Biomedical subjects

Steven B. Lippmann

Publications and source records attributed to Steven B. Lippmann.

3 recordsLinked to original sources

PubMed1993

Electroconvulsive Therapy and Lithium: Safe and Effective Treatment.

It is often recommended that lithium not be prescribed during electroconvulsive therapy (ECT). The combined use of these treatments has been considered a risk factor for inducing encephalopathy; however, this precaution is controversial. We report the case of a woman who received over 70 outpatient maintenance ECT concurrently with lithium for years without signs of confusion. Similar observations are reported by others, too. The relative merits of all therapeutic interventions should be individualized to each patient.

Journal Article↗

PubMed1989

Age-Related Changes in Cardiovascular Function Associated with Electroconvulsive Therapy.

The relationship between hemodynamic changes induced by electroconvulsive therapy (ECT) and age was studied in 13 patients. Their average age was 43 years (range 20-64 years). Heart rate, arterial blood pressure, and rate-pressure product (RPP) all increased significantly following ECT. There was an inverse relationship between age and the magnitude of the chronotropic response, the percentage increase in diastolic and mean arterial blood pressure, and the RPP. Duration of the electroencephalographic and motor seizures was also inversely related to age.

Journal Article↗

PubMed1988

Monitoring Seizure Duration During Electroconvulsive Therapy.

Three alternative monitoring methods for assessing the duration of seizures during electroconvulsive therapy were studied. The mean integrated amplitude of the electroencephalogram, facial muscle electromyogram, and "cuff method" were compared with the reference single-channel unprocessed electroencephalogram in 78 sessions with 17 patients. The measures of seizure duration differed significantly (p < 0.001). The mean integrated electroence phalographic amplitude differences were small and an artifact of the sampling procedure. Larger, but clinically unimportant, discrepancies were obtained with the facial electromyogram amplitude. In contrast, there were marked differences between the electroencephalogram and the "cuff method," which suggest that the latter technique may be of limited usefulness.

Journal Article↗