0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Articles   |    
ELECTROSHOCK THERAPY IN HIGH-RISK PATIENTS
CARL P. MALMQUIST; JAMES H. MATTHEWS
Am J Psychiatry 1966;122:1265-1269.
View Author and Article Information

Department of Psychiatry, University of Michigan Medical School, Ann Arbor

Department of Anesthesiology, University of Minnesota Medical School, Minneapolis

1966 by The American Psychiatric Association

text A A A
PDF of the full text article.
Abstract

The use of the procedure as practiced by the authors for allaying apprehension and reassuring the patient and physician is not considered a trivial indication. In the cases where we have used it for this purpose, it was probably one of the determining factors as to whether the patient would accept treatment on not. Secondly, the distressing muscular fasciculations and paralyses produced by the succinylcholine can lead the apprehensive patient to withdraw from treatment once begun. It must also be noted that in all of the cases where a decision is made to treat the patient in this manner, there is reassurance not only to the patient but to the physician, who must bear the responsibility in any case.Advantages in using this procedure in selected cases thus appear to outweigh the added expense and inconvenience. The main advantage would appear to be the opportunity to utilize EST in those patients expected to benefit from it coupled with the security the psychiatrist has in giving the treatment to those with an increased risk. It would seem that there is little reason why this procedure should not be extended and used routinely in all patients treated with EST. From maintenance of full oxygenation, hypoxia or anoxia is eliminated along with the risk of fractures or dislocations, thus extending treatment to borderline cases, such as those with cardiac disabilities and orthopedic problems. An added advantage is the freedom to individualize the dose of thiopental or succinylcholine according to the idiosyncratic reactions of certain patients and also to adjust this as treatments progress, which is occasionally needed(9).

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
 
Username
Password
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

+

References

+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Related Content
Articles
Books
The American Psychiatric Publishing Textbook of Psychiatry, 5th Edition > Chapter 27.  >
The American Psychiatric Publishing Textbook of Psychiatry, 5th Edition > Chapter 41.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 1.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 27.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 27.  >
Topic Collections
Psychiatric News
APA Guidelines
PubMed Articles