Neurologische, neuromusculaire en psychiatrische pathologie

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Induction agents for ECT Methohexital: 0.50 - 1.0 mg/kg – Side effects: abnormal muscle movements, hiccoughing, tremor, increased salivation, pain during injection Propofol: 0.75 - 1.5 mg/kg – Side effects: pain during injection, decreased duration of seizure – Advantage: hemodynamic stability
COMPARISON OF ECT SEIZURE DURATION (SEC) WITH PROPOFOL AND METHOHEXITAL AS INDUCTION AGENT Author Method Propofol Methohexital Significance Dwyer et al (1988) Behavioral 23.5 31.3 p < 0.001 EEG 43.2 57.3 p < 0.001 Simpson et al (1988) Cuff 19.0 33.0 p = 0.001 Rampton et al (1989) Cuff 17.9 30.9 p < 0.001 Mitchell et al (1991) Behavioral 18.1 24.7 p < 0.01 (thiopental) Malsch et al (1994) EEG 29.9 35.4 p = 0.005 Fear et al (1994) Cuff 17.5 25.5 p < 0.01 Fredman et al (1994) Cuff 34.0 38.6 p = 0.001 EEG 52.4 60.6 p = 0.016 Martensson et al (1994) Cuff 31.0 47.7 p < 0.001 EEG 42.4 61.8 p < 0.001 Avramov et al (1995) Cuff 31 35 p < 0.05 EEG 51 62 p < 0.05 Kirkby et al (1995) EEG 26.2 34.2 p = 0.14
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Anesthesiologische aspecten bij pat
Page 3 and 4: Pulmonale pre-operatieve status •
Page 5 and 6: Beoordeling Ademhalingsfunctie (II)
Page 7 and 8: Cardiale aantasting (II) Autonome d
Page 9 and 10: Musculo-skeletale skeletale Ziekten
Page 11 and 12: Myastenia Gravis en Anesthesie (I)
Page 13 and 14: Myastenia Gravis en Anesthesie (III
Page 15 and 16: Multiple sclerose • CZS • Demye
Page 17 and 18: Multiple sclerose en anesthesie (II
Page 19 and 20: Ziekte v. Parkinson en Anesthesie
Page 21 and 22: Depressieve ziekten Incidentie: Per
Page 23 and 24: Neveneffecten • Anticholinerge ne
Page 25 and 26: SSRI Selectieve re-uptake inhibitie
Page 27 and 28: Farmacologie van SSRI Farmacon Ki r
Page 29 and 30: Klinische implicaties Correctie van
Page 31 and 32: Gevolgen van chronische MAOI inname
Page 33 and 34: Interacties: Narcotische analgetica
Page 35 and 36: Anesthesie en MAOI Preoperatieve co
Page 37 and 38: Farmaca die aanleiding geven tot ve
Page 39 and 40: Klinisch Beeld Gewijzigde mentale A
Page 41 and 42: Serotonine Syndroom en Opiaten MAOI
Page 43 and 44: Anesthesia for Electroconvulsive Th
Page 45 and 46: Form and Duration of an ECT Insult
Page 47 and 48: Physiological Consequences of Elect
Page 49 and 50: Contraindications to Electroconvuls
Page 51 and 52: Anesthesia A) Rapid induction B) Su
Page 53: Induction Agent Rapid onset Short d
Page 57 and 58: Muscle relaxation Succinylcholine:
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Neurologische, neuromusculaire en psychiatrische pathologie

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