Multiple-Monitored Electroconvulsive Therapy PDF Download
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Author: Barry M. Maletzky
Publisher: CRC Press
ISBN: 1000013359
Category : Medical
Languages : en
Pages : 255
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Book Description
First published in 1981: This book will explain the development and rationale for MMECT, document its safety and efficacy, and just as importantly, describe the equipment and technique in sufficient detail to allow the reader to duplicate it if he desires.
Author: Barry M. Maletzky
Publisher: CRC Press
ISBN: 1000013359
Category : Medical
Languages : en
Pages : 255
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Book Description
First published in 1981: This book will explain the development and rationale for MMECT, document its safety and efficacy, and just as importantly, describe the equipment and technique in sufficient detail to allow the reader to duplicate it if he desires.
Author: Barry Maletzky
Publisher: CRC PressI Llc
ISBN: 9780849359408
Category : Medical
Languages : en
Pages : 238
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Book Description
Author: Thewarug Werawatganon
Publisher:
ISBN: 9789740307259
Category : Convulsions
Languages : en
Pages : 126
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Book Description
Objective: Electroconvulsive therapy is a treatment for psychiatric patients who fail medical treatment or have severe manifestation. Multiple monitored electroconvulsive therapy, stimulating more than one convulsion in one treatment session, ensures adequate stimulation and results in rapid response. Single dose of short acting muscle relaxant is sometimes inadequate for the later stimulation and results in too strong convulsion and injury. We compared succinylcholine dispensed in two divided doses with the usual single dose for modification of convulsion. Design: Randomized double blind crossover trial. Setting: Tertiary care public hospital. Participants: Forty adult psychiatric patients who required multiple monitored electroconvulsive therapy Intervention: After anesthetized, patients in conventional single dose regimen received 1 mg/kg succinylcholine before stimulation then two consecutive electrical stimuli were given in 3 minutes apart. Split dose regimen consisted of 0.75 mg/kg succinylcholine before first stimulation and 0.25 mg/kg before second stimulation. The wash out period was at least 48 hours before switching to another regimen in the next session. Main outcome measures: Isolated limb with tourniquet and compared the convulsion severity with another side to identify the poor modification of convulsion. Result: The incident of poor session in single dose regimen was 43.6% compared with 10.3% in split dose regimen (p = 0.006). The period effect, sequence effect and carryover effect was not demonstrated. The average time from the end of seizure to 20% muscle twitch height recovery in single dose and split dose were 125 seconds and 183 seconds respectively (p = 0.001). Conclusion: Split dose of succinylcholine is suitable for modification of seizure during multiple monitored electroconvulsive therapy, even though the muscle recovery may be a little bit longer.
Author: Charles H. Kellner
Publisher: Cambridge University Press
ISBN: 110840328X
Category : Medical
Languages : en
Pages : 131
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Book Description
This book is the need-to-know guide to the practice of modern electroconvulsive therapy.
Author: Conrad M. Swartz
Publisher: Cambridge University Press
ISBN: 1139478869
Category : Medical
Languages : en
Pages : 619
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Book Description
Electroconvulsive therapy (ECT) is a psychiatric treatment involving the induction of a seizure through the transmission of electricity in the brain. Because of exploitation movies and greatly heightened drug company promotional activities ECT was used less frequently in the 1980s and 1990s. Eventually these movies were understood as unrealistic. Now these drugs are increasingly recognized as dangers to body health. Because of recent refinements and a far better scientific understanding of the clinical procedures and mechanisms underpinning ECT, this treatment modality has seen a resurgence in use and widespread appreciation of its safety. This book is the new definitive reference on electroconvulsive and neuromodulation therapies. It comprehensively covers the scientific basis and clinical practice of ECT as well as comparisons between ECT and medication therapies including the new generation of antipsychotic drugs. It also provides readers with administrative perspectives and specific details for the management of this modality in clinical practice. The new forms of nonconvulsive electrical and magnetic brain stimulation therapy are also covered in detail, in a separate section. The chapter authors are leading scholars and clinicians.
Author: American Psychiatric Association
Publisher: American Psychiatric Pub
ISBN: 1585627879
Category : Medical
Languages : en
Pages : 364
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Book Description
Since the development of pharmacoconvulsive therapy in 1934 and of electroconvulsive therapy (ECT) in 1938, ECT has proven far more valuable than just the intervention of last resort. In comparison with psychotropic medications, we now know that ECT can act more effectively and more rapidly, with substantial clinical improvement that is often seen after only a few treatments. This is especially true for severely ill patients -- those with severe major depression with psychotic features, acute mania with psychotic features, or catatonia. For patients who are physically debilitated, elderly, or pregnant, ECT is also safer than psychotropic medications. The findings of the American Psychiatric Association (APA) Task Force on ECT were published by the APA in 1990 as the first edition of The Practice of Electroconvulsive Therapy, inaugurating the development of ECT guidelines by groups both within the United States and internationally. Since then, advances in the use of this technically demanding treatment prompted the APA to mandate a second edition. The updated format of this second edition presents background information followed by a summary of applicable recommendations for each chapter. This close integration of the recommendations with their justifications makes the material easy to read, understand, and use. To further enhance usability, recommendations critical to the safe, effective delivery of treatment are marked with the designation "should" to distinguish them from recommendations that are advisable but nonessential (with the designations "encouraged," "suggested," "considered"). The updated content of this second edition, which spans indication for use of ECT, patient evaluation, side effects, concurrent medications, consent procedures (with sample consent forms and patient information booklet), staffing, treatment administration, monitoring of outcome, management of patients following ECT, and documentation, as well as education, and clinical privileging. This volume reflects not only the wide expertise of its contributors, but also involved solicitation of input from a variety of other sources, including applicable medical professional organizations, individual experts in relevant fields, regulatory bodies, and major lay mental health organizations. In addition, the bibliography of this second edition is based upon an exhaustive search of the clinical ECT literature over the past decade and contains more than four times the original number of citations. Complemented by extensive annotations and useful appendixes, this remarkably comprehensive yet practical overview will prove an invaluable resource for practitioners and trainees in psychiatry and related disciplines.
Author: American Psychiatric Association. Task Force on Electroconvulsive Therapy
Publisher: American Psychiatric Publishing
ISBN:
Category : Medical
Languages : en
Pages : 208
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Book Description
The updated format and content of this second edition make it a remarkably practical guide for the safe and effective use of ECT. Its chapters closely integrate recommendations with their justifications, making the material easy to read, understand, and use. Its content presents a comprehensive overview of the clinical practice of ECT without sacrificing depth and breadth. Topics include everything from indications for use of ECT to patient evaluation, side effects, concurrent medications, consent procedures (with sample consents forms and patient information booklet), staffing, treatment administration, monitoring of outcome, management of patients following ECT and documentation, as well as education and clinical privileging.
Author: Charles H. Kellner
Publisher: Cambridge University Press
ISBN: 0521172551
Category : Medical
Languages : en
Pages : 159
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Book Description
An authoritative, concise, how-to guide to the various brain stimulation treatments used in psychiatry.
Author: Neera Ghaziuddin
Publisher: Oxford University Press
ISBN: 0199937893
Category : Medical
Languages : en
Pages : 311
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Book Description
This is a pioneering book about the use of ECT in adolescents who are diagnosed with severe, disabling psychiatric disorders or fail conventional treatment. Included are a review of the literature, firsthand experience of the authors and case descriptions making it an invaluable guide to treatment.
Author: I. Nicol Ferrier
Publisher: RCPsych Publications
ISBN: 1108637582
Category : Psychology
Languages : en
Pages :
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Book Description
The fourth edition of this popular Handbook provides the latest guidance on prescribing and administering electroconvulsive therapy (ECT). Leading researchers and practitioners review new research on ECT and related treatments, including their efficacy in children and adolescents, and in those with bipolar disorder and neurological conditions. With a focus on safe provision and minimisation of side effects, it provides the reader with practical, evidence-based advice. The book has been substantially revised: references have been updated throughout; related treatment modalities such as rTMS, tCDS and ketamine are covered in greater depth; and current administrative and legal framework guidelines are clearly outlined. An essential reference manual for consultant and trainee clinical psychiatrists, as well as ECT practitioners. This guide will benefit clinical teams looking after complex cases of depression, as well as those involved in the care of other people for whom ECT may be recommended.
