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Journal of ECT

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https://www.readbyqxmd.com/read/29116947/cerebrovascular-steal-phenomenon-and-electroconvulsive-therapy-a-case-report-and-review-of-the-literature
#1
Ana Hategan, Calvin H Hirsch
Electroconvulsive therapy (ECT) is a safe and effective treatment for major depressive disorder, but cerebrovascular and cardiovascular complications, although rare, remain the most concerning. This is particularly notable in those with preexisting cerebrovascular disease, which impacts dynamic cerebral autoregulation. In these patients, the increased blood flow to the seizing portions of the brain induced by ECT potentially can reduce cerebral blood flow to ischemic areas, possibly causing adverse neurological events...
November 8, 2017: Journal of ECT
https://www.readbyqxmd.com/read/29076931/safe-electroconvulsive-therapy-use-after-hip-fracture-fixation-without-an-increase-in-muscle-relaxant
#2
Yi Hang Tay
No abstract text is available yet for this article.
October 25, 2017: Journal of ECT
https://www.readbyqxmd.com/read/29076930/electroconvulsive-therapy-as-an-intervention-for-autoimmune-neuropsychiatric-disease
#3
Peter Chamberlin, Nabil Kotbi, Pablo Sanchez-Barranco, Laura Kragt, Dora Kanellopoulos
No abstract text is available yet for this article.
October 25, 2017: Journal of ECT
https://www.readbyqxmd.com/read/29053485/the-effects-of-electroconvulsive-therapy-augmentation-of-antipsychotic-treatment-on-cognitive-functions-in-patients-with-treatment-resistant-schizophrenia
#4
Bjanka Vuksan Ćusa, Nataša Klepac, Nenad Jakšić, Zoran Bradaš, Marija Božičević, Natalia Palac, Marina Šagud
OBJECTIVES: Treatment-resistant schizophrenia (TRS) continues to be a challenge in modern psychiatry. Most of these patients have severe neurocognitive deficits. Electroconvulsive therapy (ECT) has proved effective and safe in the treatment of TRS, but because of potential neurocognitive adverse effects, it is associated with many controversies. The aim of this prospective, open study was to evaluate the effects of ECT augmentation of antipsychotics on cognitive functions in patients with TRS...
October 19, 2017: Journal of ECT
https://www.readbyqxmd.com/read/29053484/the-effect-of-low-frequency-repetitive-transcranial-magnetic-stimulation-at-orbitofrontal-cortex-in-the-treatment-of-patients-with-medication-refractory-obsessive-compulsive-disorder-a-retrospective-open-study
#5
Saurabh Kumar, Swarndeep Singh, Rakesh Kumar Chadda, Rohit Verma, Nand Kumar
OBJECTIVE: Obsessive-compulsive disorder (OCD) is a chronic debilitating psychiatric disorder, with significant proportion of patients failing to respond with current first-line treatments. The present study assesses the safety and effectiveness of low-frequency repetitive transcranial magnetic stimulation (LF-rTMS) over left-orbitofrontal cortex (Lt-OFC) as a potential augmentation strategy in treatment of patients with medication-refractory OCD in real-world clinical setting. The present report also aims to examine the factors affecting response to rTMS and the durability of effects produced by rTMS over 1 month of follow-up period...
October 19, 2017: Journal of ECT
https://www.readbyqxmd.com/read/29023285/predictors-of-electroconvulsive-therapy-use-in-a-large-inpatient-psychiatry-population
#6
Julia Knight, Micaela Jantzi, John Hirdes, Terry Rabinowitz
OBJECTIVE: There is limited research on reliable and clinically useful predictors of electroconvulsive therapy (ECT) use. We aimed to examine factors that predict ECT use in an inpatient psychiatric population. DESIGN: Retrospective analysis of provincial database for inpatient psychiatry. METHODS: This study is a retrospective analysis of a provincial database for inpatient psychiatry. The study includes all psychiatric inpatients 18 years or older in Ontario, Canada, assessed with the Resident Assessment Instrument for Mental Health (RAI-MH) within the first 3 days of admission between 2009 and 2014 (n = 153,023)...
October 12, 2017: Journal of ECT
https://www.readbyqxmd.com/read/28991068/regulation-of-electroconvulsive-therapy-a-systematic-review-of-us-state-laws
#7
Robin Livingston, Chester Wu, Kathy Mu, M Justin Coffey
OBJECTIVES: The goal of this study was to systematically review current US state laws on electroconvulsive therapy (ECT) in order to provide a comprehensive resource to educate practitioners, potential patients, and lawmakers. METHODS: Individual state legislative Web sites were searched by 2 independent authors using the following search terms: "electroconvulsive therapy," "convulsive therapy," "electroconvulsant therapy," "electroshock therapy," and "shock therapy" from March 2017 to May 2017...
October 3, 2017: Journal of ECT
https://www.readbyqxmd.com/read/28991067/a-6-month-follow-up-case-study-of-low-frequency-right-prefrontal-repetitive-transcranial-magnetic-stimulation-in-treatment-resistant-bipolar-depression
#8
Shinsuke Kito, Yuki Matsuda, Yurie Sewaki, Junpei Sekiya, Takeshi Fujii, Takamasa Noda, Satoru Ikezawa, Harumasa Takano, Kanako Nakazawa, Mami Nomura, Shiori Setoyama, Kazuyuki Nakagome
No abstract text is available yet for this article.
October 3, 2017: Journal of ECT
https://www.readbyqxmd.com/read/28991066/defense-automated-neurobehavioral-assessment-accurately-measures-cognition-in-patients-undergoing-electroconvulsive-therapy-for-major-depressive-disorder
#9
Kristen R Hollinger, Steven R Woods, Alexis Adams-Clark, So Yung Choi, Caroline L Franke, Ryoko Susukida, Carol Thompson, Irving M Reti, Adam I Kaplin
OBJECTIVES: The Defense Automated Neurobehavioral Assessment (DANA) is an electronic cognitive test battery. The present study compares DANA to the standard Mini-Mental State Examination (MMSE) in subjects undergoing electroconvulsive therapy for the treatment of major depressive disorder. METHODS: Seventeen inpatient subjects in the Johns Hopkins Hospital Department of Psychiatry were administered longitudinal paired DANA and MMSE tests (7.6 ± 4.1 per patient) from January 10, 2014 to September 26, 2014...
October 3, 2017: Journal of ECT
https://www.readbyqxmd.com/read/28976442/general-anesthesia-for-electroconvulsive-therapy-in-a-patient-with-systemic-mastocytosis
#10
Ethan O Bryson, Amy S Aloysi, Kate G Farber, Charles H Kellner
No abstract text is available yet for this article.
October 3, 2017: Journal of ECT
https://www.readbyqxmd.com/read/28976441/validation-of-the-10-item-orientation-questionnaire-a-new-tool-for-monitoring-post-electroconvulsive-therapy-disorientation
#11
Donel M Martin, Ada Wong, Divya R Kumar, Colleen K Loo
OBJECTIVES: Assessment of post-electroconvulsive therapy (ECT) disorientation at a single time point after ECT treatment may prove an effective and clinically useful method for monitoring the severity of disorientation and predicting ECT-induced retrograde amnesia. In this study, we aimed to validate a novel instrument (10-Item Orientation Questionnaire) developed to assess the level of disorientation after ECT. METHODS: Twenty-four depressed inpatients who were prescribed an acute course of ECT were administered the 10-Item Orientation Questionnaire at 30 minutes after ECT and had time to reorientation assessed at 3 time points after ECT (10, 30, and 60 minutes) at ECT treatments 1 to 3...
October 3, 2017: Journal of ECT
https://www.readbyqxmd.com/read/28976440/electroconvulsive-therapy-in-a-patient-with-a-recent-subarachnoid-hemorrhage
#12
Seshagiri Rao Doddi, Matthew Lotz, William T Regenold, Lawrence Adler
The safety of electroconvulsive therapy (ECT) is improving with advances in anesthesia and ECT technique. There are published case reports of successful treatment of depression in patients who were once considered at high medical risk. Recent cerebral hemorrhage is one of the conditions considered to significantly increase the risk of ECT treatment. Literature search did not indicate any case reports of ECT treatment in patients with recent subarachnoid hemorrhage. We report the successful ECT treatment of depression in an older man who had developed a subarachnoid hemorrhage after a suicide attempt by ingestion of antifreeze...
October 3, 2017: Journal of ECT
https://www.readbyqxmd.com/read/28937549/electroconvulsive-therapy-for-super-refractory-status-epilepticus
#13
Jayme Ahmed, Michael Metrick, Anne Gilbert, Anita Glasson, Ranjeet Singh, Wayne Ambrous, Lori Brown, Laura Aykroyd, Karen Bobel
OBJECTIVES: Super refractory status epilepticus (SRSE) is a stage beyond refractory status that requires general anesthesia as management. Electroconvulsive therapy (ECT) is recommended only as a potential treatment option beyond general anesthesia and after all other options have been exhausted. Its effect on aborting status has been minimally researched. We present the largest case series to our knowledge exploring the effect of ECT on SRSE. METHODS: Eight adults hospitalized for SRSE received ECT in an attempt to abort status after other treatment modalities were exhausted...
September 20, 2017: Journal of ECT
https://www.readbyqxmd.com/read/28937548/a-follow-up-study-of-electroconvulsive-therapy-in-children-and-adolescents
#14
Shanti Mitchell, Ehmer Hassan, Neera Ghaziuddin
OBJECTIVES: Electroconvulsive therapy (ECT) is an effective and a safe treatment for several severe psychiatric disorders across the age span. However, its use remains controversial and highly stigmatized especially among patients under 18 years. In this study, we examined current symptoms, attitudes, perception, and functioning of patients treated with ECT when they were less than 18 years old. METHODS: Participants had received ECT before age 18, between 1989 and 2015, at a tertiary medical center...
September 20, 2017: Journal of ECT
https://www.readbyqxmd.com/read/28937547/management-of-emergency-electroconvulsive-therapy-in-the-intensive-care-unit-for-life-threatening-psychiatric-conditions-a-case-series
#15
Samuel Bulteau, Edouard-Jules Laforgue, Loïc Chimot, Romain Dumont, Olivier Loutrel, François Etcheverrigaray, Caroline Victorri-Vigneau, Alexandre Massri, Jean-Marie Vanelle, Anne Sauvaget
Catatonia can lead to severe complications and may be lethal but is often underdiagnosed. The clinical presentation can be similar to coma. In these situations, electroconvulsive therapy (ECT) can be used as first-line treatment to enable extubation, recovery of autonomy, and rapid discharge from intensive care. We report 4 cases of patients hospitalized in the intensive care unit with comatose clinical presentation and life-threatening condition caused by catatonia. All patients received ECT sessions, after which the catatonic symptoms partially or fully remitted...
September 20, 2017: Journal of ECT
https://www.readbyqxmd.com/read/28937546/a-randomized-nonblind-naturalistic-comparison-of-efficacy-and-cognitive-outcomes-with-right-unilateral-bifrontal-and-bitemporal-electroconvulsive-therapy-in-schizophrenia
#16
Aniket Bansod, Sushma S Sonavane, Nilesh B Shah, Avinash A De Sousa, Chittaranjan Andrade
BACKGROUND: There is little literature on the relative efficacy and cognitive safety of right unilateral (RUL), bifrontal (BF), and bitemporal (BT) electroconvulsive therapy (ECT) in schizophrenia. METHODS: We present a randomized, nonblind, naturalist comparison of a fixed course of 8 moderately high-dose RUL (n = 24), threshold BF (n = 27), and threshold BT (n = 31) ECT in patients with schizophrenia. Assessments included the Positive and Negative Syndrome Scale (PANSS), the Wechsler Memory Scale-Revised, and an autobiographical memory interview...
September 20, 2017: Journal of ECT
https://www.readbyqxmd.com/read/28787312/a-time-out-before-every-electroconvulsive-therapy-treatment-response-to-letter
#17
LETTER
Bradley Vincent Watts
No abstract text is available yet for this article.
September 2017: Journal of ECT
https://www.readbyqxmd.com/read/28704239/dexmedetomidine-and-post-electroconvulsive-therapy-agitation-scores
#18
Chittaranjan Andrade, David L Streiner
No abstract text is available yet for this article.
September 2017: Journal of ECT
https://www.readbyqxmd.com/read/28658013/hippocampal-gray-volumes-increase-in-treatment-resistant-depression-responding-to-vagus-nerve-stimulation
#19
Giulia Ida Perini, Tommaso Toffanin, Giorgio Pigato, Giovanni Ferri, Halima Follador, Filippo Zonta, Carlo Pastorelli, Giulia Piazzon, Luca Denaro, Giuseppe Rolma, Mario Ermani, Domenico DʼAvella
BACKGROUND: Changes in hippocampal gray matter volumes are proposed to be involved in pathogenesis, course, and treatment response of major depressive disorder. Converging evidence suggests that reduced neurogenesis may occur in treatment-resistant depression (TRD). Vagus nerve stimulation (VNS) is a well-defined, long-term brain stimulation treatment for TRD. However, its in vivo positive effect on hippocampal modulation as mechanism of action has never been investigated before in clinical studies...
September 2017: Journal of ECT
https://www.readbyqxmd.com/read/28640168/degree-of-postictal-suppression-depends-on-seizure-induction-time-in-magnetic-seizure-therapy-and-electroconvulsive-therapy
#20
Sarah Kayser, Bettina H Bewernick, Martin Soehle, Christina Switala, Sabrina M Gippert, Nadine Dreimueller, Thomas E Schlaepfer
OBJECTIVES: Anesthesia is required for both magnetic seizure therapy (MST) and electroconvulsive therapy (ECT), although it has anticonvulsant properties. In this case, bispectral index (BIS) monitoring, a specific electroencephalogram-derived monitoring, can be used to find the optimal seizure induction time during anesthesia to elicit adequate seizures. A measurement of seizure adequacy in electroencephalogram is the postictal suppression. The purpose of this study was to investigate the influence of seizure induction time on the degree of postictal suppression by comparing BIS versus no-BIS monitoring in MST and ECT...
September 2017: Journal of ECT
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