Hypocapnia and hyperoxia induction using a hyperventilation protocol in electroconvulsive therapy
| Autor: | Aida de Arriba-Arnau, Antonia Dalmau, Virginia Soria, José M. Menchón, Mikel Urretavizcaya, Neus Salvat-Pujol, Javier Bocos |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_treatment Hyperoxia 03 medical and health sciences 0302 clinical medicine Electroconvulsive therapy Hypocapnia Capnography Hyperventilation Outcome Assessment Health Care medicine Humans Prospective Studies Prospective cohort study Electroconvulsive Therapy Aged Aged 80 and over Seizure threshold medicine.diagnostic_test business.industry General Medicine Middle Aged medicine.disease Respiration Artificial 030227 psychiatry Anesthesia Breathing Female medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Revista de psiquiatria y salud mental. 10(1) |
| ISSN: | 1989-4600 |
| Popis: | Introduction Hyperventilation in electroconvulsive therapy sessions has been associated with seizure threshold, seizure characteristics, and cognitive effects. There is no consensus on the optimal procedure of applying hyperventilation manoeuvres during electroconvulsive therapy. Material and methods Prospective evaluation of the effects of systematic use of hyperventilation manoeuvres with facial mask and capnography (protocolised hyperventilation [pHV]), on ventilation parameters and on seizures. The study included a sample of 130 sessions (65 performed according to hyperventilation standard practice and 65 successive sessions, with pHV) of 35 patients over a period of 10 weeks. Results The pHV manoeuvres reduced exhaled CO2 and increased O2 saturation significantly (p Conclusions The proposed pHV manoeuvres significantly modify ventilation parameters. The hypocapnia and hyperoxia obtained by applying these manoeuvres lengthen the duration of seizures without worsening the quality of the electroencephalographic trace. The use of pHV is generalisable and might improve electroconvulsive therapy procedure without adding costs. |
| Databáze: | OpenAIRE |
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