Abstract

Electroconvulsive therapy is a commonly performed procedure for psychiatric conditions such as intractable depression, bipolar disorder and schizophrenia to mention a few. The procedure involves the delivery of small electrical stimuli transcutaneously with an aim to produce generalized seizures. The therapy aims to produce a state of unconsciousness where the patient has generalized convulsions. The procedure requires that the patient be given general anaesthesia and have neuromuscular paralysis to avoid pain and any excessive muscle contraction when the seizures are induced. The patient is therefore given general anaesthesia and then neuromuscular blocking drugs are administered to produce a state of muscle paralysis. But the dose of the neuromuscular blocking drug to produce this state of muscle paralysis remains debatable. The minimum required dose to attain this state of muscle paralysis is desired to ensure minimum side effects. The aim of our study is to compare two doses of a drug commonly used for electroconvulsive therapy, succinylcholine, in order to ensure a state of muscle paralysis while keeping ensuring the side effects are minimum.

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