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An audit of seizure duration in electroconvulsive therapy

  • Tom MacEwan (a1)
Abstract
Aims and Method

Brief or missed seizures might indicate that electronvulsive therapy (ECT) is not being delivered effectively. This cycle of audit at an ECT clinic aimed to measure rates of brief or missed seizures in two study periods, before and after the acquisition of a more powerful ECT machine.

Results

There was a significant reduction in the rate of brief or missed seizures in audit two. There was a significant increase in the restimulation rate in audit two, but without the desired effect of inducing adequate seizures.

Clinical Implications

Ineffective delivery of ECT might result in poor response to the treatment and should be minimised. Certain aspects of ECT delivery improved in the clinic studied but some patients received an ineffective second dose of electrical charge.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Adderley, D. J. & Hamilton, M. (1953) Use of succinylcholine in ECT. British Medical Journal, i, 195197.
Duffett, R. & Lelliott, P. (1998) Auditing electroconvulsive therapy. The third cycle. British Journal of Psychiatry, 172, 401405.
Fear, C. F., Uttlejohns, C. S., Rouse, E., et al (1994) Propofol anaesthesia in electroconvulsive therapy. Reduced seizure duration may not be relevant. British Journal of Psychiatry, 165, 506509.
Krystal, A. D., Dean, M. D., Weiner, R.D., et al (2000) ECT stimulus intensity: are present ECT devices too limited? American Journal of Psychiatry, 157, 963967
Mayur, P. M., Gangadhar, B. N., Janakiramaiah, N., et al (1999) Motor seizure monitoring during electroconvulsive therapy. British Journal of Psychiatry, 174, 270272.
Pippard, J. (1992) Audit of electroconvulsive treatment in two National Health Service regions. British Journal of Psychiatry, 160, 621637.
Robertson, C., Wheeldon, T., Eagles, J. M., et al (1995) Improving electroconvulsive therapy practice through audit. Psychiatric Bulletin, 19, 480481.
Robertson, C., Freeman, C. P. L. & Ferguson, G. (1997) ECT in Scotland. Psychiatric Bulletin, 21, 699702.
Roemer, R. A., Dubin, W. R., Jaffe, R., et al (1990) An efficacy study of single- versus double-seizure induction with ECT in major depression. Journal of Clinical Psychiatry, 51, et al. 473478.
Royal College of Psychiatrists (1989) The Practical Administration of Electroconvulsive Therapy (ECT). London: Gaskell.
Royal College of Psychiatrists (1995) The ECT Handbook. Council Report CR39. London: Royal College of Psychiatrists.
Trezise, K. (1998) Changes in practice of ECT: a follow-on study. Psychiatric Bulletin, 22, 687690.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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An audit of seizure duration in electroconvulsive therapy

  • Tom MacEwan (a1)
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