ISSN:0749-8055    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Eight elderly patients (mean age ± SD, 73.2 ± 9.5 years) were studied with Holter electrocardiographic monitoring for 24 h before and 24 h after an electroconvulsive therapy (ECT) treatment. Patients with a history of cardiac disease but who were not experiencing any active cardiac symptoms were chosen for study. They were not receiving either cardioactive medications or psychotropic agents that can effect cardiac rhythm or conduction. Each patient served as his own control, with direct comparison of the periods before and after the treatment. There were no differences before and after ECT in the electrocardiogram. One minute after the seizure, patients were hypertensive and tachycardic. ECT does not appear to pose additional risk in stable, elderly patients with a history of cardiac disease.

ISSN:0749-8055    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Dexamethasone suppression tests (DST) were performed before and after trial treatment in the Leicestershire trial of electroconvulsive therapy (ECT) in practice. Twenty-six depressed patients were studied before treatment, and in 18, tests were repeated immediately after the completion of trial treatments. No consistent pattern of relationship was observed between DST results and response to real or simulated ECT, although the pretreatment relationship between DST results and clinical picture was in accord with the expectations of the literature.

ISSN:0749-8055    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Twenty-one patients who developed one or more episodes of postictal hyperactive delirium (PHD) during the course of electroconvulsive therapy were given a new benzodiazepine drug, midazolam (MDZ), for sedation in an open, uncontrolled clinical trial. MDZ was found to be safe in all patients and was effective as treatment or prophylaxis for PHD in at least 20 patients. Rapid onset of action, brief duration of clinical effects, rapid biotransformation and elimination, wide choice of administration route, and a favorable toxicity profile make MDZ an attractive agent in the management of PHD. The relevant clinical pharmacology of MDZ is reviewed and additional observations regarding PHD are discussed.

ISSN:0749-8055    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

A questionnaire was mailed to 100 hospitals involved with medical education in 13 Asian countries. Replies were received from 36. The authors compare electroconvulsive therapy (ECT) usage in Asian countries with that in the United States. Marked similarities occur in response rate, number of treatments, and treatment techniques. Differences in anesthesia are associated with a seemingly higher incidence of injury. Bilateral electrode placement and maintenance ECT are widely used.

ISSN:0749-8055    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Two consecutive cohorts of medical students who received their fourth year psychiatry training at Manchester University completed knowledge and attitude questionnaires on ECT at the start and conclusion of their clerkships. Their understanding and knowledge of ECT was shown to be greater at the end of the clerkship and their attitudes towards treatment were more positive. The second cohort received an extra teaching session on ECT but this did not confer any additional benefit. It is concluded that increased contact with and knowledge about the treatment has a positive effect on medical students' attitudes. There is still room to improve teaching about ECT.

ISSN:0749-8055    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

An elderly female patient with major depression was found to have an asymptomatic chronic subdural hematoma. Electroconvulsive therapy (ECT) resulted in full remission of her depression without neurological deterioration. The use of ECT in patients with cerebral lesions is discussed.

ISSN:0749-8055    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Recently, Medcraft Corporation, a well-known U.S. manufacturer of electroconvulsive therapy (ECT) equipment, introduced a new bidirectional brief-pulse model. This machine offers some features that are not currently available on most other ECT devices. In particular, the clinician determines how much stimulus energy the patient receives by setting joules, leading the duration of the electrical stimulation to vary up to 6 s, depending on the patient's dynamic impedance, and the set energy and current levels. The machine is battery powered, completely isolating it from wall current. We summarize our experience with this device, reviewing its features, safety, practicality, and cost.

ISSN:0749-8055    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0749-8055    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0749-8055    

出版商:OVID    

年代:1990

数据来源: OVID