Evidence map›Paper›PMID 33541306›Full record

Trial reportBMC psychiatry2021

Comparison of the target-controlled infusion and the manual infusion of propofol anesthesia during electroconvulsive therapy: an open-label randomized controlled trial.

Meng-Ling Hsieh, Yen-Ting Lu, Chih-Chung Lin, Chin-Pang Lee

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03863925 phase4completednot on this map

Comparison of Propofol Target-Controlled Infusion Anesthesia and Bolus Injection in Electroconvulsive Therapy: A Randomized Controlled Trial

TypeinterventionalSponsorChang Gung Memorial HospitalRan2017 to 2019Enrolled40ConditionsDepression, Schizophrenia, Bipolar Disorder, Cognitive DysfunctionArmsTarget controlled infusion, Schnider model, Bolus injection of Propofol
NCT05708638 nacompletednot on this mapstarted 2022, after this paper: background citation

Does Anesthesia Induction With Target-controlled Infusion Reduce Post-induction Hypotension?

TypeinterventionalSponsorAcibadem UniversityRan2022 to 2023Enrolled200ConditionsGeneral Anesthesia, Hemodynamic InstabilityArmsManual anesthesia induction, Anesthesia induction with Target controlled infusions (TCI)
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Meng-Ling Hsieh *Department of Anesthesiology, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan.
Yen-Ting Lu *Department of Anesthesiology, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan.
Chih-Chung LinDepartment of Anesthesiology, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan.
Chin-Pang LeeSchool of Medicine, Chang Gung University, Taoyuan, Taiwan. b9002066@cloud.cgmh.org.tw.ORCID 0000-0002-9746-7197
Chang Gung University · TW

Funding

Chang Gung Memorial Hospital CMRPG3D1782
6 · The paper itself

Abstract

backgroundTarget-controlled infusion (TCI) of propofol is a well-established method of procedural sedation and has been used in Japan for anesthesia during electroconvulsive therapy (ECT). However, the usefulness of the TCI of propofol for ECT has yet to be determined. This study aimed to compare the TCI and manual infusion (MI) of propofol anesthesia during ECT.

methodsA total of forty psychiatric inpatients receiving bitemporal ECT were enrolled in the present study and randomized into the TCI group (N = 20) and the MI group (N = 20). Clinical Global Impression (CGI) and Montreal Cognitive Assessment (MoCA) scores were measured before and after ECT. The clinical outcomes, anesthesia-related variables, and ECT-related variables were compared between the two groups. Generalized estimating equations (GEEs) were used to model the comparison throughout the course of ECT.

resultsA total of 36 subjects completed the present study, with 18 subjects in each group. Both the groups didn't significantly differ in the post-ECT changes in CGI and MoCA scores. However, concerning MoCA scores after 6 treatments of ECT, the MI group had improvement while the TCI group had deterioration. Compared with the MI group, the TCI group had higher doses of propofol, and longer procedural and recovery time. The TCI group seemed to have more robust seizures in the early course of ECT but less robust seizures in the later course of ECT compared with the MI group.

conclusionsThe present study does not support the use of TCI of propofol for anesthesia of ECT.

trial registration(ClinicalTrials.gov): NCT03863925 . Registered March 5, 2019 - Retrospectively registered.

Indexed as

AnesthesiaElectroconvulsive TherapyPropofolAnesthetics, IntravenousHumansJapanAnesthetics, IntravenousPropofolElectroconvulsive therapy (ECT)Manual infusion (MI)PropofolTarget-controlled infusion (TCI)

Identifiers

PMID33541306
PMCPMC7863537
OpenAlexW3127660559

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.