THE EFFECT OF INTRAVENOUS LIGNOCAINE ON CARDIAC ARRHYTHMIAS DURING ELECTROCONVULSIVE THERAPY
Autor: | Burton J. Goldstein, Jose E. Usubiaga, William Gustafson, Frank Moya |
---|---|
Rok vydání: | 1967 |
Předmět: |
Adult
Atropine Male Tachycardia medicine.medical_specialty Adolescent Lidocaine medicine.medical_treatment Electrocardiography Electroconvulsive therapy Heart Rate Internal medicine Convulsion Humans Medicine In patient cardiovascular diseases Asystole Electroconvulsive Therapy business.industry Cardiac arrhythmia Arrhythmias Cardiac Middle Aged medicine.disease Anesthesiology and Pain Medicine Anesthesia Injections Intravenous cardiovascular system Cardiology Female medicine.symptom business medicine.drug |
Zdroj: | British Journal of Anaesthesia. 39:867-875 |
ISSN: | 0007-0912 |
DOI: | 10.1093/bja/39.11.867 |
Popis: | The effects of intravenous lignocaine and atropine in preventing cardiac arrhythmias were evaluated in forty-five psychiatric patients undergoing electroconvulsive therapy. During the electrical shock a more prolonged asystole was observed in the lignocaine than in the atropine group. During the tonic-clonic seizure ventricular extrasystoles appeared in six atropinized patients. During the postconvulsive period fourteen patients premedicated with atropine exhibited ventricular extrasystole and tachycardia, whereas in five pretreated with lignocaine auriculoventricular block was noted. Lignocaine pretreatment significantly reduced the duration of the somatic convulsion. It is concluded that lignocaine is a valuable premedicant for electroconvulsive therapy in patients with ventricular arrhythmias or when atropine administration is contraindicated. |
Databáze: | OpenAIRE |
Externí odkaz: |