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NCT05900245

Anesthesia Induction Schemes of Electroconvulsive Convulsions in Patients With Depression Based on EEG Monitoring

Status unknown NA Last updated 26 January 2024
What this trial tests

NA trial testing Index of consciousness+Anesthetic(propofol)+Muscle relaxant(Succinylcholine) in Depression in 24 participants. Status unknown.

Timeline
12 June 2023
Primary endpoint
31 March 2024
31 August 2024

Quick facts

Lead sponsorMin Su
PhaseNA
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationrandomized
Designsequential
Maskingtriple
Primary purposesupportive care
Enrollment24
Start date12 June 2023
Primary completion31 March 2024
Estimated completion31 August 2024
Sites1 location across China

Drugs / interventions tested

Conditions studied

Sponsor

Min Su — full company profile →

Who can join

Adults 18 to 60, any sex, with Depression or Electroconvulsive Therapy. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Depression is a common clinical mental disease with high incidence rate, high recurrence rate, high suicide rate and high disability rate. As a first-line treatment for depression with refractory, high suicide risk and obvious psychotic symptoms, electric shock has a definite effect on depression, but may lead to cognitive impairment. The induction of extensive epileptiform discharges in the cerebral cortex by electric shock therapy is the key to ensure the treatment effect. The level of epileptiform discharges in the brain is mainly reflected in the quality of convulsions. The quality of electroconvulsive convulsions is affected by factors such as age, stimulation power, anesthetic drugs and depth of anesthesia. Most anesthetics have anticonvulsive properties, such as barbiturate or propofol, which may have a negative impact on the quality of convulsions, thus affecting the therapeutic effect. If the parameters of electric shock, such as stimulation dose, are modified, although the quality and treatment effect of convulsions can be improved, it may also lead to higher cognitive side effects. The depth of anesthesia also affects the quality and efficacy of electric shock convulsions, and the quality of convulsions is higher when stimulated at a shallow level of anesthesia. However, if the use of narcotic drugs is reduced to improve the quality of convulsions, the risk of restlessness and delirium after electric shock may be higher and the comfort of patients may be lower. Therefore, this study compared the effects of different anesthesia induction schemes on the quality and clinical efficacy of electroconvulsive seizures in patients with depression based on EEG monitoring, and explored the optimal depth of anesthesia.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Effect of quantitative consciousness index on seizure parameters during electroconvulsive therapy in patients with major depressive disorder.
    Zhao BS, Deng B, Chen QB, Li X, et al · · 2024 · cited 2× · PMID 39319236 · DOI 10.5498/wjp.v14.i9.1375

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