Multiple monitored electroconvulsive treatment

Blachly, Paul H.; Gowing, David

doi:10.1016/s0010-440x(66)80020-2

Cited by 72 publications

(6 citation statements)

References 28 publications

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“…This retrospective review of 44 patients treated with multiple‐monitored ECT suggests that the procedure is safe and efficacious across all age groups and supports previous work 12,13 . Three fourths of the patients had a good to excellent response, and many had failed to respond to aggressive treatment with antidepressants.…”

Section: Discussionsupporting

confidence: 79%

“…. The induction of multiple seizures may be superior to conventional techniques because exposure to anesthesia is one of the major risks of ECT 13,16 . Fewer total inductions are necessary in MMECT, and the simultaneous monitoring of ECG and EEG may prove to be especially valuable in elderly patients, in whom seizure induction may be more difficult. .…”

Section: Discussionmentioning

confidence: 99%

“…Multiple‐monitored electroconvulsive therapy apparatus (MECTA) generates short‐duration, square‐wave pulses of alternating polarity and monitors both the electrocardiogram (ECG) and electroencephalogram (EEG). It can be used for delivering single treatments in the conventional manner, but it was developed as a result the work by Blachly and Gowing 13 on the use of multiple‐monitored seizures (MMECT). They showed that patients receiving multiple seizures had a more rapid recovery than patients receiving standard ECT.…”

mentioning

confidence: 99%

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Multiple‐monitored Electroconvulsive Therapy: Safety and Efficacy in Elderly Depressed Patients

Mielke¹,

Winstead²,

Goethe³

et al. 1984

J American Geriatrics Society

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Forty-four patients with severe endogenous depression, all of whom had been administered multiple-monitored electroconvulsive therapy (MMECT), were studied by retrospective chart review. The subjects were divided into two groups, the elderly and the nonelderly, and compared for number of anesthesia inductions (treatment sessions), total number of seizures, total seizure time, and therapeutic outcome. One myocardial infarction occurred in an elderly man, and a confusional state developed whenever MMECT was administered simultaneously with lithium. The conclusions from this project are that MMECT is as safe and efficacious for the elderly as for the nonelderly and that the elderly tolerate many seizures as well as do the nonelderly. While other variables were similar between groups, the overall number of anesthesia inductions in both groups was less than is expected with conventional electroconvulsive therapy.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Multiple‐monitored Electroconvulsive Therapy: Safety and Efficacy in Elderly Depressed Patients

Mielke¹,

Winstead²,

Goethe³

et al. 1984

J American Geriatrics Society

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“…The purpose of this paper is to present some data from a study of patients aged 45 or older who have received multiple monitored electroconvulsive therapy (MMECT). This procedure, developed by Blachly and Gowing (1), differs from single electroconvulsive therapy (SECT) chiefly by the initiation of multiple seizures during one session of anesthesia. In addition, the patient is “monitored” by electroencephalogram (EEG) and electrocardiogram (ECG) during the treatments.…”

mentioning

confidence: 99%

Multiple Monitored Electroconvulsive Therapy in the Elderly†

Yesavage

Berens

1980

J American Geriatrics Society

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Twenty patients aged 45 or older with the diagnosis of endogenous depression were evaluated in terms of safety and efficacy in their response to multiple monitored electroconvulsive therapy (MMECT) versus single electroconvulsive therapy (SECT). The MMECT group (10 patients) when compared retrospectively with the control SECT group (10 patients) showed a similar record for safety and efficacy. However, the MMECT group required shorter overall duration of treatment, fewer sessions of general anesthesia, and lower dosages of anesthetic agents. The chief benefit of MMECT probably is in the reduction of the time the patient is at risk for suicide.

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“…In the process of seeking ways to produce both a more rapid action for ECT and a briefer ECT course, Blachly and Gowing (1966) devised a technique called "Multiple-Monitored ECT," (MMECT), in which multiple seizure inductions (at least several and up to 8 or more) are given within a single period of anesthesia and relaxation. Several minutes are allowed between induced seizures.…”

Section: Ect Parameters and The Incidence And Severity Of Adverse Effmentioning

confidence: 99%

Does electroconvulsive therapy cause brain damage?

Weiner

1984

Behav Brain Sci

113

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Although the use of ECT has declined dramatically from its inception, this decrease has recently shown signs of leveling out because of ECT's powerful therapeutic effect in severely ill depressed individuals who either do not respond to pharmacologic alternatives or are too ill to tolerate a relatively lengthy drug trial. Notwithstanding its therapeutic benefits, ECT has also remained a controversial treatment modality, particularly in the eye of the public. Given the unsavory qualities associated with the word “electroconvulsive,” claims of possible, probable, or even certain brain damage with ECT have easily found listeners. A careful, nonselective assessment of data covering the areas of pathology, radiology, electrophysiology, biochemistry, and neuropsychology leads both to certain conclusions and to certain unanswered questions. ECT is not the devastating purveyor of wholesale brain damage that some of its detractors claim. For the typical individual receiving ECT, no detectable correlates of irreversible brain damage appear to occur. Still, there remains the possibility that either subtle, objectively undetectable persistent deficits, particularly in the area of autobiographic memory function, occur, or that a rarely occurring syndrome of more pervasive persistent deficits related to ECT use may be present. Clearly, more research directed toward answering these questions needs to be carried out so that the role of ECT can be more rigorously defined. While such research is pending, however, we cannot expect that the conditions that predispose to clinical referrals for ECT will disappear. Given the misery, anguish, and risk of death by suicide, starvation, or debilitation associated with severe depressive illness, for example, it still appears that ECT, at least for the present, must continue to be available.

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Multiple monitored electroconvulsive treatment

Cited by 72 publications

References 28 publications

Multiple‐monitored Electroconvulsive Therapy: Safety and Efficacy in Elderly Depressed Patients

Multiple‐monitored Electroconvulsive Therapy: Safety and Efficacy in Elderly Depressed Patients

Multiple Monitored Electroconvulsive Therapy in the Elderly†

Does electroconvulsive therapy cause brain damage?

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