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Technische Grundlagen der EKT

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Elektrokonvulsionstherapie kompakt

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Zusammenfassung

Das Kapitel umfasst zunächst eine eingehende Erläuterung der rein physikalischen Vorgänge bei einer Wechselstromstimulation. Weiterhin werden die grundlegenden Einflüsse einer solchen Stimulation auf neuronales Gewebe erläutert. Einen direkten Praxisbezug haben die Abschnitte über den Einfluss von Pulsbreite, Frequenz, Stimulusdauer, Impedanz, Dosis, Elektrodenposition und Strom- vs. Spannungskonstanz auf induzierte Anfälle bzw. auf die Effektivität einer EKT. Es folgt ein Überblick über die verschiedenen Einflussfaktoren und deren Relevanz für die klinische Durchführung.

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Literatur

  • Andrade C, Gangadhar BN, Subbakrishna DK et al (1988) A double-blind comparison of sinusoidal wave and brief-pulse electroconvulsive therapy in endogenous depression. Convuls Ther 4: 297–305

    PubMed  Google Scholar 

  • Andrade C, Kurinji S, Sudha S, Chandra JS (2002) Effects of pulse amplitude, pulse frequency, and stimulus duration on seizure threshold: a laboratory investigation. J ECT 18: 144–148

    Article  PubMed  Google Scholar 

  • Bundy BD, Hewer W, Andres FJ, Gass P, Sartorius A (2010) Influence of anesthetic drugs and concurrent psychiatric medication on seizure adequacy during electroconvulsive therapy. J Clin Psychiatry 71: 775–777

    Article  PubMed  Google Scholar 

  • Deng ZD, Lisanby SH, Peterchev AV (2011) Electric field strength and focality in electroconvulsive therapy and magnetic seizure therapy: a finite element simulation study. J Neural Eng 8: 016007-

    Google Scholar 

  • Devanand DP, Lisanby SH, Nobler MS, Sackeim HA (1998) The relative efficiency of altering pulse frequency or train duration when determining seizure threshold. J ECT 14: 227–235

    Article  CAS  PubMed  Google Scholar 

  • Enev M, McNally KA, Varghese G et al (2007) Imaging onset and propagation of ECT-induced seizures. Epilepsia 48: 238–244

    Article  PubMed  Google Scholar 

  • Fox HA, Rosen A, Campbell RJ (1989) Are brief pulse and sine wave ECT equally efficient? J Clin Psychiatry 50: 432–435

    CAS  PubMed  Google Scholar 

  • Girish K, Gangadhar BN, Janakiramaiah N, Lalla RK (2003) Seizure threshold in ECT: effect of stimulus pulse frequency. J ECT 19: 133–135

    Article  CAS  PubMed  Google Scholar 

  • Hyrman V, Palmer LH, Cernik J, Jetelina J (1985) ECT: the search for the perfect stimulus. Biol Psychiatry 20: 634–645

    Article  CAS  PubMed  Google Scholar 

  • Kellner CH, Knapp R, Husain MM et al (2010a) Bifrontal, bitemporal and right unilateral electrode placement in ECT: randomised trial. Br J Psychiatry 196: 226–234

    Article  Google Scholar 

  • Kellner CH, Tobias KG, Wiegand J (2010b) Electrode placement in electroconvulsive therapy (ECT): A review of the literature. J ECT 26: 175–180

    Article  Google Scholar 

  • Kotresh S, Girish K, Janakiramaiah N et al (2004) Effect of ECT stimulus parameters on seizure physiology and outcome. J ECT 20: 10–12

    Article  CAS  PubMed  Google Scholar 

  • Loo CK, Sainsbury K, Sheehan P, Lyndon B (2008) A comparison of RUL ultrabrief pulse (0.3 ms) ECT and standard RUL ECT. Int J Neuropsychopharmacol 11: 883–890

    PubMed  Google Scholar 

  • Malmivou J, Plonsey R (1995) Bioelectromagnetism: Principles and applications of bioelectric and biomagnetic fields. Oxford University Press, New York NY

    Book  Google Scholar 

  • McCall WV, Reboussin DM, Weiner RD, Sackeim HA (2000) Titrated moderately suprathreshold vs fixed high-dose right unilateral electroconvulsive therapy: acute antidepressant and cognitive effects. Arch Gen Psychiatry 57: 438–444

    Article  CAS  PubMed  Google Scholar 

  • McClelland R, McAllister G (1988) Comparison of electrical measurements on constant voltage and constant current ECT machines. Br J Psychiatry 153: 126–127

    Article  CAS  PubMed  Google Scholar 

  • Niemantsverdriet L, Birkenhager TK, van den Broek WW (2011) The efficacy of ultrabrief-pulse (0.25 millisecond) versus brief-pulse (0.50 millisecond) bilateral electroconvulsive therapy in major depression. J ECT 27: 55–58

    Article  PubMed  Google Scholar 

  • Peterchev AV, Rosa MA, Deng ZD et al (2010) Electroconvulsive therapy stimulus parameters: rethinking dosage. J ECT 26: 159–174

    Article  PubMed Central  PubMed  Google Scholar 

  • Pisvejc J, Hyrman V, Sikora J et al (1998) A comparison of brief and ultrabrief pulse stimuli in unilateral ECT. J ECT 14: 68–75

    Article  CAS  PubMed  Google Scholar 

  • Quante A, Luborzewski A, Brakemeier EL et al (2011) Effects of 3 different stimulus intensities of ultrabrief stimuli in right unilateral electroconvulsive therapy in major depression: a randomized, double-blind pilot study. J Psychiatr Res 45: 174–178

    Article  PubMed  Google Scholar 

  • Ranck JB Jr (1975) Which elements are excited in electrical stimulation of mammalian central nervous system: a review. Brain Res 98: 417–440

    Article  PubMed  Google Scholar 

  • Robin A, De Tissera S (1982) A double-blind controlled comparison of the therapeutic effects of low and high energy electroconvulsive therapies. Br J Psychiatry 141: 357–366

    Article  CAS  PubMed  Google Scholar 

  • Roepke S, Luborzewski A, Schindler F et al (2011) Stimulus pulse-frequency-dependent efficacy and cognitive adverse effects of ultrabrief-pulse electroconvulsive therapy in patients with major depression. J ECT 27: 109–113

    Article  PubMed  Google Scholar 

  • Rozhnov VA (1951) Electroconvulsive therapy with the changing electrode position. Kirghiz State Medical Institute Proceedings VII: 365–371

    Google Scholar 

  • Sackeim HA, Decina P, Portnoy S et al (1987) Studies of dosage, seizure threshold, and seizure duration in ECT. Biol Psychiatry 22: 249–268

    Article  CAS  PubMed  Google Scholar 

  • Sackeim HA, Prudic J, Devanand DP et al (2000) A prospective, randomized, double-blind comparison of bilateral and right unilateral electroconvulsive therapy at different stimulus intensities. Arch Gen Psychiatry 57: 425–434

    Article  CAS  PubMed  Google Scholar 

  • Sackeim HA, Prudic J, Nobler MS et al (2008) Effects of pulse width and electrode placement on the efficacy and cognitive effects of electroconvulsive therapy. Brain Stimul 1: 71–83

    Article  PubMed Central  PubMed  Google Scholar 

  • Sienaert P, Vansteelandt K, Demyttenaere K, Peuskens J (2009) Randomized comparison of ultra-brief bifrontal and unilateral electroconvulsive therapy for major depression: clinical efficacy. J Affect Disord 116: 106–112

    Article  CAS  PubMed  Google Scholar 

  • Swartz CM, Manly DT (2000) Efficiency of the stimulus characteristics of ECT. Am J Psychiatry 157: 1504–1506

    Article  CAS  PubMed  Google Scholar 

  • Swartz CM, Nelson AI (2005) Rational electroconvulsive therapy electrode placement. Psychiatry (Edgmont) 2: 37–43

    Google Scholar 

  • Waarde JA van, Verwey B, van der Mast RC (2009) Meta-analysis of initial seizure thresholds in electroconvulsive therapy. Eur Arch Psychiatry Clin Neurosci 259: 467–474

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Klinik für Psychiatrie und Psychotherapie, Zentralinstitut für Seelische Gesundheit, J5, 68159, Mannheim, Deutschland

    Alexander Sartorius

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  1. Alexander Sartorius
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Correspondence to Alexander Sartorius .

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Editors and Affiliations

  1. Uniklinik RWTH Aachen, Aachen, Germany

    Michael Grözinger

  2. Psychiatrischer Dienst Bozen, Bozen, Italy

    Andreas Conca

  3. Uniklinik RWTH Aachen, Aachen, Germany

    Thomas Nickl-Jockschat

  4. Landeskrankenhaus Rankweil, Rankweil, Austria

    Jan Di Pauli

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Sartorius, A. (2013). Technische Grundlagen der EKT. In: Grözinger, M., Conca, A., Nickl-Jockschat, T., Di Pauli, J. (eds) Elektrokonvulsionstherapie kompakt. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-25629-5_8

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  • DOI: https://doi.org/10.1007/978-3-642-25629-5_8

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-25628-8

  • Online ISBN: 978-3-642-25629-5

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