Hostname: page-component-8448b6f56d-dnltx Total loading time: 0 Render date: 2024-04-19T23:00:25.901Z Has data issue: false hasContentIssue false

Intravenous Tranquillization with ECT

Published online by Cambridge University Press:  29 January 2018

Joan Gomez
Affiliation:
Department of Psychiatry, Westminster Hospital, S.W.1
Peter Dally
Affiliation:
Westminster Hospital, S.W.1

Summary

Forty depressed in-patients for whom electro-convulsive therapy had been prescribed were rated before treatment on depression and anxiety scales. Side effects, post-operative agitation and retrograde memory impairment were assessed in each patient after each of several treatments. Results were compared when no tranquillizer was given and when either diazepam or haloperidol was administered intravenously immediately before the anaesthetic. It was found than when ECT was given without tranquillization, the incidence and severity of post-operative agitation and of side effects were significantly greater in those patients with a high level of anxiety before treatment. Both diazepam and haloperidol were found to be effective in subduing agitation and side effects in anxious, depressed patients, but with diazepam recovery time was longer.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1975 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Annett, M. (1970) A classification of hand preference by association analysis. British Journal of Psychology, 61, 303–21.CrossRefGoogle ScholarPubMed
British Medical Journal (1975) Leader: Tranquillizers causing aggression, i, 113–14.CrossRefGoogle Scholar
Dally, P. (1967) Chemotherapy of Psychiatric Disorders, p. 14, Table 1. London: Logos.Google Scholar
d'Elia, G. & Raotma, H. (1975) Is unilateral ECT less effective than bilateral ECT? British Journal of Psychiatry, 126, 83–9.Google Scholar
Fyrö, B., Beck-Friis, J. & Sjostrand, I. G. (1974) A comparison between diazepam and haloperidol in anxiety states. Acta Psychiatrica Scandinavica, 50, 586–95.Google Scholar
Greenblatt, D. J. & Shader, R. I. (1974) Benzodiazepines in Clinical Practice. Chapter 6. U.S.A.: Raven Press.Google Scholar
Haslett, W. H. K. & Dundee, J. W. (1968) Studies of drugs given before anaesthesia. British Journal of Anaesthesia, 40, 250–8.Google Scholar
Kelly, D., Pik, R. & Chen, C. (1973) A psychological and physiological evaluation of the effects of intravenous diazepam. British Journal of Psychiatry, 122, 419–26.CrossRefGoogle ScholarPubMed
Kerr, T. A., Roth, M. & Shapira, K. (1974) Prediction of outcome in anxiety states and depressive illness. British Journal of Psychiatry, 124, 125–33.Google Scholar
Zung, W. (1972) A rating instrument for anxiety disorders. Psychosomatics, 12, 371–9.Google Scholar
Zung, W. (1965) A self-rating depression scale. Archives of General Psychiatry, 12, 6370.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.