Electroconvulsive Therapy and Cognitive Improvement in a Very Elderly Depressed Patient

1987 ◽  
Vol 150 (2) ◽  
pp. 255-257 ◽  
Author(s):  
Brian O'Shea ◽  
Thomas Lynch ◽  
Jane Falvey ◽  
Gerald O'Mahoney
Keyword(s):  
Depressed Patient ◽  
Electroconvulsive Therapy ◽  
Paranoid Schizophrenia ◽  
Advanced Age ◽  
Computer Search ◽  
Very Elderly ◽  
Convulsive Therapy ◽  
Cognitive Improvement ◽  
Electro Convulsive Therapy ◽  
To Receive

A computer search of the literature revealed that the oldest documented patient to receive electro convulsive therapy (ECT) was a 94-year-old woman (Bernstein, 1972) who was diagnosed as having ‘anorexniearvosa’, but the history was suggestive of paranoid schizophrenia. She received a course of five ECTs and became much less paranoid, ate well, and put on weight. Her daughter lamented the fact that ECT had been deemed to be contra indicated 15years earlier on the grounds of advanced age.

A Comparison of Techniques in Electro-Convulsive Therapy

1968 ◽  
Vol 114 (513) ◽  
pp. 989-996 ◽  
Author(s):  
Max Valentine ◽  
K. M. G. Keddie ◽  
David Dunne
Keyword(s):  
Electroconvulsive Therapy ◽  
Muscle Relaxants ◽  
Present Form ◽  
Convulsive Therapy ◽  
Intravenous Anaesthesia ◽  
Comparison Of Techniques ◽  
Electro Convulsive Therapy

Electroconvulsive therapy, modified by intravenous anaesthesia and muscle relaxants, has long been accepted as a satisfactory form of treatment. Relatively simple and safe, and effective in selected cases, the technique has undergone little change in recent years and seems almost in danger of becoming fixed indefinitely in its present form.

Confusion After Modified Electro Convulsive Therapy : Its Incidence and Associated Factors

2015 ◽  
pp. 1-4
Author(s):  
Prasenjit Ray ◽  
Madhu Sharma ◽  
Sudhir Kumar Chauhan
Keyword(s):  
Associated Factors ◽  
Research Work ◽  
Clinical Parameter ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Convulsive Therapy ◽  
Number Of Patients ◽  
Modified Electroconvulsive Therapy ◽  
Electro Convulsive Therapy ◽  
To Receive

Aims and Objectives : The aim of current study was to find out the incidence of confusion after modified electroconvulsive therapy (ECT) and its possible association with any clinical parameter or medications used.Methodology : In this cross sectional, naturalistic, hospital based study 100 consecutive patients who were about to receive modified ECT (brief pulse) and met inclusion criteria were taken up. After recovery from anaesthesia subjects were assessed usingIntensive Care Delirium ScreeningChecklist. The number of patients developing confusion after ECT was noted. Data were analyzed to find out if the incidence of confusion was associated with any clinical parameter or medication.Results : Incidence of post ECT confusion was found to be 37.1%. Except for the gender difference no other clinical parameter or medication was found to be significantly associated with post ECT confusion.Conclusion : The incidence of post ictal confusion after ECT was found to be higher than in previous studies which could be due to inclusion of certain extra parameters to assess confusion. Before generalizing the results of the current study, further research work is necessary.

Electroconvulsive Therapy and Depression

1965 ◽  
Vol 111 (477) ◽  
pp. 687-690 ◽  
Author(s):  
J. Mendels
Keyword(s):  
Electroconvulsive Therapy ◽  
Clinical Picture ◽  
Antidepressant Drugs ◽  
Convulsive Therapy ◽  
Depressed Patients ◽  
Treatment Of Depression ◽  
Electro Convulsive Therapy ◽  
Selection Of

After 25 years there is still considerable disagreement surrounding the indications for electro-convulsive therapy (E.C.T.). This is a particular problem in the treatment of depression, both because of the controversy over the division of depression into endogenous and reactive illnesses and because of the increasing use of the antidepressant drugs. These drugs will induce a remission in many patients, and will alter the clinical picture in others. As their use becomes still more widespread (Freyhan (1) has recommended that intensive imipramine treatment should be tried routinely before E.C.T. in all depressed patients) there may be further difficulties in the selection of depressed patients likely to respond well to E.C.T. Furthermore several recent reviews draw attention to a reduction in the use of E.C.T., and the lack of a consistent rationale for its use (2–4).

Electroconvulsive Therapy in Treatment-Resistant Schizophrenia: a Case Report

2011 ◽  
Vol 26 (S2) ◽  
pp. 1135-1135
Author(s):  
V.M. Barrau ◽  
M. Salinas ◽  
S. Yelmo ◽  
E. Santana ◽  
F. Montiano ◽  
...  
Keyword(s):  
Electroconvulsive Therapy ◽  
Hospital Admissions ◽  
Paranoid Schizophrenia ◽  
Chronic Schizophrenia ◽  
Optimal Number ◽  
Auditory Hallucinations ◽  
Predictors Of Response ◽  
Maintenance Ect ◽  
Controversial Topic ◽  
Null Response

Electroconvulsive therapy (ECT) is born as we know it in the first half of the twentieth century. Although initially introduced as a treatment for schizophrenia, soon proved more effective in affective disorders.Currently this therapy is second choice in the treatment of schizophrenia, representing only 10–20% of ECT treatments.We present a 55 years-old-woman diagnosed with Paranoid Schizophrenia in the adolescence, with several hospital admissions who was sent from sub-acute unit to receive ECT, given the null response to several pharmacological trials. The last, 1,200 mg amisulpride, 650 mg clozapine and 1,000 mg valproate per day, and Zuclopenthixol ampoule every 14 days. She verbalizes poorly structured persecutory, megalomaniac and nihilist delusional ideas, as well as auditory hallucinations which she does not clarify, and thought broadcasting phenomena. After withdrawing this medication and starting treatment with 30 mg haloperidol and 550 mg quetiapine, 14 bifrontotemporal ECT sessions were given.Given the disappearance of persecutory delusional ideas, and the decrease of auditory hallucinations, which she criticizes, the patient was discharged. After 4 months, she is still psychopathologically stable, and receiving maintenance ECT biweekly.ECT, either alone or in combination with conventional antipsychotic drugs, has been shown effective in a certain percentage of patients with acute schizophrenia, particularly in the catatonic subtype and also in schizoaffective disorder. The use and efficacy of ECT in chronic schizophrenia is a more controversial topic.Research should also focus on the determination of optimal number of ECT, the predictors of response and the efficacy of continuation and maintenance ECT.

Adding a Low Dose of Fentanyl to Propofol in Patients Receiving Electroconvulsive Therapy: A Randomized Controlled Trial

2021 ◽  
Vol 104 (10) ◽  
pp. 1692-1697
Keyword(s):  
Blood Pressure ◽  
Electroconvulsive Therapy ◽  
Low Dose ◽  
Controlled Trial ◽  
Optimal Dose ◽  
Hemodynamic Response ◽  
Mean Difference ◽  
Seizure Duration ◽  
American Society ◽  
To Receive

Objective: To evaluate the effects of low-dose fentanyl combined with a reduced dose of propofol on seizure duration and hemodynamic response during electroconvulsive therapy (ECT). Materials and Methods: Twenty-two patients with the American Society of Anesthesiologist Physical Status II to III undergoing ECT were enrolled in the present study. One hundred and five bilateral ECT sessions randomized to receive thiopental 2 mg/kg, propofol 1 mg/kg, and fentanyl 0.3 mcg/kg, followed by propofol 0.5 mg/kg. Succinylcholine 0.5 mg/kg was used for muscle paralysis. Seizure duration, awakening time and hemodynamic changes were compared between groups. Results: One hundred and five bilateral ECT treatments were randomized into thiopental group (n=35), propofol group (n=35), and fentanyl plus propofol group (n=35). The thiopental and fentanyl plus propofol groups had longer EEG and motor seizure durations than the propofol group, but the differences were not statistically significant. There was no difference in stimulus intensity across groups. However, fentanyl plus propofol group had statistically significant prolonged awakening time compare with thiopental group [mean difference 2.71, (95% CI 0.37 to 5.06, p=0.019)] and propofol group (mean difference 2.77, 95% CI 0.42 to 5.12, p=0.016). Only systolic blood pressure in propofol group was significantly lower than thiopental group [mean difference –10.4, (95% CI –19.4 to –1.38, p=0.018)]. There were no significant differences in diastolic blood pressure (df=2, F=2.546, p=0.083), heart rate (df=2, F=0.596, p=0.553), or oxygen saturation across group (df=2, F=2.914, p=0.059). Conclusion: Using a combination of low-dose fentanyl and low-dose propofol during ECT could be beneficial. Further investigation is needed to establish the optimal dose of propofol and fentanyl. Keywords: Electroconvulsive therapy; Fentanyl, Hemodynamic response; Propofol; Thiopental; Seizure duration

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