Anaesthesia and electroconvulsive therapy (ECT)

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The Origins of Electroconvulsive Therapy (ECT).

Prior to the 1930s, the prime mode of treatment for psychiatric outpatients was psychoanalysis. Little could be done for inpatients, other than provide sedation and social support. In the 1930s, four major somatotherapies, all interventionist in technique, were developed: insulin coma therapy, Metrazol convulsive therapy, lobotomy (psychosurgery), and electroconvulsive therapy (ECT), the only o...

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Electroconvulsive therapy (ECT) from the patient's perspective

This is a response to Dr Charlotte Rosalind Blease's paper 'Electroconvulsive Therapy (ECT), the Placebo Effect and Informed Consent', written by Julie K. Hersh who has had ECT. Hersh argues that placebo effect is impossible to prove without endangering the lives of participants in the study. In addition, informing potential ECT patients of unproven placebo effect could discourage patients from...

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Anaesthesia and Ect

Literature analysis What does the literature say about the selection of an induction agent for ECT? It is in fact a very difficult question since most of the studies are of limited benefit because of their study design in terms of outcome measurements. While seizure duration is helpful, it is by no means the best measure of ECT outcomes. Another problem is that most studies use methohexitone as...

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Electroconvulsive therapy (ECT) for intractable depression following epilepsy neurosurgery

Psychopathology following epilepsy neurosurgery is a significant risk. Treatment modalities have not been addressed in the literature. As disproportionately elevated suicide rates have been reported, it is critical to treat aggressively any psychiatric illness wherein suicidal ideation is a key component. This case reports the safe utilization of electroconvulsive therapy (ECT) for intractable ...

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Anaesthesia for electroconvulsive therapy: An overview with an update on its role in potentiating electroconvulsive therapy

Despite advances in pharmacotherapy, electroconvulsive therapy (ECT) remains a mainstay treatment option in psychiatry since its introduction in 1930s. It can be used primarily in severe illnesses when there is an urgent need for treatment or secondarily after failure or intolerance to pharmacotherapy. The 'unmodified' technique of ECT was practised initially, with a high incidence of musculosk...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 1998

ISSN: 0003-2409,1365-2044

DOI: 10.1046/j.1365-2044.1998.572-az0623.x