Abstract
Objectives: This study aimed to review general anaesthesia protocols for patients undergoing electroconvulsive therapy (ECT) at a tertiary care hospital in Oman, particularly with regards to clinical profile, potential drug interactions and patient outcomes. Methods: This retrospective study took place at the Sultan Qaboos University Hospital (SQUH), Muscat, Oman. The electronic medical records of patients undergoing ECT at SQUH between January 2010 and December 2014 were reviewed for demographic characteristics and therapy details. Results: A total of 504 modified ECT sessions were performed on 57 patients during the study period. All of the patients underwent a uniform general anaesthetic regimen consisting of propofol and succinylcholine; however, they received different doses between sessions, as determined by the treating anaesthesiologist. Variations in drug doses between sessions in the same patient could not be attributed to any particular factor. Self-limiting tachycardia and hypertension were periprocedural complications noted among all patients. One patient developed aspiration pneumonitis (1.8%). Conclusion: All patients undergoing ECT received a general anaesthetic regimen including propofol and succinylcholine. However, the interplay of anaesthetic drugs with ECT efficacy could not be established due to a lack of comprehensive data, particularly with respect to seizure duration. In addition, the impact of concurrent antipsychotic therapy on anaesthetic dose and subsequent complications could not be determined.
Publication details
- DOI
- 10.18295/squmj.2016.17.01.009
- Journal
- Sultan Qaboos University Medical Journal, 17(1), 43-49
- Publisher
- Sultan Qaboos University
- Open access
- Gold open access
- License
- CC BY-ND 4.0
Cite this article
APA 7
Narayanan, A., Lal, C., & Hamed (2025). General Anaesthesia Protocols for Patients Undergoing Electroconvulsive Therapy: Retrospective analysis of 504 sessions over a five-year period at a tertiary care hospital in Oman. Sultan Qaboos University Medical Journal, 17(1), 43-49. https://doi.org/10.18295/squmj.2016.17.01.009
MLA 9
Narayanan, Aravind, et al. "General Anaesthesia Protocols for Patients Undergoing Electroconvulsive Therapy: Retrospective analysis of 504 sessions over a five-year period at a tertiary care hospital in Oman." Sultan Qaboos University Medical Journal, vol. 17, no. 1, 2025, pp. 43-49. https://doi.org/10.18295/squmj.2016.17.01.009.
Chicago (author–date)
Narayanan, Aravind, Chandar Lal, and Hamed. 2025. "General Anaesthesia Protocols for Patients Undergoing Electroconvulsive Therapy: Retrospective analysis of 504 sessions over a five-year period at a tertiary care hospital in Oman." Sultan Qaboos University Medical Journal 17 (1): 43-49. https://doi.org/10.18295/squmj.2016.17.01.009.
Harvard
Narayanan, A., Lal, C. and Hamed (2025) 'General Anaesthesia Protocols for Patients Undergoing Electroconvulsive Therapy: Retrospective analysis of 504 sessions over a five-year period at a tertiary care hospital in Oman', Sultan Qaboos University Medical Journal, 17(1), pp. 43-49. doi:10.18295/squmj.2016.17.01.009.
Vancouver
Narayanan A, Lal C, Hamed. General Anaesthesia Protocols for Patients Undergoing Electroconvulsive Therapy: Retrospective analysis of 504 sessions over a five-year period at a tertiary care hospital in Oman. Sultan Qaboos University Medical Journal. 2025;17(1):43-49. doi:10.18295/squmj.2016.17.01.009
IEEE
A. Narayanan, C. Lal, and Hamed, "General Anaesthesia Protocols for Patients Undergoing Electroconvulsive Therapy: Retrospective analysis of 504 sessions over a five-year period at a tertiary care hospital in Oman," Sultan Qaboos University Medical Journal, vol. 17, no. 1, pp. 43-49, 2025, doi: 10.18295/squmj.2016.17.01.009.