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Increasingly, electroconvulsive therapy (ECT) is recognized as a proven, effective, and even life-saving intervention in certain mood and thought disorders when other treatments have had little or no effect. Despite the proven efficacy and safety of this standard treatment in psychiatry, its availability is variable. Part of this disparity in access is related to misunderstanding by laypersons regarding the treatment and its potential adverse effects. Adequate education and training of psychiatrists and their support staff are essential to ensuring patients' access to this vital treatment tool. The authors of Clinical Manual of Electroconvulsive Therapy offer this expansive yet reader-friendly volume to help psychiatrists successfully incorporate ECT into their clinical practices. It is also a valuable resource for medical students and psychiatric residents, as well as experienced clinicians and researchers. The book updates the 1985 original and 1998 second edition of Electroconvulsive Therapy: A Programmed Text, and provides readers with a scheduled approach to understanding the fundamental concepts of ECT while offering practical guidance for establishing and maintaining an ECT program. Topics include the history of ECT, indications for use, patient referral and evaluation, the basics of ECT, clinical applications, anesthetics and other medications, seizure monitoring and management, ictal motor and cardiovascular response, adverse effects, and maintenance ECT. Included are detailed descriptions of recent advances including ultra-brief pulse ECT, oxygenation, muscle relaxation, and other modifications that have made this very effective treatment much safer and more acceptable to patients. Currently, it is estimated that more than 100,000 people receive ECT treatments each year in the U.S. Indications for use of ECT are for mood disorders such as major depressive disorder and mania, and thought disorders including schizophrenia and schizoaffective disorder. Indications for use in other psychiatric disorders and general medical disorders such as Parkinson's disease, which appears to respond especially well to ECT, are reviewed as well. This highly-readable manual is a must-have for the library of any clinician interested in or currently practicing ECT: Provides background information on the origins of psychiatric treatments preceding ECT, including efforts using hydrotherapy and insulin comas Includes an algorithm for the management of ECT seizure adequacy Discusses contraindications as well as the potential adverse effects of ECT, including cognitive changes and cardiovascular complications Provides specific information about ECT device manufacturers, reprintable patient information sheets, and a written informed consent form This clinical manual comprehensively explores and explains the available knowledge regarding ECT -- based on extensive research over the past 70 years -- in order to help potential ECT clinicians make informed choices about the development and management of their ECT program.
Presenting a practical book on managing the patient Why To assist busy clinicians in clinical decision-making To reduce inappropriate clinical variation in practice To improve quality of care and patient safety How User-friendly ready reckoner Holistic approach Up-to-date Evidence-based For Whom General practitioners Primary care physicians Undergraduate medical students Postgraduates and Resident doctors Consultants This clinically oriented book covers more than 330 priority diseases in 11 specialties, focusing on clinical manifestations, therapeutic advances, patient management and patient education. This edition presents you with: Major revisions reflecting latest recommendations in all chapters, and presenting new algorithms. Key information on COVID-19 pandemic: - Restandardized cardio-pulmonary resuscitation algorithms and guidelines in view of the COVID-19 pandemic. - Severe acute respiratory infections (SARI) including COVID-19, management of COVID-19 and co-infections, Pregnancy in COVID-19, etc. A new chapter on tumours and cancers with a special focus on screening and early diagnosis and treatment of some of the most common cancers. Several new priority diseases namely syncope, button battery injuries, acute encephalitis syndrome, cerebral palsy, club foot, scrub typhus, herpes zoster ophthalmicus, frost bite, polycystic ovarian syndrome (PCOS), etc. Antimicrobial Stewardship principles in the treatment of infectious diseases. Large number of experts have contributed in this book to help solve the problems you encounter in everyday practice. This reader friendly, up-to-date and comprehensive book provides expert information you can use immediately in your clinical practice including goals of treatment and assessment of response to therapy with step-up as well as step-down criteria. A busy clinician can thus make an informed, effective patient management decision for different levels of health care, from primary health care to detailed protocols for tertiary care health centres.
Excerpt from A Manual of Medical Treatment or Clinical Therapeutics, Vol. 1 Sums. The publication of the first edition of this work in 1893, it has been the author's privilege to receive from all parts of the Empire the most flattering acknowledgments of its value and usefiilness, and it now becomes his first duty to return his warmest thanks to the medical profession for their gratifying estimate of his labours. The preparation of a new and revised edition, which he might hope would he, in some respects, worthy of the very favourable reception accorded to its predecessor, has been no light task. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
Excerpt from A Manual of Medical Treatment or Clinical Therapeutics A work having so wide a scope has naturally occupied the Author's thoughts for some years, and many chapters are founded on clinical lectures, de voted especially to the consideration of therapeutic questions, which it has been his duty, from time to time, to deliver in King's College Hospital. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.