Multiple-Monitored Electroconvulsive Therapy (MMECT) - does it really just belong in psychiatry's past? A case report.

IF 0.9 4区 医学 Q4 PSYCHIATRY
Jan Chrobak, Patryk Rodek, Krzysztof Kucia
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Abstract

Electroconvulsive therapy has been a method used in psychiatry since 1938 and despite its rather turbulent history, it is still the most effective method of treating severe mental disorders. Despite its high efficiency and good safety profile, patients with catatonia usually require a large number of treatments. It entails a long hospitalization time and the necessity to repeatedly induce general anesthesia. In 1966, Blachly proposed to induce more than one seizure during a single anesthesia. According to this method, the patient was to be constantly monitored (ECG, EEG) during a series of electroconvulsions, which consisted of two to even eight treatments. For simplicity, the method is called multiple-monitored ECT (MMECT). The work is based on the medical history of a patient diagnosed with catatonic schizophrenia. Due to the insufficient effect of single treatments, we decided to use the MMECT method, which was performed in series of three treatments, twice a week. Thanks to the therapy, catatonic symptoms remitted. Studies in various patient populations have shown that MMECT reduces hospitalization time, the duration of acute symptoms, and the patient's total exposure to anesthetics and muscle relaxants. As the above case shows, MMECT can potentially be considered as a safe treatment alternative in patients that require a large number of treatments, resistant to standard forms of therapy.

多重监测电休克疗法(MMECT)--它真的只属于精神病学的过去吗?病例报告。
自 1938 年以来,电休克疗法一直是精神病学中使用的一种方法,尽管其历史相当动荡,但它仍然是治疗严重精神障碍的最有效方法。尽管电休克疗法效率高、安全性好,但紧张症患者通常需要接受大量治疗。它需要较长的住院时间,而且必须反复进行全身麻醉。1966 年,Blachly 提出在一次麻醉中诱导一次以上的癫痫发作。根据这种方法,在一系列电抽搐期间,病人需要不断接受监测(心电图、脑电图),这些电抽搐包括 2 至 8 次治疗。为简单起见,这种方法被称为多重监测电休克疗法(MMECT)。这项工作基于一名被诊断为紧张性精神分裂症患者的病史。由于单次治疗效果不佳,我们决定采用 MMECT 方法,每周两次,每次三个疗程。经过治疗,患者的紧张性症状得到了缓解。对不同患者群体的研究表明,MMECT 可以缩短住院时间,缩短急性症状持续时间,减少患者对麻醉剂和肌肉松弛剂的总暴露量。正如上述病例所示,对于需要大量治疗且对标准疗法有抵抗力的患者,MMECT 有可能被视为一种安全的替代治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Psychiatria polska
Psychiatria polska 医学-精神病学
CiteScore
2.30
自引率
23.50%
发文量
92
审稿时长
6-12 weeks
期刊介绍: Information not localized
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