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Psychiatric Bulletin (2000) 24: 301. doi: 10.1192/pb.24.8.301
© 2000 The Royal College of Psychiatrists
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Psychiatric Bulletin (2000) 24: 301
© 2000 The Royal College of Psychiatrists

Investigation of the ‘cuff’ method for assessing seizure duration in electroconvulsive therapy

M. E. Jan Wise, Registrar in Psychiatry, Fiona Mackie, Senior House Officer in Psychiatry, Antonios C. Zamar, Lecturer and Honorary Senior Registrar in General Adult Psychiatry and James P. Watson, Professor of Psychiatry, Guy's, King's & St Thomas

Department of Psychiatry, Thomas Guy House, Guy's Hospital, London SE1 9RT

AIMS AND METHOD

Electroconvulsive therapy should be effectively monitored and seizure duration accurately ascertained. We observed the seizure duration in both lower and upper limbs using the Hamilton ‘cuff’ method.

RESULTS

Thrity-nine seizures in 19 patients were observed. There were no statistically significant differences between cuffed and uncuffed limbs, nor between upper and lower limbs.

CLINICAL IMPLICATIONS

Alternatives to the Hamilton cuff method to observe seizure duration need to be considered.




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Monitoring of seizures during electroconvulsive therapy by the 'cuff' method is still relevant today
Psychiatr. Bull., November 1, 2000; 24(11): 434 - 434.
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