Ect

Kadiyala, Pavan Kumar; Kadiyala, Lakshmi Deepthi

doi:10.1097/aco.0000000000000615

Cited by 15 publications

(8 citation statements)

References 47 publications

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“…Prolongation of ASTI has also been reported. 2 However, there is no absolute target for the degree of ASTI prolongation, which may increase the risk of intraoperative arousal.…”

Section: Discussionmentioning

confidence: 99%

“…1 As the stimulation is more focused, fewer cognitive adverse effects are experienced. 2 The technique was developed at Columbia University, 3 and a modified TMS device (Magstim, Whitland, Wales, United Kingdom) was used to reach a frequency of 100 pulses per second. A round coil was initially used.…”

Section: Feasibility Of 20-hz Magnetic Seizure Therapy In Patients Wi...mentioning

confidence: 99%

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Electroconvulsive Therapy Anesthesia Without Raising the Convulsive Threshold With Dexmedetomidine and Remifentanil

Kuimoto

O'Higashi

Kadotani

et al. 2022

J ECT

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“…Prolongation of ASTI has also been reported. 2 However, there is no absolute target for the degree of ASTI prolongation, which may increase the risk of intraoperative arousal.…”

Section: Discussionmentioning

confidence: 99%

Section: Feasibility Of 20-hz Magnetic Seizure Therapy In Patients Wi...mentioning

confidence: 99%

Electroconvulsive Therapy Anesthesia Without Raising the Convulsive Threshold With Dexmedetomidine and Remifentanil

Kuimoto

O'Higashi

Kadotani

et al. 2022

J ECT

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“…This study has certain limitations. Our study does not systematically investigate seizure threshold 35 or the exact influence of concurrent medication. 13,36 The number of patients is low, and we cannot exclude selection bias or interobserver bias.…”

Section: Discussionmentioning

confidence: 99%

Relationship Between Anesthesia Depth and Quality of Seizures in Patients Undergoing Electroconvulsive Therapy

Gasteiger¹,

Heil

Hörner³

et al. 2021

J ECT

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Objectives: Electroconvulsive therapy under general anesthesia is an established treatment for mood disorders, such as therapy-resistant depression. As most anesthetic drugs used for induction of anesthesia increase the seizure threshold, adequate depth of anesthesia without diminishing the therapeutic efficacy of interventions is crucial. The aim of this study was to investigate whether anesthesia depth as assessed by Narcotrend (NCT) monitoring correlates with maximum seizure quality.Methods: An observational study was performed in psychiatric patients undergoing multiple interventions of electroconvulsive therapy. Seizure quality of each attendance was assessed evaluating electroencephalogram end point, electromyogram end point, postictal suppression index, the midictal amplitude, and a 3-step overall graduation. Narcotrend was used to assess anesthesia depth according to index-based electroencephalogram findings. Measurements were obtained before induction of anesthesia, before stimulation, and after arousal. Data were analyzed by means of linear mixed models and generalized estimating equations models.Results: A total of 105 interventions in 12 patients were analyzed. Anesthesia depth before stimulation was significantly associated with seizure quality (standardized β = 0.244, P = 0.010), maximum sustained coherence (β = 0.207, P = 0.022), and electroencephalogram duration (β = 0.215, P = 0.012). A cutoff value of 41 or greater versus 40 or less for the NCT index was found appropriate to differentiate between good and less satisfactory overall seizure quality.Conclusions: Anesthesia depth index assessed by NCT monitoring was positively associated with seizure quality. Narcotrend monitoring may be useful in assessment of optimal anesthesia depth before stimulation.

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“…48 In parallel, researchers have identified the advantages of brief and ultra-brief pulse unilateral treatment and energy dosing based on titration of seizure threshold. 49,50 Others have elucidated clinical predictors of ECT response, 43,51 such as psychotic depression. 43,52 Recently, researchers have also identified genetic predictors of ECT response, with Sigström et al 53 finding that greater polygenic risk scores for depression and bipolar disorder were associated with less and more improvement in symptom scores, respectively, after a course of ECT.…”

Section: Modern Ectmentioning

confidence: 99%

The Rise, Fall, and Resurgence of Electroconvulsive Therapy

Bahji

2022

Journal of Psychiatric Practice

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Electroconvulsive therapy (ECT) is one of the most effective treatments for depression. However, significant stigma from the media and the antipsychiatry movement has biased the public toward ECT, leading to underutilization, particularly among those most in need. This report reviews some of the key historical events in the rise, fall, and resurgence of ECT and how modern ECT knowledge and practice are more refined, including an improved understanding of its mechanisms of action and optimal treatment parameters.

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Ect

Abstract: Modern ECT is streamlined by augmentation with drugs, hyperventilation, optimizing anesthesia-ECT time interval, and various stimulus parameters guided by seizure adequacy markers.

Cited by 15 publications

References 47 publications

Electroconvulsive Therapy Anesthesia Without Raising the Convulsive Threshold With Dexmedetomidine and Remifentanil

Electroconvulsive Therapy Anesthesia Without Raising the Convulsive Threshold With Dexmedetomidine and Remifentanil

Relationship Between Anesthesia Depth and Quality of Seizures in Patients Undergoing Electroconvulsive Therapy

The Rise, Fall, and Resurgence of Electroconvulsive Therapy

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