scholarly journals Investigation of the ‘cuff’ method for assessing seizure duration in electroconvulsive therapy

2000 ◽  
Vol 24 (8) ◽  
pp. 301-301 ◽  
Author(s):  
M. E. Jan Wise ◽  
Fiona Mackie ◽  
Antonios C. Zamar ◽  
James P. Watson
Keyword(s):  
Electroconvulsive Therapy ◽  
Lower Limbs ◽  
Clinical Implications ◽  
Upper Limbs ◽  
Seizure Duration

Aims and MethodElectroconvulsive therapy should be effectively monitored and seizure duration accurately ascertained. We observed the seizure duration in both lower and upper limbs using the Hamilton ‘cuff’ method.ResultsThirty-nine seizures in 19 patients were observed. There were no statistically significant differences between cuffed and uncuffed limbs, nor between upper and lower limbs.Clinical ImplicationsAlternatives to the Hamilton cuff method to observe seizure duration need to be considered.

scholarly journals Induction agents in electroconvulsive therapy: a comparison of methohexitone and propofol

2002 ◽  
Vol 26 (12) ◽  
pp. 455-457 ◽  
Author(s):  
Allan Scott ◽  
Harold Boddy
Keyword(s):  
Electroconvulsive Therapy ◽  
Therapeutic Efficacy ◽  
Seizure Threshold ◽  
Clinical Implications ◽  
Seizure Duration ◽  
Efficacy Of Treatment ◽  
Induction Agents ◽  
Subject Comparison

Aims and MethodTo compare methohexitone and propofol in electroconvulsive therapy (ECT). A retrospective within-subject comparison was made of the use of these drugs in separate courses of bilateral ECT in one clinic over 10 years. Patients taking mood stabilising or anti-epileptic drugs were excluded. The initial seizure threshold and seizure duration were of particular interest.ResultsThe median initial seizure thresholds were identical (75 mC). The median initial seizure duration with threshold stimulation was 25% shorter with propofol (21v.28 s). The median total numbers of treatments in the courses were identical (eight treatments).Clinical ImplicationsThe shorter seizure duration observed with propofol was not associated with a commensurate rise in the initial seizure threshold. The shorter seizure duration may therefore have no effect on the therapeutic efficacy of treatment.

scholarly journals An audit of seizure duration in electroconvulsive therapy

2002 ◽  
Vol 26 (9) ◽  
pp. 337-339
Author(s):  
Tom MacEwan
Keyword(s):  
Electroconvulsive Therapy ◽  
Poor Response ◽  
Electrical Charge ◽  
Clinical Implications ◽  
Seizure Duration ◽  
Before And After

Aims and MethodBrief or missed seizures might indicate that electronvulsive therapy (ECT) is not being delivered effectively. This cycle of audit at an ECT clinic aimed to measure rates of brief or missed seizures in two study periods, before and after the acquisition of a more powerful ECT machine.ResultsThere was a significant reduction in the rate of brief or missed seizures in audit two. There was a significant increase in the restimulation rate in audit two, but without the desired effect of inducing adequate seizures.Clinical ImplicationsIneffective delivery of ECT might result in poor response to the treatment and should be minimised. Certain aspects of ECT delivery improved in the clinic studied but some patients received an ineffective second dose of electrical charge.

Effect of divided supplementation of remifentanil on seizure duration and hemodynamic responses during electroconvulsive therapy under propofol anesthesia

2010 ◽  
Vol 25 (1) ◽  
pp. 29-33 ◽  
Author(s):  
Kohki Nishikawa ◽  
Misako Higuchi ◽  
Toshiya Kawagishi ◽  
Yuki Shimodate ◽  
Michiaki Yamakage
Keyword(s):  
Electroconvulsive Therapy ◽  
Seizure Duration ◽  
Hemodynamic Responses

Propofol Anaesthesia in Electroconvulsive Therapy

1994 ◽  
Vol 165 (4) ◽  
pp. 506-509 ◽  
Author(s):  
Christopher F. Fear ◽  
Carl S. Littlejohns ◽  
Eryl Rouse ◽  
Paul McQuail
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Electroconvulsive Therapy ◽  
Rating Scale ◽  
Induction Agent ◽  
Double Blind Study ◽  
Major Depressive ◽  
Seizure Duration ◽  
Double Blind ◽  
Induction Agents

BackgroundThe induction agent propofol is known to reduce electroconvulsive therapy (ECT) seizure duration. It is assumed that outcome from depression is adversely affected by this agent. This study compares propofol and methohexitone as induction agents for ECT.MethodIn a prospective, randomised, double-blind study 20 subjects with major depressive disorder (DSM-III-R criteria) received propofol or methohexitone anaesthesia. The Hamilton Depression Rating Scale and Beck Depression Inventory were used to assess depression before therapy, at every third treatment, and at the end of therapy. Seizure duration was measured using the cuff technique.ResultsMean seizure durations (P < 0.01) and mean total seizure duration (P < 0.01) were shorter in the propofol group. There was no difference in outcome.ConclusionsUse of propofol may not adversely affect outcome from depression and it is not necessarily contraindicated as an induction agent for ECT. Our results should be interpreted cautiously, and larger studies are needed.

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

Etomidate and Seizure Duration in Electroconvulsive Therapy

2013 ◽  
Vol 29 (2) ◽  
pp. 101-105
Author(s):  
Anouk van Lammeren ◽  
Annemieke Dols ◽  
Peter M. van de Ven ◽  
Sjoerd Greuters ◽  
Christa Boer ◽  
...  
Keyword(s):  
Electroconvulsive Therapy ◽  
Seizure Duration

scholarly journals Trainability and reversibility in physical fitness among elderly persons taking part in an intervention program

2016 ◽  
Vol 19 (1) ◽  
pp. 129-137 ◽  
Author(s):  
Taysi Seemann ◽  
Carolina Weber Schmitt ◽  
Adriana Coutinho de Azevedo Guimarães ◽  
Simone Korn ◽  
Joseani Paulini Neves Simas ◽  
...  
Keyword(s):  
Physical Fitness ◽  
Aerobic Capacity ◽  
Intervention Program ◽  
Elderly Women ◽  
Lower Limbs ◽  
Elderly Persons ◽  
Active Living ◽  
Upper Limbs ◽  
Positive Effects ◽  
Ex Post

Objective To assess the trainability and reversibility of variables of physical fitness in elderly participants in Active Living Functional Gymnastics. Method This ex post facto study was composed of 115 elderly women from six functional fitness groups in the Active Living Program in Florianopolis. The Rikli and Jones battery of tests (Chair Stand Test, Arm Curl Test, Chair Sit and Reach Test, Back Scratch Test, 8-Foot Up and Go Test, 6 Minute Walk Test) was used. The intervention period lasted for eight months, and the detraining period took three months. Descriptive and inferential statistics with paired Student t-test and Scheffé post hoc was used. Results The performance of the age groups differed in agility and aerobic capacity; Trainability was identified in the strength and resistance variables of the lower and upper limbs, and the flexibility of the lower limbs; Detraining was perceived in the strength and resistance of upper limbs, and aerobic capacity. Conclusion A Functional Gymnastics program produces positive effects on the strength and resistance of the lower and upper limbs, and flexibility of the lower limbs in elderly women. An interruption period lasting three months results in detraining in strength and resistance of the lower limbs and aerobic capacity.

scholarly journals Alfentanil anesthetic augmentation lengthens seizure duration in electroconvulsive therapy with older people

2016 ◽  
Vol 28 (6) ◽  
pp. 1051-1052
Author(s):  
Craig D'Cunha ◽  
Christos Plakiotis ◽  
Daniel W. O'Connor
Keyword(s):  
Side Effects ◽  
Older People ◽  
Electroconvulsive Therapy ◽  
Electrode Placement ◽  
Seizure Threshold ◽  
Dose Titration ◽  
Seizure Duration ◽  
New Learning ◽  
Prescription Rates ◽  
Cognitive Side Effects

Electroconvulsive therapy (ECT) prescription rates rise with age, making it important that treatments be made as effective and safe as possible (Plakiotis et al., 2012). Older people are vulnerable to post-treatment confusion and to subsequent deficits in attention, new learning, and autobiographical memory (Gardner and O'Connor, 2008). Strategies to minimize cognitive side-effects include unilateral electrode placement and stimulus dose titration whereby electrical charge is individually calibrated to seizure threshold (Sackeim et al., 2000). It remains the case, however, that threshold levels typically rise over the treatment course, leading to an increase both in delivered charge and the risk of adverse sequelae.

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