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ECT and Delirium: Literature Review and a Pediatric Case Report.
Curr Psychiatry Rep
March 2025
Department of Psychiatry, University of Michigan, 1500 E Medical Center Drive, Ann Arbor, MI, 48109, USA.
Purpose Of Review: There is limited information available regarding delirium that may occur during the course of electroconvulsive therapy (ECT) in pediatric patients (< 18 years). The aim of this paper is to describe ECT-associated delirium, suspected risk factors, and screening tools that may help in its identification and management. We present a case involving a 15 y.
View Article and Find Full Text PDFTolerability and Clinical Outcomes With Anesthesia Dose Reduction During Electroconvulsive Therapy.
JAMA Netw Open
February 2025
Temerty Centre for Therapeutic Brain Intervention, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Importance: Electroconvulsive therapy (ECT) practice during the COVID-19 pandemic necessitated restriction of bag-valve mask (BVM) ventilation to minimize disease transmission through aerosolization. To reduce BVM use, many sites decreased doses of anesthesia agents, but the associations of such dose reduction with clinical and tolerability outcomes are unknown.
Objectives: To investigate the association of COVID-19 pandemic modifications in ECT, including reduction in anesthetic dosage and BVM use, with the rates of clinical complications and clinical outcomes.
Editor's Roundup: Might ECT Be Beneficial in Akathisia? Getting Better at Understanding Post-Ictal Agitation During ECT: A New Differentiation Between Patient-Level and Session-Level Risk. ECT in Forensic Psychiatry: Limited Access for Patients With Treatment-Refractory Illness and High Recidivism.
J ECT
March 2025
From the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA.
Improvement in Quality of Seizures in Electroconvulsive Therapy With Zotepine: A Case Report.
J ECT
January 2025
From the Department of Psychiatry, NHO Maizuru Medical Center, Kyoto, Japan.
Regular symmetric high-amplitude seizure waves, postictal suppression, constant seizure duration, and sympathetic nervous system excitation are used to evaluate the efficacy of electroconvulsive therapy (ECT) for seizures. Seizure quality is rated from 0 to 3 (higher scores indicate better quality) using seizure quality categories (SQC). We report a case in which zotepine (ZTP) improved seizure quality.
View Article and Find Full Text PDFA Comparison of Ketamine to Midazolam for the Management of Acute Behavioral Disturbance in the Out-of-Hospital Setting.
Ann Emerg Med
October 2024
Department of Emergency Medicine, University of Washington, Seattle, WA; Seattle Fire Department, Seattle, WA.
Article Synopsis
- * Researchers analyzed data from 376 patients over four years, finding similar rates of advanced airway management and no significant differences in intubation rates or mortality between the two medications.
- * The conclusion indicates that both midazolam and ketamine have comparable safety profiles in terms of requiring emergency airway interventions for patients with acute behavioral disturbances.
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