By Mehul V. Mankad, John L. Beyer, Richard D. Weiner, Andrew Krystal
The authors of medical guide of Electroconvulsive remedy provide this quantity to aid psychiatrists effectively comprise electroconvulsive treatment (ECT) into their scientific practices. ECT is still the definitive therapy for quite a few psychological problems since it is usually potent whilst different remedies fail. The e-book updates the 1985 unique and 1998 moment variation of Electroconvulsive treatment: A Programmed textual content, and offers readers with a scheduled method of figuring out the elemental suggestions of ECT whereas providing functional counsel for developing and conserving an ECT application. integrated are exact descriptions of contemporary advances that experience made this very potent therapy a lot more secure and extra appropriate to sufferers. presently, it really is expected that greater than 100,000 humans obtain ECT remedies every year within the U.S. symptoms to be used of ECT are for temper issues corresponding to significant depressive affliction and mania, and for notion problems together with schizophrenia and schizoaffective illness. symptoms to be used in different psychiatric issues and normal clinical issues are reviewed to boot. sufferer info sheets and a written consent shape also are supplied.
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Extra info for Clinical Manual of Electroconvulsive Therapy, Second Edition
J Am Acad Psychiatry Law 34:406–411, 2006 Huuhka MJ, Seinela L, Reinikainen P, et al: Cardiac arrythmias induced by ECT in elderly psychiatric patients: experience with 48-hour Holter monitoring. J ECT 19:22–25, 2003 Klapheke MM: Electroconvulsive therapy consultation: an update. Convuls Ther 13:227–241, 1997 Lapid MI, Rummans TA, Pankratz VS, et al: Decisional capacity of depressed elderly to consent to electroconvulsive therapy. J Geriatr Psychiatry Neurol 17:42–46, 2004 Lunde ME, Lee EK, Rasmussen KG: Electroconvulsive therapy in patients with epilepsy.
Sine Wave ECT When Cerletti and Bini began experimenting with the induction of seizures by electricity (see Chapter 1, “History of Electroconvulsive Therapy,” and Shorter and Healy 2007), they used, as a matter of convenience, the waveform that is supplied by wall outlets: the sine wave. Sine wave currents are characterized by a continuous stream of electricity that flows in alternating directions. The number of alterations in direction, or cycles of negative and positive current flow, is referred to as the frequency of the stimulus and is measured in hertz (Hz), defined as the number of cycles per second.
5. Initiate the informed consent process. Before proceeding with ECT treatment, the practitioner must first determine that the patient has an ECT-responsive condition and that the time to intervene with ECT is appropriate (see Chapter 2, “Indications for Use”). To perform this task, the practitioner will find a detailed history of the patient’s present illness and previous psychiatric treatments to be extremely useful. If ECT has been used previously, information should be gathered on the details of that treatment, including electrical parameters, electrode placement, number of treatments, duration and/or quality of seizures, and medications used at the time of the treatments.