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Monitoring the Occurrence and Duration of Electroconvulsive Fits

Published online by Cambridge University Press:  03 January 2018

Patrick Barrington*
Affiliation:
Herrison Hospital
John Lambourn
Affiliation:
Waverley, St Luke's Road, Torquay
*
Herrison Hospital, Dorchester. DT2 9RL

Extract

During 100 routine psychiatric hospital electroconvulsive treatments the medical staff administering treatment experienced little difficulty in deciding that a fit had occurred. The judgement was based on simple clinical observation of a succession of clonic bodily movements, and high inter-rater agreement was found for the measurement of fit duration. The cuff technique was also used, but it tended to underestimate fit duration and is not recommended for routine ECT practice.

Type
Brief Reports
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Addersley, D. J. & Hamilton, M. (1953) Use of succinylcholine in ECT. British Medical Journal. I, 195197.CrossRefGoogle Scholar
Brumback, R. A. (1983) EEG monitoring of ECT. British Journal of Psychiatry, 142, 104105.CrossRefGoogle ScholarPubMed
Christensen, P. & Koldbaek, I. (1982) EEG monitored ECT. British Journal of Psychiatry, 141, 1923.CrossRefGoogle ScholarPubMed
Pink, M. & Johnson, L. (1982) Monitoring the duration of electroconvulsive therapy seizures – ‘ciuff’ and EEG methods compared. Archives of General Psychiatry. 11891191.Google Scholar
Holst-Larsen, H. (1976) The hydrolysis of suxamethonium in human blood. British Journal of Anaesthesia, 48, 887892.CrossRefGoogle ScholarPubMed
Lancaster, N. P., Stejnert, R. R. & Frost, I. (1958) Unilateral electroconvulsive therapy. Journal of Mental Science, 104, 221227.CrossRefGoogle Scholar
Pippard, J. & Ellam, L. (1981) Electroconvulsive treatment in Great Britain, 1980: a report to the Royal College of Psychiatrists. London: Gaskell.Google Scholar
Sørensen, P. S., Bolwio, T. G., Lauritsen, B. & Benotson, O. (1981) Electroconvulsive therapy: a comparison of seizure duration as monitored with electroencephalograph and electro-myograph. Acta Psychiatrka Scamhnavica, 64, 193198.CrossRefGoogle Scholar
Watkins-Pitchford, J. M. & Reynolds, F. (1984) Autonomic monitor for electroconvulsive therapy. British Journal of Psychiatry, 145, 551554.CrossRefGoogle ScholarPubMed
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