The Journal of ECT最新文献_第6页

Electroconvulsive Therapy (ECT) and Race: A Report of ECT Use and Sociodemographic Trends in Texas 电痉挛治疗(ECT)和种族:德克萨斯州ECT使用和社会人口趋势报告

The Journal of ECT Pub Date : 2017-06-01 DOI: 10.1097/YCT.0000000000000379

J. Williams, L. Chiu, Robin K. Livingston

{"title":"Electroconvulsive Therapy (ECT) and Race: A Report of ECT Use and Sociodemographic Trends in Texas","authors":"J. Williams, L. Chiu, Robin K. Livingston","doi":"10.1097/YCT.0000000000000379","DOIUrl":"https://doi.org/10.1097/YCT.0000000000000379","url":null,"abstract":"Objectives Minimal research on race and other sociodemographic disparities in patients receiving electroconvulsive therapy (ECT) exists. One previously noted national trend reveals whites receiving ECT disproportionately more than other races. The aim of this study is to determine whether a county ECT program demonstrates similar disparities observed at the state and national levels. Methods This study examined 21 years of ECT data, between 1993 and 2014, provided by the Texas Department of State Health Services, focusing on race, sex, age, and payer source and 2.5 years of the same variables from a Harris County hospital ECT program. In addition, population demographic data for Harris County and the state of Texas during the same period were obtained from the Department of State Health Services Web site. Results Despite an overall decrease in the population of whites countywide and statewide, whites continue to use more ECT than African Americans, Latinos, and Asians in both Harris County and Texas. However, the rates of ECT use in minorities increased overall. Both countywide and statewide, ECT was used more than twice as often in women than men. Statewide, elderly patients (>65 years old) saw decreases in ECT use, and there was an increase in private third-party payer source. Conclusions Electroconvulsive therapy remains underused among African Americans, Latinos, and Asians. Hypotheses and areas for future study include cultural beliefs, stigma, patient and provider knowledge of ECT, and access to care. Despite this, the general use of ECT in Texas has increased overall, and minority use is slowly on the rise.","PeriodicalId":287576,"journal":{"name":"The Journal of ECT","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129109431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Case Report: ECT in a Patient With Primary Parkinsonian Syndrome and Schizophrenia. 病例报告:电痉挛治疗原发性帕金森综合征和精神分裂症患者1例。

The Journal of ECT Pub Date : 2017-03-01 DOI: 10.1097/YCT.0000000000000363

P. Baldinger-Melich, A. Weidenauer, C. Linder, M. Hienert, S. Kasper, M. Stamenkovic, M. Willeit

引用次数: 1

Left Anterior-Right Temporal Electroconvulsive Therapy for Catatonia After Epilepsy Surgery: A Case Report. 左前右颞电痉挛治疗癫痫术后紧张症1例。

The Journal of ECT Pub Date : 2017-03-01 DOI: 10.1097/YCT.0000000000000372

Dyani Loo, Daniel Evans, C. Abbott, D. Quinn

引用次数: 0

An Unwanted Reduction of Seizure Duration During Electroconvulsive Therapy With Diltiazem. 地尔硫卓电惊厥治疗中癫痫发作持续时间的不必要减少。

The Journal of ECT Pub Date : 2017-03-01 DOI: 10.1097/YCT.0000000000000380

Taylor Morrisette, John Rice, P. Vickery

{"title":"An Unwanted Reduction of Seizure Duration During Electroconvulsive Therapy With Diltiazem.","authors":"Taylor Morrisette, John Rice, P. Vickery","doi":"10.1097/YCT.0000000000000380","DOIUrl":"https://doi.org/10.1097/YCT.0000000000000380","url":null,"abstract":"To the Editor: W e write to report a case of transient bilateral parotid gland swelling after bilateral electroconvulsive therapy (ECT) treatment. Our patient is a 40-year-old white man with a history of schizoaffective disorder, childhood trauma, and alcohol use disorder in sustained remission, receiving ECT to augment clozapine for treatment refractory schizoaffective disorder. The patient's inpatient medications include clozapine, benztropine, magnesium citrate, diphenhydramine, and acetaminophen. He has received a total of 23 ECT treatments, now in a maintenance stage of treatment. The patient received methohexital 100 mg, succinylcholine 50 mg, and toradol 30 mg for anesthesia, consistent with previous treatments, and emergence was uneventful. The patient was treated with a MECTA spectrum model 5000Q, with bilateral lead placement; pulse width, 0.5 ms; frequency, 40 Hz; duration, 3 seconds; current, 800 mA; energy, 16 J; convulsion duration, 42 seconds; seizure duration, 49 seconds, with adequate seizure morphology. About 30 minutes after his 23rd treatment, the patient developed slightly tender, acute-onset, bilateral nonfluctuant submandibular swelling. There was no crepitation on palpation to suggest pneumoparotitis nor changes in overlying dermis to suggest an infectious process. Vitals signs were within normal limits, he was afebrile, and had no other systemic signs of infection nor dyspnea. Warm compresses were applied to both areas of swelling with good response and full resolution after an hour. Subsequently, he reported this response had occurred one other time prior after ECT, which resolved gradually after 24 hours.","PeriodicalId":287576,"journal":{"name":"The Journal of ECT","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122077905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Procedural Consolidation During Electroconvulsive Therapy for a Patient With Severe Tourette Syndrome. 重度抽动秽语综合征患者电休克治疗过程中的程序巩固。

The Journal of ECT Pub Date : 2017-03-01 DOI: 10.1097/YCT.0000000000000378

R. Katz, E. Bukanova, R. Ostroff

{"title":"Procedural Consolidation During Electroconvulsive Therapy for a Patient With Severe Tourette Syndrome.","authors":"R. Katz, E. Bukanova, R. Ostroff","doi":"10.1097/YCT.0000000000000378","DOIUrl":"https://doi.org/10.1097/YCT.0000000000000378","url":null,"abstract":"with stimulus energies set to 100%. Anesthetic agents used for the ECT procedures included methohexital 90 mg intravenous and succinylcoline 100 mg intravenous. The patient experienced 3 ECT episodes that lacked appropriate EEG seizure duration documentation despite blood pressure and heart rate changes typically associated with seizure activity. During each of these episodes, the patient was being treated with diltiazem extended-release 180 mg daily. Upon discontinuation of diltiazem and concurrent switch to bitemporal stimulus electrode placement, the treatment-induced seizures began to reach more predictable durations. Diltiazem seemed to interfere with achieving full ECT treatment seizures. Wajima et al compared 18 patients taking diltiazem 10 mg intravenous daily or placebo and reported a significantly shorter EEG seizure duration in the diltiazem group (P < 0.05). These patients also exhibited predictable increases in hemodynamics, which was precisely what was observed in this reported patient case. Verapamil, another nondihydropyridine calcium channel blocker, was compared with placebo in patients undergoing ECT and found no reduction of seizure duration, so this phenomenon is not necessarily class specific.","PeriodicalId":287576,"journal":{"name":"The Journal of ECT","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128225924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Successful Treatment With Electroconvulsive Therapy of a Patient With Bipolar Disorder and a 7-mm Cerebral Aneurysm. 电痉挛疗法成功治疗双相情感障碍和7毫米脑动脉瘤患者。

The Journal of ECT Pub Date : 2017-03-01 DOI: 10.1097/YCT.0000000000000389

Mesut Toprak, S. Wilkinson, R. Ostroff

{"title":"Successful Treatment With Electroconvulsive Therapy of a Patient With Bipolar Disorder and a 7-mm Cerebral Aneurysm.","authors":"Mesut Toprak, S. Wilkinson, R. Ostroff","doi":"10.1097/YCT.0000000000000389","DOIUrl":"https://doi.org/10.1097/YCT.0000000000000389","url":null,"abstract":"To the Editor: M s N is a 54-year-old woman whowas admitted to our inpatient unit for exacerbation of bipolar depression, type I. Six months before admission, she experienced a brief manic episode, after which her mood dropped precipitously. After medication adjustments failed to alleviate her depression, shewas admitted for expedited initiation of electroconvulsive therapy (ECT). At the time of admission, her medications included lamotrigine, lithium, and olanzapine. Her medical history was notable for hypertension, as well as a 7-mm cerebral aneurysm located in the left cavernous sinus. Her hypertension had been successfully managed with amlodipine/valsartan/hydrochlorothiazide 10/160/12.5 mg daily. The aneurysm had been discovered incidentally from magnetic resonance imaging 4 years ago that she had for a work-up of diplopia (since resolved). Given the relatively low risk of spontaneous rupture associated with an aneurysm of this size, the patient had annual follow-up with neurosurgery for expectant management without intervention. The aneurysm had remained stable in size for the following 4 years. After consultation with neurosurgery and anesthesiology, as well as informed consent including a thorough discussion of the risks and benefits of the treatment, right unilateral ECT was initiated, administered 3 times a week using a MECTA Spectrum 5000Q machine. Methohexital was used as the anesthetic agent (dose range, 80–150 mg), succinylcholine was used as the paralytic agent (dose range,","PeriodicalId":287576,"journal":{"name":"The Journal of ECT","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116886153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Commentary on Bennett and Colleagues: Differences in Cognitive Outcomes After Electroconvulsive Therapy Depending on BDNF and COMT Polymorphisms. Bennett及其同事评论:电休克治疗后认知结果的差异取决于BDNF和COMT多态性。

The Journal of ECT Pub Date : 2017-03-01 DOI: 10.1097/YCT.0000000000000390

D. Martin

引用次数: 0

Clinical Applicability of Monitoring the Time Interval Between Anesthesia and Electroconvulsive Therapy. 麻醉与电休克治疗间隔时间监测的临床适用性。

The Journal of ECT Pub Date : 2017-03-01 DOI: 10.1097/YCT.0000000000000384

V. Galvez, C. Loo

引用次数: 5

Catatonic Pupil in the Setting of Electroconvulsive Therapy. 电休克治疗下的紧张性瞳孔。

The Journal of ECT Pub Date : 2017-03-01 DOI: 10.1097/YCT.0000000000000375

L. Arias, P. Gligorovic, Erica Ann Bohan, James J OʼBrien