Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-21T00:17:19.803Z Has data issue: false hasContentIssue false
  • English
  • Français

Comparison of Salivary Suppression by Intravenous and Subcutaneous Atropine before E.C.T.

Published online by Cambridge University Press:  29 January 2018

A. Bhattacharya  and
E. D. West
A. Bhattacharya
Affiliation:
Belmont Hospital, Sutton, Surrey
E. D. West
Affiliation:
Belmont Hospital, Sutton, Surrey
Get access Rights & Permissions [Opens in a new window]

Extract

Clements (1962) has shown that atropine given intravenously has a vagal blockage effect superior to that achieved by subcutaneous injection. Electroconvulsive therapy is such a frequent reason for inducing general anaesthesia that a knowledge of the best premedication technique to use seemed to us important. Clearly the cardiovascular protective effect of the atropine is more important than the suppression of salivation. Maclay (1953) reported that in 62 deaths after E.C.T., 19 (30.6 per cent.) were attributable to the respiratory system. Clement's findings (1962) suggest that vagal blockade is adequate in protecting against cardiovascular disturbance 75 seconds after the injection of 1 mg. of atropine intravenously, but he mentions that the antisialogogic action is reputed to take longer to develop, and his paper did not include an assessment of this action.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 109 , Issue 462 , September 1963 , pp. 631 - 634
Copyright
Copyright © Royal College of Psychiatrists, 1963 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Armitage, P. (1960). Sequential Medical Trials 51, 70, Oxford.Google Scholar
Clements, A. J. (1962). Brit. Med. J., i, 228.Google Scholar
Haroreaves, M. A. (1962). Lancet, i, 243.CrossRefGoogle Scholar
Maclay, W. S. (1953). Proc. Ray. Soc. Med., 46, 13.Google Scholar
Marx, G. F. and Orion, L. R. (1959). N.Y. St. J. Med., 59, 78.Google Scholar
Peck, R. E. (1959). A.M.A. Arch. Gen. Psychiat., 1, 35–40.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.