タイトル | Ketamine as an Alternative Anesthetic for Augmenting Seizure Durations During Electroconvulsive Therapy : A Retrospective Observational Study | |||||||||||||||||||||||
| 著者 |
ムトウ, サララ
× ムトウ, サララ
× 木下, 倫子
WEKO
453
× 前田, 悠樹× 田中, 克哉
WEKO
1645
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| 内容記述 | Objective: Electroconvulsive therapy (ECT) is highly effective for severe psychiatric disorders; however, short seizure durations may lead to ineffective therapy. This retrospective study aimed to examine the risks and benefits of switching to ketamine anesthesia to augment seizure durations during an acute course of ECT. Methods: We included 33 patients who underwent ketamine anesthesia due to suboptimal seizures during an acute course of ECT. We assessed seizure duration, stimulus dose, hemodynamic variability, and post-seizure complications before and after switching to ketamine. Results: Age was significantly associated with suboptimal seizures during ECT (p = 0.040). After switching to ketamine, 32 patients (97%) experienced prolonged seizure duration. Ketamine significantly prolonged both electroencephalogram and motor seizure durations with a mean difference of 34.6 s (95% CI, 26.4 to 42.7; p < 0.001) and 26.6 s (95% CI, 19.6 to 33.6; p < 0.001), respectively. It also significantly reduced stimulus dose (mean difference: −209.5 mC [95% CI, −244.9 to −174.1], p < 0.001). Additionally, maximum changes in systolic blood pressure and heart rate during ECT sessions significantly increased with ketamine (mean difference: 27.2 mmHg [95% CI, 12.0 to 42.4; p = 0.001]; 25.7 bpm [95% CI, 14.5 to 36.8; p < 0.001], respectively). Patients reported more headaches with ketamine (p = 0.041). Conclusions: Our results provide evidence that ketamine as an alternative anesthetic can augment seizure durations in specific patients experiencing suboptimal seizures during an acute course of ECT. However, its use requires greater attention to circulatory management and post-seizure complications. |
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| キーワード | ||||||||||||||||||||||||
| 主題 | augmentation | |||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||
| 主題 | alternative anesthetic | |||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||
| 主題 | electroconvulsive therapy | |||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||
| 主題 | ketamine | |||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||
| 主題 | seizure duration | |||||||||||||||||||||||
| 書誌情報 |
en : The Journal of ECT 巻 40, 号 2, p. 134-139, 発行日 2023-12-08 |
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| 収録物識別子タイプ | ISSN | |||||||||||||||||||||||
| 収録物識別子 | 10950680 | |||||||||||||||||||||||
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| 収録物識別子タイプ | ISSN | |||||||||||||||||||||||
| 収録物識別子 | 15334112 | |||||||||||||||||||||||
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| 収録物識別子タイプ | NCID | |||||||||||||||||||||||
| 収録物識別子 | AA11221663 | |||||||||||||||||||||||
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| 収録物識別子タイプ | NCID | |||||||||||||||||||||||
| 収録物識別子 | AA12556055 | |||||||||||||||||||||||
| 出版者 | ||||||||||||||||||||||||
| 出版者 | Wolters Kluwer Health | |||||||||||||||||||||||
| 権利情報 | ||||||||||||||||||||||||
| 権利情報 | This is a pre-copyedited, author-produced version of an article accepted for publication in The Journal of ECT. The published version of record Mutoh, Sarara MD; Kinoshita, Michiko MD, PhD; Maeda, Yuki MD; Tanaka, Katsuya MD, PhD . Ketamine as an Alternative Anesthetic for Augmenting Seizure Durations During Electroconvulsive Therapy: A Retrospective Observational Study. The Journal of ECT 40(2): p134-139:10.1097/YCT.0000000000000981, December 8, 2023. is available online at: https://doi.org/10.1097/YCT.0000000000000981. | |||||||||||||||||||||||
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| 識別子 | 404374 | |||||||||||||||||||||||
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| 言語 | eng | |||||||||||||||||||||||
