Journal of Ect最新文献_第10页

Effective Management of Postelectroconvulsive Therapy Delirium With Propofol: A Case Series. 丙泊酚对电休克治疗后谵妄的有效处理：病例系列。

IF 1.8 4区医学

Journal of Ect Pub Date : 2024-12-01 Epub Date: 2024-08-01 DOI: 10.1097/YCT.0000000000001059

Huei-Ping Chiu, Min-Ho Chan, Ching-Hua Lin

引用次数: 0

TMS for Opioid Use Disorder: An Action Call for More Research. TMS 治疗阿片类药物使用障碍：呼吁开展更多研究。

IF 1.8 4区医学

Journal of Ect Pub Date : 2024-12-01 Epub Date: 2024-07-10 DOI: 10.1097/YCT.0000000000001039

Jeffrey Taylor Owen, Gopalkumar Rakesh, G Randolph Schrodt, Ali A Farooqui

引用次数: 0

Electroconvulsive Therapy and Its New Competitors: ECT Remains the Gold Standard. 电休克疗法及其新的竞争对手：电休克疗法仍是黄金标准。

IF 1.8 4区医学

Journal of Ect Pub Date : 2024-12-01 Epub Date: 2024-07-08 DOI: 10.1097/YCT.0000000000001034

David Zilles-Wegner, Charles H Kellner, Alexander Sartorius

引用次数: 0

Safety and Efficacy of Adjunctive 40 Hz Gamma Transcranial Alternating Current Stimulation for Auditory Hallucinations in Schizophrenia: A Case Report. 辅助 40 Hz 伽玛经颅交流电刺激治疗精神分裂症患者幻听的安全性和有效性：病例报告。

IF 1.8 4区医学

Journal of Ect Pub Date : 2024-12-01 DOI: 10.1097/YCT.0000000000001074

Parmila Dudi, Alankrit Jaiswal, Umesh Shreekantiah, Basudeb Das

引用次数: 0

Intravenous Ketamine to Facilitate Transport of Agitated Patients to the ECT Clinic. 静脉注射氯胺酮以方便将躁动不安的患者送往电痉挛治疗诊所。

IF 1.8 4区医学

Journal of Ect Pub Date : 2024-11-26 DOI: 10.1097/YCT.0000000000001090

Olivia Dean, Anthony Byford-Brooks, Kara Hannigan, Danielle Saunders, William Gamble, George Kirov

{"title":"Intravenous Ketamine to Facilitate Transport of Agitated Patients to the ECT Clinic.","authors":"Olivia Dean, Anthony Byford-Brooks, Kara Hannigan, Danielle Saunders, William Gamble, George Kirov","doi":"10.1097/YCT.0000000000001090","DOIUrl":"10.1097/YCT.0000000000001090","url":null,"abstract":"Objectives: Electroconvulsive therapy (ECT) can be effective for a variety of psychiatric conditions, including for some patients who are very psychotic or agitated. Transferring such patients from the psychiatric ward to the ECT clinic can pose significant challenges for treating teams, as they try to minimize the use of restraint.Methods: We developed a protocol for safe transfer of such patients using sedation with ketamine. An intravenous cannula is inserted on the ward in a low stimulus environment with gentle supportive holds. Intravenous ketamine is given in a bolus at 0.5-2.0 mg/kg. The patient is transported on a transfer bed to the ECT clinic within a few minutes, and usual ECT process is immediately followed.Results: We describe 6 patients who were given between 1 and 11 ECT treatments using this method. All of them finished ECT courses without the need for ketamine sedation. Five of them regained capacity, provided informed consent for further ECTs, and eventually reached remission.Conclusions: Ketamine can be used to manage risk and transfer agitated patients to an ECT clinic for treatment.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Safe Delivery of Electroconvulsive Therapy in a Patient With Obstructive Sleep Apnea and a Hypoglossal Nerve Stimulator: A Case Report. 在一名患有阻塞性睡眠呼吸暂停和舌下神经刺激器的患者身上安全实施电休克疗法：病例报告。

IF 1.8 4区医学

Journal of Ect Pub Date : 2024-11-26 DOI: 10.1097/YCT.0000000000001089

Marcus Hughes, Tammy Cohen, Robert Ostroff, Rachel Katz

引用次数: 0

Geographic Variation in Receipt of Electroconvulsive Therapy Among US Department of Veterans Affairs Patients. 美国退伍军人事务部病人接受电休克疗法的地域差异。

IF 1.8 4区医学

Journal of Ect Pub Date : 2024-11-26 DOI: 10.1097/YCT.0000000000001085

Nikhil Teja, Daniel Gottlieb, Brian Shiner, Talya Peltzman, Bradley V Watts

{"title":"Geographic Variation in Receipt of Electroconvulsive Therapy Among US Department of Veterans Affairs Patients.","authors":"Nikhil Teja, Daniel Gottlieb, Brian Shiner, Talya Peltzman, Bradley V Watts","doi":"10.1097/YCT.0000000000001085","DOIUrl":"10.1097/YCT.0000000000001085","url":null,"abstract":"Objective: The aim of the study is to characterize geographic variation in electroconvulsive therapy (ECT) receipt across the United States (US) Veterans Administration (VA) healthcare system and explore potential explanatory variables.Background: ECT is a highly effective and rapidly acting treatment for multiple mental disorders. However, there may be geographic disparities in access to ECT across the US.Methods: We conducted a retrospective, cross-sectional study of all VA patients from 2003 to 2019 to describe rates of ECT within previously defined mental health referral regions (MHRRs). We investigated differences between the population that received ECT and other patients with a mental health condition severe enough to warrant inpatient hospitalization. We analyzed crude as well as age, sex, race, and ethnicity-adjusted ECT rates and explored potential explanatory variables. We compared MHRRs in the highest and lowest tertiles of ECT receipt.Results: The rate of ECT receipt among VA patients was 1.7 individuals per 10,000 (SD = 1.6) annually. Among 115 MHRRs, the rate ranged from a minimum of 0 (effectively no utilization in some areas) to a maximum of 8.9. Regression analysis revealed few significant explanatory variables.Conclusions: There is significant geographic variation in ECT receipt among VA patients that is not well explained by population characteristics and may be indicative of suboptimal treatment for several mental health conditions.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Electroconvulsive Therapy in a Severely Depressed, Bipolar I Disorder Patient, Who Is a 3-Time Liver Transplant Recipient Due to Primary Sclerosing Cholangitis. 电痉挛治疗1例因原发性硬化性胆管炎而接受3次肝移植的重度抑郁双相I型患者。

IF 1.8 4区医学

Journal of Ect Pub Date : 2024-11-18 DOI: 10.1097/YCT.0000000000001084

Thomas D Ilic, Caitlin J McCarthy, Ian Steele

{"title":"Electroconvulsive Therapy in a Severely Depressed, Bipolar I Disorder Patient, Who Is a 3-Time Liver Transplant Recipient Due to Primary Sclerosing Cholangitis.","authors":"Thomas D Ilic, Caitlin J McCarthy, Ian Steele","doi":"10.1097/YCT.0000000000001084","DOIUrl":"https://doi.org/10.1097/YCT.0000000000001084","url":null,"abstract":"Abstract: Patients with bipolar I disorder who develop major depressive episodes with psychotic features and suicide ideations following severe episodes of mania can be difficult to treat with medications alone. Electroconvulsive therapy (ECT) is a treatment modality that can be quite helpful to these patients and lead to remission of depressive symptoms also while providing protection against mania. However the literature about using ECT in medically complex patients is sparse, which can limit guidance and knowledge on the specific risks of the procedure in specialized patient populations. We report in our own case the use of ECT to treat a major depressive episode in a young adult with bipolar I disorder who also has a history of 3 liver transplants in his childhood due to primary sclerosing cholangitis. Despite prior case reports relating the safety of ECT in liver transplant recipients, we discuss that our patient had a large intracranial hemorrhage during his first ECT that required 2 decompressive craniotomies and extensive physical rehabilitation. This case serves to expand the limited literature on the use of ECT in patients with history of liver transplants and to increase understanding of risks of the procedure in his specialized patient population.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Individual on Death Row Receiving Electroconvulsive Therapy (ECT) for Catatonia: A Case Report. 在死囚牢房中接受电休克治疗（ECT）治疗紧张症：一例报告。

IF 1.8 4区医学

Journal of Ect Pub Date : 2024-11-18 DOI: 10.1097/YCT.0000000000001082

Brian J Basden, Sandarsh Surya, Peter B Rosenquist, William V McCall

{"title":"Individual on Death Row Receiving Electroconvulsive Therapy (ECT) for Catatonia: A Case Report.","authors":"Brian J Basden, Sandarsh Surya, Peter B Rosenquist, William V McCall","doi":"10.1097/YCT.0000000000001082","DOIUrl":"https://doi.org/10.1097/YCT.0000000000001082","url":null,"abstract":"Abstract: Electroconvulsive therapy (ECT) is underused, logistically challenging for those who are justice-involved, and laced with ethical problems for those on death row. Herein we describe a case of a man without history of long-standing psychiatric illness who, after more than 15 years on death row, was hospitalized for altered mental status. After medical stabilization, the altered mental status persisted. On exam, he displayed signs of catatonic stupor with repetitive non-goal-directed motor activity, repetition of words, rigidity, and negativism, among others. The Bush-Francis Catatonia Rating Scale was found to be 23. Lorazepam was nontherapeutic. Hospital psychiatry considered ECT. Hospital medicine, medical prison staff, and the hospital ethics committee were consulted. Consent to treat catatonia with ECT was obtained from next of kin. Before treatment, the ECT psychiatrist spoke with prison staff regarding the presence of plastic restraints. To balance the competing demands of carceral policies and musculoskeletal protection, we implemented the practice of removing plastic restraints after the patient was sedated by anesthetic, with restraints being reapplied after the motor convulsion ended. Five days after 7 ECT treatments given thrice weekly, the catatonic symptoms remitted. Ethically, psychiatrists are not to restore competency for the purpose of execution. In this case, ECT was used by psychiatrists unaffiliated with the criminal legal system to reduce suffering and improve quality of life given the potentially fatal consequences of catatonia.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Electroconvulsive Therapy in a Left Ventricular Assist Device Recipient With Treatment-Resistant Depression. 电休克疗法在一名左心室辅助装置受术者抑郁症患者中的应用

IF 1.8 4区医学

Journal of Ect Pub Date : 2024-11-06 DOI: 10.1097/YCT.0000000000001080

Rebekah Nash, Daniel Rosenkrans, Lavinia Kolarczyk, Asif Khan, Erica Hatch, Gary Gala, Sarah L Laughon, Robert K McClure

{"title":"Electroconvulsive Therapy in a Left Ventricular Assist Device Recipient With Treatment-Resistant Depression.","authors":"Rebekah Nash, Daniel Rosenkrans, Lavinia Kolarczyk, Asif Khan, Erica Hatch, Gary Gala, Sarah L Laughon, Robert K McClure","doi":"10.1097/YCT.0000000000001080","DOIUrl":"https://doi.org/10.1097/YCT.0000000000001080","url":null,"abstract":"Abstract: Depression and heart failure are highly comorbid, with up to 35% of heart failure patients suffering from comorbid depression. Left ventricular assist devices (LVADs) serve as a major lifeline for patients with heart failure; however, despite the drastic improvement in cardiac function following LVAD implantation, up to 24% of LVAD recipients suffer from depression. Depression management in LVAD recipients is often complicated by the recipient's increased risk for antidepressant side effects, adverse drug reactions, and inability to safely receive certain interventional psychiatry therapies, as the LVAD is either a relative or absolute contraindication. Electroconvulsive therapy (ECT) is highly effective for treatment-resistant depression; although it carries increased cardiovascular risks for the LVAD population (particularly bradycardia/hypotension and tachycardia/hypotension), these can be continuously monitored, along with LVAD function, such that with the close cooperation of a multidisciplinary team, the risks of ECT can be minimized. To our knowledge, there is only one published case report of ECT in an LVAD recipient. We present a case of an LVAD recipient with treatment-resistant depression who was successfully treated with ECT. Our case describes an approach by which ECT can be safely delivered to LVAD recipients with a collaborative multidisciplinary team approach.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0