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Dangers and Emergencies of Insulin Therapy of the Psychoses

Published online by Cambridge University Press:  19 February 2018

L. A. Finiefs
L. A. Finiefs*
Affiliation:
Three Counties Hospital, Arlesley, Bedfordshire
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Extract

The insulin therapy of the psychoses as evolved by Sakel (1) was introduced to Three Counties Hospital 16 months ago. The total number of patients treated and under treatment is 74; 56 have had a full course of the treatment in addition to psychotherapy, and of these, 29 have been discharged and 4 will leave the hospital in the near future. A total number of 3,205 hypoglycæmic comas have been induced up to the present in 4,379 patient insulin days. Serious emergencies arose in only 6 comas. One patient had severe laryngeal spasm, another acute ódema of the lungs, and four delayed return to consciousness. No fatality occurred. Twenty-eight patients had 81 fits in the same number of comas. I shall outline briefly the circumstances which led up to the emergencies met with by myself and some published by other workers in this country, and give the treatment applied.

Type
Part I.—Original Articles
Information
Journal of Mental Science , Volume 84 , Issue 352 , September 1938 , pp. 678 - 692
Copyright
Copyright © Royal College of Psychiatrists, 1938 

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References

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