Three Anaesthesic Method in Electroconvulsive Theraphy

Sevoflurane Alone and Propofol With or Without Remifentanil in Electroconvulsive Therapy

To compare the effectiveness of three different anesthetic regimens (propofol, remifentanil-propofol and sevoflurane in ECT.

The purpose of this study is to compare the effectiveness of three different anesthetic regimens (propofol, remifentanil-propofol and sevoflurane) with respect to seizure duration, postictal suppression index, early and midictal amplitude, hemodynamic variables and recovery profiles in ECT.

Inclusion Criteria:

• Upremedicated ASA I-II (American Society of Anesthesiologists's physical status) patients,
• Patients scheduled for six ECT sessions for a variety of psychiatric conditions (major depression, schizophrenia)

Exclusion Criteria:

• Involuntary patient status
• Patients with known or self-declared needle or mask phobia
• Pregnancy
• Asthma
• Cerebrovascular disease,
• History of myocardial infarction in the previous 6 months,
• Atrial fibrillation or flutter,heart block,
• A known or family history of reactions to the study drugs.