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Indian Journal of Anesthesia and Analgesia

Volume  8, Issue 6, Nov-Dec 2021, Pages 603-606
 

Original Article

Comparison of Bag and Mask Ventilation versus I-Gel use in Electroconvulsive Therapy

Shriya Pandey 1 , Sarita S Swami 2

1 Junior Resident, 2 Professor and Head of Department, Department of Anesthesiology, Bharati Vidyapeeth Medical College (Deemed to be University), Pune, Maharashtra 411043, India.
 

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.8621.88

Abstract

Background: Electroconvulsive therapy formerly known as electroshock is a psychiatric treatment in which seizures were electrically induced to provide relief from psychiatric disorder. The most common technique of anaesthesia used during ECT is General Anaesthesia with bag and mask ventilation which is being used for a long time. However, there are case reports of pulmonary edema, bronchospasm, hemodynamic changes during this technique, so we want to compare the effectiveness of I-gel over bag and mask ventilation in ECT.

Methods: In our study 50 patients were randomized and 25 of them were ventilated with bag and mask. The other 25 patients were ventilated with I-gel. Vital parameters were monitored intra-operatively and postoperatively we observed nausea, vomiting, bronchospasm, sore throat, laryngospasm.

Results: Statistically significant difference were found in mean heart rate and blood pressure values in both the groups. Also we noticed 2 cases of nausea, 1 case of vomiting 2 cases of sore throat in bag and mask group whereas 2 cases of bronchospasm in I-gel group.

Conclusion: Hemodynamic variables were better controlled in I-gel group. Also the post operative complications were less in I-gel group.

 

 


Keywords : Electroconvulsive therapy; I-gel; Bag and mask ventilation.
Corresponding Author : Shriya Pandey