Volume : 6, Issue : 11, November - 2017

Prospective analysis of outcomes of operated subaxial cervical spine injuries

Rahul Kumar Singh, Chhewang Topgia, Abhishek Pandey

Abstract :

<p>&nbsp;Objectives: to compare the clinical outcome and&nbsp; recovery profile of&nbsp; the hypnotic drugs propofol and etomidate after electroculvulsive therapy. Method: Eighty patients were randomized to receive one of the 2 drugs (n = 40 in each group), during a course of electroconvulsive therapy treatment. The primary outcomes were the course of ECT: treatment motor seizure duration as recorded by visual muscular contractions and amount of time until transfer to the recovery room. Results: Patients who received propofol had a significantly shorter mean motor (etomidate = 46.1 &plusmn; 14.4, propofol = 22.9 &plusmn; 7.1) seizure duration than etomidate. Both of the drugs used in this study showed a very short time for recovery, but better one was propofol. Conclusions: Patients who received propofol had longer acute courses of ECT and consequently, longer and costlier inpatient stays. Etomidate could be a better alternative induction agent in ECT.</p>