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Investigation of the ‘cuff’ method for assessing seizure duration in electroconvulsive therapy

  • M. E. Jan Wise (a1), Fiona Mackie (a1), Antonios C. Zamar (a1) and James P. Watson (a1)
Abstract
Aims and Method

Electroconvulsive therapy should be effectively monitored and seizure duration accurately ascertained. We observed the seizure duration in both lower and upper limbs using the Hamilton ‘cuff’ method.

Results

Thirty-nine seizures in 19 patients were observed. There were no statistically significant differences between cuffed and uncuffed limbs, nor between upper and lower limbs.

Clinical Implications

Alternatives to the Hamilton cuff method to observe seizure duration need to be considered.

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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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Chesen, E. S. (1983) EEG Monitoring of ECT preferred to cuff method. American Journal of Psychiatry, 140, 16481649.
Fink, M. (1983) Missed seizures and the bilateral–unilateral electroconvulsive therapy controversy. American Journal of Psychiatry, 140, 11981199.
Fink, M. & Johnson, L. Monitoring the duration of electroconvulsive therapy seizures: ‘cuff’ and EEG methods compared. Archives of General Psychiatry, 39, 11891191.
Lambert, M. & Petty, F. (1994) EEG seizure duration monitoring of ECT. Progress in Neuropsychopharmacology & Biological Psychiatry, 18, 497502.
Pippard, J. & Ellam, L. (1980) Electroconvulsive Treatment in Great Britain, 1980. London: Headley Brothers.
Royal College of Psychiatrists (1995) The ECT Handbook. Second Report of the Royal College of Psychiatrists' Special Committee on ECT. London: Gaskell.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Investigation of the ‘cuff’ method for assessing seizure duration in electroconvulsive therapy

  • M. E. Jan Wise (a1), Fiona Mackie (a1), Antonios C. Zamar (a1) and James P. Watson (a1)
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