Abstract
Modified electroconvulsive therapy (m-ECT) is a useful and biological treatment for patients with psychiatric disorders and neurological diseases. With more safety and validity and less side effect, the standardized procedure of m-ECT would be required. Substantial studies of m-ECT show positive associations between ictal-electroencephalogram (EEG) and therapeutic efficacy but, to our knowledge, there was no ECT algorithm using ictal-EEG. Here, we attempted to create a procedural algorithm of m- ECT using the evaluation scale for ictal-EEG. To evaluate the validity of the ECT algorithm, we did chart review to compare the ECT effectiveness between patients who received ECT with and without the algorithm. The results showed that the patients received ECT with the algorithm recovered in short period and by small number of ECT sessions compared to those without the algorithm. The preliminary study suggests that the algorithm may provide the efficient ECT to patients.
