Handbook of ECT

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Written by leading experts in the field of electroconvulsive therapy, the Handbook of ECT is a handy, quick reference for experienced practitioners and a guidebook for residents who are learning this procedure. The authors provide a concise overview of all aspects of ECT delivery, including patient selection, treatment techniques, and patient aftercare. The Handbook will enable clinicians to perform ECT according to the most up-to-date ...

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Overview

Written by leading experts in the field of electroconvulsive therapy, the Handbook of ECT is a handy, quick reference for experienced practitioners and a guidebook for residents who are learning this procedure. The authors provide a concise overview of all aspects of ECT delivery, including patient selection, treatment techniques, and patient aftercare. The Handbook will enable clinicians to perform ECT according to the most up-to-date standards in the field.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: William Scheftner, MD (Rush University Medical Center)
Description: This is a short multiauthored handbook-style book that seeks to provide simultaneously an overview of electroconvulsive therapy (ECT) and specific recommendations on the actual treatment procedures.
Purpose: The authors refer to the book as "...a pocket reference for the ... practitioner" and elsewhere comment that "The goal...is to provide a practical and useful outline of the basics of the treatment..." and "...an overview of all aspects of the treatment, from patient selection through treatment techniques to aftercare of the patient." The objectives are worthwhile and are generally met.
Audience: Although the book is addressed to the practicing psychiatrist who uses ECT, it is more suitable to the psychiatric resident who is doing the ECT rotation. The authors, who are internationally known for their research work in ECT, have credibility on the subject that cannot be challenged.
Features: The illustrations are well done, but there should be more, such as EEG recordings showing a "difficult" end point. The material is easy to access by the table of contents, index, and list of illustrations. The bibliography is excellent, although there are statements for which the experienced clinician would want references, such as issues of seizure duration. The authors provide references that are general and represent state-of-the art summaries. The overall appearance of the book is excellent; its lab coat pocket size is appealing so it can be conveniently carried.
Assessment: This reasonably priced book is aimed at the practitioner, but I believe it is better suited for the psychiatric resident or the clinician who is resuming use of ECT after a lapse. It is well organized, well illustrated, and contains a great deal of practical information, such as drug dosages and stimulus parameters for the beginner. However, the level of material is a bit basic for the experienced clinician or someone who reads Convulsive Therapy. Without being encyclopedic, it provides an excellent reference list that would fill out the reader's knowledge. Viewed from that perspective, it is a good text for organizing a beginner's knowledge of ECT.
William Scheftner
This is a short multiauthored handbook-style book that seeks to provide simultaneously an overview of electroconvulsive therapy (ECT) and specific recommendations on the actual treatment procedures. The authors refer to the book as "...a pocket reference for the ... practitioner" and elsewhere comment that "The goal...is to provide a practical and useful outline of the basics of the treatment..." and "...an overview of all aspects of the treatment, from patient selection through treatment techniques to aftercare of the patient." The objectives are worthwhile and are generally met. Although the book is addressed to the practicing psychiatrist who uses ECT, it is more suitable to the psychiatric resident who is doing the ECT rotation. The authors, who are internationally known for their research work in ECT, have credibility on the subject that cannot be challenged. The illustrations are well done, but there should be more, such as EEG recordings showing a "difficult" end point. The material is easy to access by the table of contents, index, and list of illustrations. The bibliography is excellent, although there are statements for which the experienced clinician would want references, such as issues of seizure duration. The authors provide references that are general and represent state-of-the art summaries. The overall appearance of the book is excellent; its lab coat pocket size is appealing so it can be conveniently carried. This reasonably priced book is aimed at the practitioner, but I believe it is better suited for the psychiatric resident or the clinician who is resuming use of ECT after a lapse. It is well organized, well illustrated, and contains a great deal ofpractical information, such as drug dosages and stimulus parameters for the beginner. However, the level of material is a bit basic for the experienced clinician or someone who reads Convulsive Therapy. Without being encyclopedic, it provides an excellent reference list that would fill out the reader's knowledge. Viewed from that perspective, it is a good text for organizing a beginner's knowledge of ECT.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780880486835
  • Publisher: American Psychiatric Publishing, Inc.
  • Publication date: 8/1/1997
  • Format: Spiral Bound
  • Edition description: SPIRAL
  • Edition number: 1
  • Pages: 122
  • Product dimensions: 5.52 (w) x 8.16 (h) x 0.42 (d)

Meet the Author

Charles H. Kellner, M.D., is Professor in the Department of Psychiatry and Behavioral Sciences, and Professor in the Department of Neurology, at the Medical University of South Carolina, Charleston, South Carolina.

John T. Pritchett, M.D., is is Clinical Assistant Professor in the Department of Psychiatry and Behavioral Sciences at the Medical University of South Carolina, Charleston, South Carolina.

Mark D. Beale, M.D., is Assistant Professor in the Department of Psychiatry and Behavioral Sciences at the Medical University of South Carolina, Charleston, South Carolina.

C. Edward Coffey, M.D., is Vice President of Behavioral Services and Chairman and Kathleen and Earl Ward Chair of Psychiatry in the Henry Ford Health System, Detroit, Michigan.

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Table of Contents

1 Basic Concepts 1
Overview 3
Theories of Mechanism of Action 5
Basics of Electricity 8
Medical Physiology 11
2 Patient Selection and Preparation 15
Indications 15
The Pre-ECT Evaluation 17
ECT in Specific Medical Conditions 20
Concurrent Medications 26
Informed Consent 33
3 Technique 37
Electrode Placement 37
Stimulus Dosing 41
Electrode Site Preparation 49
Physiological Monitoring 54
Anesthetics and Muscular Relaxation 61
Cardiovascular Agents 67
Missed, Short, and Prolonged Seizures 70
Treatment Procedure 77
4 Treatment Course 81
Treatment Schedule 81
Clinical Monitoring 83
Continuation/Maintenance ECT 84
5 Common Adverse Effects 87
Cognition 87
Headache, Muscle Aches, and Nausea 90
6 The ECT Service 93
Staffing and Administration 93
The ECT Suite 94
Record Keeping 96
7 Special Issues 99
Patient Attitudes and ECT Psychodynamics 99
Malpractice Litigation and Insurance 101
Stigma 101
Research 102
References 103
Index 113
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Customer Reviews

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Sort by: Showing 1 Customer Reviews
  • Anonymous

    Posted October 31, 2009

    Charles H Kellner and ties to ect equipment companies

    Without a doubt, Kellner makes a good case for ECTs. However, his book lacks personal accounts of his finances with certain companies. Kellner continually finds studies "inconclusive" when involving his occupation. I am interested in the ratio of both contries and hospitals who agree to ECTs verses those who deem ECTs inhuman.

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