Management of severe postictal agitation after electroconvulsive therapy with bispectrum electroencephalogram index monitoring: a case report
Postictal agitation (PIA) with possible severe implications occurs in approximately 10% of electroconvulsive therapy (ECT) sessions. The pathomechanism is not well understood, and suggested treatments are empirical based. We report a case of repetitive (47/57 sessions [83%]) severe PIA after ECT in...
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| Main Authors: | , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
2012/06/01
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| In: |
The journal of ECT
Year: 2012, Volume: 28, Issue: 2, Pages: e9-e10 |
| ISSN: | 1533-4112 |
| DOI: | 10.1097/YCT.0b013e31823d2fef |
| Online Access: | Verlag, Volltext: http://dx.doi.org/10.1097/YCT.0b013e31823d2fef Verlag, Volltext: https://insights-ovid-com.ezproxy.medma.uni-heidelberg.de/crossref?an=00124509-201206000-00025 
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| Author Notes: | Laura Kranaster, Christoph Janke, Carolin Hoyer, Alexander Sartorius |
| Summary: | Postictal agitation (PIA) with possible severe implications occurs in approximately 10% of electroconvulsive therapy (ECT) sessions. The pathomechanism is not well understood, and suggested treatments are empirical based. We report a case of repetitive (47/57 sessions [83%]) severe PIA after ECT in a case with severe depression. If the minimal bispectrum EEG index (BIS) value, meaning the deepest level of sedation of the thiopental narcosis dropped below 50, PIA occurred in only 9.1%. Bispectral index (BIS) monitoring made prediction and prevention of PIA possible to some degree. Postictal agitation might occur in vulnerable patients when initial depth of anesthesia is too light. |
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| Item Description: | Gesehen am 14.05.2018 |
| Physical Description: | Online Resource |
| ISSN: | 1533-4112 |
| DOI: | 10.1097/YCT.0b013e31823d2fef |