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Chapter 26 - Seizure Monitoring in ECT

Published online by Cambridge University Press:  27 June 2019

By
David M Semple  and
Ryan Alexander Devlin
Edited by
I. Nicol Ferrier  and
Jonathan Waite
I. Nicol Ferrier
Affiliation:
University of Newcastle upon Tyne
Jonathan Waite
Affiliation:
University of Nottingham
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Summary

During ECT, a variety of observations and physiological measures should be made simultaneously, including: visible evidence of the length and quality of a motor response, blood pressure, heart rate, oxygen saturation, ECG monitoring, EEG activity and sometimes electromyogram (EMG) measurement. Here we will discuss typical observations regarding the ictal motor activity, cardiovascular response and EEG recordings.

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The ECT Handbook , pp. 234 - 246
Publisher: Cambridge University Press
Print publication year: 2019

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References

Anastasian, Z. H., Khan, N., Heyer, E. J., et al. (2014) Effect of atropine dose on heart rate during electroconvulsive therapy. J ECT 30:298–302.Google Scholar
Farzan, F., Boutros, N. N., Blumberger, D. M, et al. (2014) What does the electroencephalogram tell us about the mechanisms of action of ECT in major depressive disorders? J ECT 30:98–106.Google Scholar
Freeman, C. P. (ed.) (1995) The ECT Handbook: The Second Report of the Royal College of Psychiatrists’ Special Committee on ECT (Council Report CR39). Royal College of Psychiatrists Publications.Google Scholar
Khoury, G. F., Benedetti, C. (1989) T-wave changes associated with electroconvulsive therapy. Anesth Analg 69:677–9.CrossRefGoogle ScholarPubMed
Krystal, A. D., Weiner, R. D., McCall, W. V., et al. (1993) The effects of ECT stimulus dose and electrode placement on the ictal electroencephalogram: an intraindividual crossover study. Biol Psychiatry 34:759–67.Google Scholar
Krystal, A. D., Weiner, R. D. (1995) ECT seizure duration: reliability of manual and computer automated determinations. Convuls Ther 11:158–69.Google ScholarPubMed
Lambert, M. & Petty, F. (1994) EEG seizure duration monitoring of ECT. Progress in Neuropsychopharmacolgy & Biological Psychiatry 18: 497–502.CrossRefGoogle ScholarPubMed
Mankad, M. V., Beyer, J. L., Weiner, R. D., Krystal, A. D. (2010) Clinical Manual of Electroconvulsive Therapy pp. 111–14. American Psychiatric Publishing, Inc., Washington, DC.Google Scholar
Mankad, M. V., Beyer, J. L., Weiner, R. D., Krystal, A. D. (2010) Cardiovascular Response, Clinical Manual of Electroconvulsive Therapy pp. 129–125, American Psychiatric Publishing, Inc., Washington, DC.Google Scholar
Mayur, P. (2006) Ictal electroencephalographic characteristics during electroconvulsive therapy: a review of determination and clinical relevance. J ECT 22:213–17.Google Scholar
Perrin, G. M. (1961) Cardiovascular aspects of electric shock therapy. Acta Psychiatr Neurol Scand 36:7–44.Google Scholar
Royal College of Psychiatrists (1989) The Practical Administration of Electroconvulsive Therapy. London: Gaskell.Google Scholar
Sackeim, H. A., Decina, P., Kanzler, M., et al. (1987) Effects of electrode placement on the efficacy of titrated, low-dose ECT. Am J Psychiatry 144:1449–55.Google Scholar
Sackeim, H. A., Prudic, J., Devanand, D. P., et al. (1993) Effects of stimulus intensity and electrode placement on the efficacy and cognitive effects of electroconvulsive therapy. N Engl J Med 328:839–46.CrossRefGoogle ScholarPubMed
Scott, A. I. F. (ed.) (2005) The ECT Handbook: The Third Report of the Royal College of Psychiatrists’ Special Committee on ECT (2nd edn) (Council Report CR128). Royal College of Psychiatrists Publications.Google Scholar
Scott, A. I. F. (2007) Monitoring electroconvulsive therapy by electroencephalogram: an update for ECT practitioners. Advances in Psychiatric Treatment 13:298–304.Google Scholar
Semple, D. M., Gunn, W., Davidson, Z., Queirazza, F. (2014) Teaching therapeutic seizure criteria to psychiatrists. J ECT 30:220–3.Google Scholar
Semple, D. (2016) Pragmatic Guidance for EEG Interpretation. (Electroconvulsive Therapy in Practice). Kindle Direct Publications.Google Scholar
Stern, J. M. & Engel, J. (2013) An Atlas of EEG Patterns, (2nd edn). Philadelphia: Lippincott Williams and Wilkins.Google Scholar
Waite, J. & Easton, A. (eds) (2013) The ECT Handbook (3rd edn). (College Report CR176). Royal College of Psychiatrists Publications.Google Scholar

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