Unilateral Ect and Dosing
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چکیده
منابع مشابه
Titrated moderately suprathreshold vs fixed high-dose right unilateral electroconvulsive therapy: acute antidepressant and cognitive effects.
BACKGROUND The antidepressant and cognitive side effects of right unilateral (RUL) electroconvulsive therapy (ECT) are reported to depend on the magnitude of the electrical stimulus relative to the seizure threshold. The stimulus doses explored in previous clinical trials of RUL ECT have generally been limited to 1 to 2.5 times the convulsive threshold and the antidepressant efficacy has been l...
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edge, this is the only replicated instance in ECT where a patient characteristic is predictive of speed but not likelihood of response. It has been shown that electrical dosage has little impact on rates of response to bilateral ECT (in contrast to unilateral ECT), but that higher electrical dosage relative to seizure threshold results in more rapid clinical improvement regardless of electrode ...
متن کاملECT Dosing by the Benchmark Method
Background: The methods used to select ECT stimulus dose have no basis in physiology and are incomplete. They are not related to the quality of the ECT seizure, such as its intensity or its generalization through the brain. These methods are not substantially individualized and do not guide the dose along the course. A rational system is described that does not have these shortcomings. Method: ...
متن کاملBifrontal, bitemporal and right unilateral electrode placement in ECT: randomised trial.
BACKGROUND Electroconvulsive therapy (ECT) is an effective treatment for major depression. Optimising efficacy and minimising cognitive impairment are goals of ongoing technical refinements. AIMS To compare the efficacy and cognitive effects of a novel electrode placement, bifrontal, with two standard electrode placements, bitemporal and right unilateral in ECT. METHOD This multicentre rand...
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The duration of the motor seizure was examined next, and in evaluations of the seizures in unilateral and bilateral ECT, it seemed reasonable to opine that a minimum of 25 seconds defined a good seizure (Fink and Johnson, 1982). In studies of unilateral and bilateral ECT with threshold and suprathresh-old energy dosing, motor seizure durations were greater than 25 seconds, yet the threshold-uni...
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