Necessity of the time to recovery measurement in ECT

Abstract ECT (electroconvulsive therapy) is a safe treatment of the most severe neuropsychiatric diseases. However, sometimes complecated by transient cognitive impairment (TCI). The importance individual current parameters (seizure threshold, seizure duration, frequency, amplitude, duration stimulation, and pulse width) has been taken into account. time to reorientation (or recovery, TTR) very simple parameter measure, which predictive value for TCI. With concentration on minimalizing TCI, we use ultra-brief pulses (0,3ms) in right-unilateral setting depressed patient. Energy titration basic prerequisite minimizing dose energy used induce an adequate therapeutic (measured two-channel EEG; 20-60s epileptiform activity). We observed 46 patients 158 sessions (of 40,03 % were males) with mean age 50,74 years (median 54; SD 13,01) various diagnoses (ICD-10) non-psychotic depressive episodes. excluded (first) session from further statistical analysis. average lasted 31,14 sec 30; 17,04). following was measured since press trigger. first spontaneous opening eyes 6,45 min 6; 2,16). full vigilance (Glasgow coma scale 4+5+6) 9,32 9; 3,69). lucidity (oriented person, time, space, situation) 12,42 12; 4,996). Time re-orientation (defined as till orientation) 5,97 5; 4,13). Further research perhaps correlation other desirable. Supported IGA-KZ-2022-1-4 MH CZ-DRO VFN 64165. Research Category Technology Methods Clinical Research: 2. Electroconvulsive Therapy (ECT) Keywords: ECT, recovery