Management of severe postictal agitation after electroconvulsive therapy with bispectrum electroencephalogram index monitoring

• Verfasst von: Kranaster, Laura [VerfasserIn]
• Verfasst von: Janke, Christoph [VerfasserIn]
• Verfasst von: Sartorius, Alexander [VerfasserIn]
• Titel: Management of severe postictal agitation after electroconvulsive therapy with bispectrum electroencephalogram index monitoring
• Titelzusatz: a case report
• Verf.angabe: Laura Kranaster, Christoph Janke, Carolin Hoyer, Alexander Sartorius
• E-Jahr: 2012
• Jahr: 2012/06/01
• Umfang: 2 S.
• Fussnoten: Gesehen am 14.05.2018
• Titel Quelle: Enthalten in: The journal of ECT
• Ort Quelle: Philadelphia, Pa. : Lippincott Williams & Wilkins, 1998
• Jahr Quelle: 2012
• Band/Heft Quelle: 28(2012), 2, Seite e9-e10
• ISSN Quelle: 1533-4112
• DOI: doi:10.1097/YCT.0b013e31823d2fef
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1575009064

Abstract

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.