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ECT and etomidate-induced seizure-like activity

Published online by Cambridge University Press:  13 June 2014

MacDara McCauley  and
Vincent Russell
MacDara McCauley
Affiliation:
Department of Psychiatry, Our Lady's Hospital, Navan, Co Meath, Ireland
Vincent Russell
Affiliation:
Cavan General Hospital, Co Cavan, Ireland
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Abstract

Following the withdrawal of methohexitone from the market place psychiatrists and anaesthetists have been forced to seek out alternative anaesthetic agents for ECT. We report a case of etomidate-induced seizure-like activity. We review the literature on ECT and anaesthetic agents and discuss the alternatives available in accordance with a statement by The Royal College of Psychiatrists.

Keywords

EtomidateSeizures
Type
Case reports
Information
Irish Journal of Psychological Medicine , Volume 20 , Issue 3 , September 2003 , pp. 100 - 102
Copyright
Copyright © Cambridge University Press 2003

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References

1.Lebensohn, ZM. Electroconvulsive therapy: Psychiatry's hero or villain? Am J Social Psych 1984; 4(4): 39–43.Google Scholar
2.Johnstone, EC, Deakin, JF, Lawler, Pet al.The Northwick Park electroconvulsive therapy trial. Lancet 1980; ii: 1317–20.CrossRefGoogle Scholar
3.Brandon, S, Cowley, P, McDonald, Cet al.Electroconvulsive therapy: results in depressive illness from the Leicestershire trial. BMJ 1984; 288: 22–5.CrossRefGoogle ScholarPubMed
4.Halliday, G, Johnson, G. Training to administer electroconvulsive therapy: A survey of attitudes and experience. Aust & NZ J Psych 1995; 29 (1): 133–38.CrossRefGoogle Scholar
5.Geddes, J. Evidenced-based medicine and psychiatry. Ir J Psych Med 1997; 14(3): 83–84.CrossRefGoogle Scholar
6.Sackiem, HA, Decina, P, Prohovnik, I, Malitz, S. Seizure threshold in electroconvulsive therapy; effects of sex, age, electrode placement and number of treatments. Arch Gen Psych 1987; 44: 355–60.CrossRefGoogle Scholar
7.Freeman, CP ed. The ECT Handbook. The Second Report of the Royal College of Psychiatrists' Special Committee on ECT. London: Royal College of Psychiatrists, 1995.Google Scholar
8.Sackeim, HAet al.Effects of stimulus intensity and electrode placement on the efficacy and cognitive effects of electroconvulsive therapy. New Eng J Med 1993; 328: 839–46.CrossRefGoogle ScholarPubMed
9.Weiner, RD, Coffey, CE, Krystal, AD. The monitoring and management of electrically induced seizures. Psych Clinics N Am 1991; 14: 845–69.CrossRefGoogle ScholarPubMed
10.Weaver, LA Jr, Ives, J, Williams, R. The threshold number of pulses in bilateral and unilateral ECT. Bio Psych 1978; 13: 227–41.Google ScholarPubMed
11.Malitz, S, Sackiem, HA, Decina, Pet al.Low dosage ECT: electrode placement and acute physiological and cognitive effects. Am J Soc Psych 1984; 4: 47–53.Google Scholar
12.Murugesan, G. Electrode placement, stimulus dosing and seizure monitoring during ECT. A NZ J Psych 1994; 28: 675–83.CrossRefGoogle ScholarPubMed
13.Sackeim, HA, Decina, P, Kanzler, Met al.Effects of electrode placement on the efficacy of titrated low-dosage ECT. Am J Psych 1987; 144: 1449–54.Google Scholar
14.Abrams, R. Electroconvulsive Therapy (2nd edn). Oxford: Oxford University Press. 1992.Google ScholarPubMed
15.American Psychiatric Association. The practice of electroconvulsive therapy: recommendations for treatment, training and privileges. Washington DC: American Psychiatric Association. 1990.Google Scholar
16.Freeman, C. Anaesthesia for electroconvulsive therapy. Statement from the Royal College of Psychiatrists Special Committee for the electroconvulsive therapy. Psych Bull 1999; 23: 740–41.CrossRefGoogle Scholar
17.Goroszeniuk, T, Albin, M, Jones, RM. Generalised grand mal seizure after recovery from uncomplicated fentanyl-etomidate anaesthesia. Anaesthesia and Analgesia 1986; 65: 979–81.CrossRefGoogle Scholar
18.Krieger, W, Koemer, M. Generalised grand mal seizure after recovery from uncomplicated fentanyl-etomidate anaesthesia. Anaesthesia and Analgesia 1987; 66: 284–85.CrossRefGoogle Scholar
19.Hansen, HC, Drenck, NF. Generalised seizure after etomidate anaesthesia. Anaesthesia 1988; 43: 805–6.CrossRefGoogle ScholarPubMed
20.Nicoll, K, Callender, J. Etomidate-induced convulsion prior to electroconvulsive therapy, [letter] Br J Psych 2000; 177: 373.CrossRefGoogle Scholar
21.Kugler, J, Doenicka, A, Laub, M. The EEG after etomidate. Anaesthesia Resuscitation 1988; 106: 31–48.Google Scholar
22.Brookes, G, Barnes, R, Rigby, J. Implementing the Royal College of Psychiatrists' guidelines for the practice of electroconvulsive therapy. Psych Bull 2000; 24: 329–30CrossRefGoogle Scholar