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Defining a course of ECT. 确定电痉挛疗法的疗程。
Convulsive therapy Pub Date : 1995-12-01
C H Kellner
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引用次数: 0
Risperidone and ECT combination therapy: a case series. 利培酮和ECT联合治疗:一个病例系列。
Convulsive therapy Pub Date : 1995-12-01
A Farah, M D Beale, C H Kellner
{"title":"Risperidone and ECT combination therapy: a case series.","authors":"A Farah, M D Beale, C H Kellner","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"11 4","pages":"280-2"},"PeriodicalIF":0.0,"publicationDate":"1995-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19883718","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
ECT seizure duration: reliability of manual and computer-automated determinations. 电痉挛发作持续时间:人工和计算机自动测定的可靠性。
Convulsive therapy Pub Date : 1995-09-01
A D Krystal, R D Weiner
{"title":"ECT seizure duration: reliability of manual and computer-automated determinations.","authors":"A D Krystal,&nbsp;R D Weiner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Reliable monitoring of electroencephalographic (EEG) and electromyographic electroconvulsive therapy (ECT) seizure duration has become important as these assessments have become a routine part of the clinical practice of ECT. In this regard, accurate automated seizure duration determinations would be particularly valuable. As a result, the present study was performed to assess the reliability of available computer-automated determinations of seizure duration (Thymatron Model DGx ECT machine; Somatics, Inc.) and to explore the factors upon which such reliability as well as the determinations of experienced raters depend. We found that the experienced human raters had very high interrater reliability, significantly higher than either did with the automated Thymatron DGx ratings. In general, the reliability of all ratings declined in the context of artifact, poor postictal suppression, or an EEG seizure end point that was reached gradually. Reliability was also greater for continuation ECT as compared with the index course. The reliability of Thymatron DGx versus experienced human ratings was particularly sensitive to these factors, ranging from 0.68 when several of these factors were simultaneously present to 0.999 when all these factors were absent.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"11 3","pages":"158-69"},"PeriodicalIF":0.0,"publicationDate":"1995-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19510075","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
In response to letter by Dr. Fink. 回复芬克医生的信。
Convulsive therapy Pub Date : 1995-09-01
H B Brackin
{"title":"In response to letter by Dr. Fink.","authors":"H B Brackin","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"11 3","pages":"220-1"},"PeriodicalIF":0.0,"publicationDate":"1995-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19509330","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
Survey of the practice of electroconvulsive therapy in North Carolina. 北卡罗莱纳电休克治疗实践调查。
Convulsive therapy Pub Date : 1995-09-01
P Creed, L Froimson, L Mathew
{"title":"Survey of the practice of electroconvulsive therapy in North Carolina.","authors":"P Creed,&nbsp;L Froimson,&nbsp;L Mathew","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A survey of North Carolina hospitals was conducted to determine the distribution and characteristics of facilities that offer electroconvulsive therapy (ECT). Parameters examined in the survey included bed size, geographic location, and average volume of ECT treatments. Facilities that offer ECT make up only 14% of total hospitals surveyed. The majority of hospitals with ECT services are located in moderate to large urban areas. Specific areas of practice were surveyed for each facility, including type of ECT device, location of treatments/recovery, methods for monitoring ictal motor seizure, time required to perform treatments, staffing, and potential areas of ECT nursing education. Standard practices at facilities were found to be generally in compliance with American Psychiatric Association recommendations; differences in practices were identified. Potential nursing education topics related to ECT were ranked to determine those most useful to individual nursing staffs.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"11 3","pages":"182-7"},"PeriodicalIF":0.0,"publicationDate":"1995-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19509323","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
Combined alfentanil-methohexital anesthesia in electroconvulsive therapy. 阿芬太尼-甲氧己酮复合麻醉在电休克治疗中的应用。
Convulsive therapy Pub Date : 1995-09-01
S H Dinwiddie, K E Isenberg
{"title":"Combined alfentanil-methohexital anesthesia in electroconvulsive therapy.","authors":"S H Dinwiddie,&nbsp;K E Isenberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Eight patients receiving electroconvulsive therapy (ECT) were anesthetized with alfentanil, 25 mcg/kg, plus 20 mg methohexital, alternating with standard methohexital anesthesia. Combination alfentanil-methohexital anesthesia was associated with a 45% increase in EEG seizure duration. Preliminary evidence suggests that ECT anesthesia using short-acting opiate compounds may prove to be a promising alternative to standard modified ECT, especially for patients with brief seizures.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"11 3","pages":"170-6"},"PeriodicalIF":0.0,"publicationDate":"1995-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19510076","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
Is ECT the treatment of choice for first-break psychosis? ECT是初发精神病的治疗选择吗?
Convulsive therapy Pub Date : 1995-09-01
C H Kellner
{"title":"Is ECT the treatment of choice for first-break psychosis?","authors":"C H Kellner","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"11 3","pages":"155-7"},"PeriodicalIF":0.0,"publicationDate":"1995-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19510074","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
Electroconvulsive therapy: problems and prejudices. 电休克疗法:问题和偏见。
Convulsive therapy Pub Date : 1995-09-01
J Jackson
{"title":"Electroconvulsive therapy: problems and prejudices.","authors":"J Jackson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"11 3","pages":"179-81"},"PeriodicalIF":0.0,"publicationDate":"1995-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19510078","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
Migraine after electroconvulsive therapy. 电休克治疗后的偏头痛。
Convulsive therapy Pub Date : 1995-09-01
H Folkerts
{"title":"Migraine after electroconvulsive therapy.","authors":"H Folkerts","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The first detailed case report of recurrent common migraine after electroconvulsive therapy (ECT) is presented; it involves a 52-year-old woman with major depressive disorder. The migraine symptoms corresponded to those of the infrequent spontaneous migraine attacks she had. After a change to propofol as the anesthetic because of methohexital intolerance, the migraine attacks ceased, apparently due to seizure generalization being inhibited by propofol. In patients with migraine, ECT may be expected to trigger a migraine attack, probably in the same way as spontaneous seizures. The possible reasons and significance are discussed.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"11 3","pages":"212-5"},"PeriodicalIF":0.0,"publicationDate":"1995-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19509328","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
Electroconvulsive therapy for a schizophrenic patient in catatonic stupor with joint contracture. 精神分裂症紧张性昏迷伴关节挛缩的电痉挛治疗。
Convulsive therapy Pub Date : 1995-09-01
K Mashimo, M Kanaya, T Yamauchi
{"title":"Electroconvulsive therapy for a schizophrenic patient in catatonic stupor with joint contracture.","authors":"K Mashimo,&nbsp;M Kanaya,&nbsp;T Yamauchi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The successful use of electroconvulsive therapy (ECT) for a patient in catatonic stupor with joint contracture is reported. A 53-year-old woman, who had been diagnosed with schizophrenia, developed a catatonic stupor unresponsive to neuroleptics. Physical emaciation gradually developed under food refusal and poor nutrition. Joint contracture of her extremities resulted from the long period of being bedridden in the same posture. In this case, modified ECT was dramatically effective for catatonic stupor without any complication despite the joint contracture.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"11 3","pages":"216-9"},"PeriodicalIF":0.0,"publicationDate":"1995-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19509329","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
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