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Ketamine anesthesia in electroconvulsive therapy. 氯胺酮麻醉在电休克治疗中的应用。
Convulsive therapy Pub Date : 1996-12-01
K G Rasmussen, M R Jarvis, C F Zorumski
{"title":"Ketamine anesthesia in electroconvulsive therapy.","authors":"K G Rasmussen,&nbsp;M R Jarvis,&nbsp;C F Zorumski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The use of ketamine anesthesia in electroconvulsive therapy (ECT) has been limited by its effects on blood pressure and concerns about untoward psychological reactions. However, because its effect on seizures is presumably less than that of methohexital, ketamine is listed as an alternative method to prolong seizure length. In this case series, 10 patients were given ketamine anesthesia during ECT. Whereas blood pressures were elevated above those seen with methohexital, seizure lengths actually decreased nonsignificantly with ketamine. There were no adverse psychological reactions noted with ketamine, which was generally well tolerated. It is concluded that ketamine anesthesia with the doses used in this series is unlikely to be associated with longer seizures in ECT. However, for theoretical reasons discussed, ketamine may be worth studying further in ECT.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 4","pages":"217-23"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19991300","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 in Parkinson's disease: neuropsychological response. 电痉挛治疗帕金森病:神经心理反应。
Convulsive therapy Pub Date : 1996-12-01
S Pridmore, A Lowrie, G Holmes, C Pollard
{"title":"ECT in Parkinson's disease: neuropsychological response.","authors":"S Pridmore,&nbsp;A Lowrie,&nbsp;G Holmes,&nbsp;C Pollard","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 4","pages":"257-9"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19991304","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
Advances in the diagnosis and treatment of catatonia. 紧张症的诊断与治疗进展。
Convulsive therapy Pub Date : 1996-12-01
A Francis, K M Divadeenam, G Petrides
{"title":"Advances in the diagnosis and treatment of catatonia.","authors":"A Francis,&nbsp;K M Divadeenam,&nbsp;G Petrides","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 4","pages":"259-61"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19991305","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
Memory functions six to nine months after electroconvulsive therapy. 1975. 电休克治疗后6到9个月记忆功能恢复。1975.
Convulsive therapy Pub Date : 1996-12-01
L R Squire, P M Chace
{"title":"Memory functions six to nine months after electroconvulsive therapy. 1975.","authors":"L R Squire,&nbsp;P M Chace","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 4","pages":"239-56; discussion 238"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19991303","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
Seizure adequacy: does EEG hold the key? 癫痫发作充分性:脑电图是关键吗?
Convulsive therapy Pub Date : 1996-12-01
C Kellner, M Fink
{"title":"Seizure adequacy: does EEG hold the key?","authors":"C Kellner,&nbsp;M Fink","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 4","pages":"203-6"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19991297","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
Facilitation of ECT by intravenous administration of theophylline. 静脉给药茶碱促进电痉挛。
Convulsive therapy Pub Date : 1996-12-01
A F Leentjens, W W van den Broek, A Kusuma, J A Bruijn
{"title":"Facilitation of ECT by intravenous administration of theophylline.","authors":"A F Leentjens,&nbsp;W W van den Broek,&nbsp;A Kusuma,&nbsp;J A Bruijn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Seven patients with major depression who developed seizure inhibition during a course of ECT, were given intravenous theophylline to increase seizure duration. Infusion of 100-200 mg of theophylline, administered slowly over several minutes approximately 30 min before seizure induction, was found to effectively and safely prolong seizure durations. In a total of 55 treatment sessions, no cardiovascular or other complications were seen. On one occasion, seizure duration was prolonged to 220 s.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 4","pages":"232-7"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19991302","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
Ictal EEG regularity declines during a course of RUL ECT. 在RUL电休克过程中，头期脑电图规律性下降。
Convulsive therapy Pub Date : 1996-12-01
W V McCall, C C Colenda, B A Farah
{"title":"Ictal EEG regularity declines during a course of RUL ECT.","authors":"W V McCall,&nbsp;C C Colenda,&nbsp;B A Farah","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Twenty depressed patients (4 men, 16 women; mean age 67 years) received right unilateral (RUL) electroconvulsive therapy (ECT). The ictal electroencephalogram (Fp1-A1) was blindly rated on a 7-point scale for regularity of morphology at treatments two, four, and six. Seizure regularity declined during the course of ECT.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 4","pages":"213-6"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19991299","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
Assessment of mood state in patients undergoing electroconvulsive therapy: the utility of visual analog mood scales developed for cognitively impaired patients. 评估接受电休克治疗的患者的情绪状态:视觉模拟情绪量表在认知障碍患者中的应用。
Convulsive therapy Pub Date : 1996-12-01
J E Arruda, R A Stern, S A Legendre
{"title":"Assessment of mood state in patients undergoing electroconvulsive therapy: the utility of visual analog mood scales developed for cognitively impaired patients.","authors":"J E Arruda,&nbsp;R A Stern,&nbsp;S A Legendre","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Reliable, valid, and brief measures of mood state are essential to the evaluation of electroconvulsive therapy (ECT) efficacy. However, existing measures of mood state may be inappropriate for patients with transient cognitive impairment. Stern and colleagues have recently developed a set of Visual Analog Mood Scales (VAMS) for use in neurologically impaired patients. These brief scales (including measures of sad, confused, afraid, happy, tired, angry, and energetic states) are easily administered and have documented reliability and validity in neurologically impaired patients and in healthy adult and geriatric samples. In the present study, we assessed the validity and sensitivity of the VAMS to detect ECT-related mood change. Twenty-five inpatients who were diagnosed with major depressive episode and referred for ECT were administered the VAMS and the Hamilton Depression Rating Scale (HDRS) both pre- and post-ECT. Results indicate that the VAMS are as sensitive to the therapeutic effects of ECT as is the more lengthy and verbally demanding HDRS. In addition, the VAMS were highly correlated with the clinician's Clinical Global Improvement rating and the patient's self-report using a modified Center for Epidemiological Studies-Depression scale. The VAMS are brief, reliable scales that are sensitive to the treatment effects of ECT and that are appropriate for patients with transient cognitive impairment.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 4","pages":"207-12"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19991298","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
Polysomnographic studies in patients referred for ECT: pre-ECT studies. 多导睡眠图研究的病人转介ECT: ECT前的研究。
Convulsive therapy Pub Date : 1996-12-01
L Grunhaus, J E Shipley, A Eiser, A C Pande, R Tandon, A Remen, J F Greden
{"title":"Polysomnographic studies in patients referred for ECT: pre-ECT studies.","authors":"L Grunhaus,&nbsp;J E Shipley,&nbsp;A Eiser,&nbsp;A C Pande,&nbsp;R Tandon,&nbsp;A Remen,&nbsp;J F Greden","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Forty-one patients referred for electroconvulsive therapy (ECT) were evaluated with a standardized clinical protocol and had polysomnographic studies performed pre-ECT after 10 or more days drug free. Clinical evaluations were performed by blind investigators and included the Research Diagnostic Criteria and the Hamilton Rating Scale for Depression (HRSD). Patients were categorized according to the clinical response. Thirty patients (73%) reached a post-ECT HRSD < or = 10, whereas 21 of them (51.2%) reached a post-ECT HRSD score < or = 6. Sleep-onset rapid eye movement (SOREM) periods were present in 27 (66%) of the patients. Few polysomnographic variables differentiated between excellent responders and patients with residual symptoms. Older patients had significantly more disrupted polysomnographic study parameters. Although present in a significant proportion of patients, baseline SOREM was not a factor in outcome.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 4","pages":"224-31"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19991301","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
Etophylline as a proconvulsant. 依托phylline作为一种促惊厥药。
Convulsive therapy Pub Date : 1996-09-01
K Girish, M S Jayaprakash, B N Gangadhar, N Janakiramaiah
{"title":"Etophylline as a proconvulsant.","authors":"K Girish,&nbsp;M S Jayaprakash,&nbsp;B N Gangadhar,&nbsp;N Janakiramaiah","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 3","pages":"196-8"},"PeriodicalIF":0.0,"publicationDate":"1996-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19837736","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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