The technique of electroconvulsive therapy for best effect

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  • Sawayama Enami
    Department of Psychiatry Kitasato University School of Medicine

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  • 電気けいれん療法〜効果を最大に引き出すために〜
  • デンキ ケイレン リョウホウ : コウカ オ サイダイ ニ ヒキダス タメニ

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The mechanism of action of electroconvulsive therapy (ECT) has not been elucidated yet, but even for refractory depression, 80% is an effective treatment showing improvement. However, the rejection reaction accompanying the history of abuse first preceded, and the discussion on the improvement of the procedure has been postponed. In Japan, pulse wave therapy equipment has been approved in 2002, gradually it is becoming an era where the quality of treatment is questioned also in ECT. Quality of treatment includes not only effects but also safety and ethical considerations, but this time we particularly influence the therapeutic effect 1. Adaptable disease, 2. Tapering off anticonvulsant drugs, 3. Setting of stimulation dose, 4. Evaluation of seizure wave, 5. Seizure Augmentation, 6. Postoperative rounds, 7. Continuing and maintaining ECT will be presented as a review article and we will introduce our approach at this hospital.

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