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T Pearlman

Publications and source records attributed to T Pearlman.

32 records · Page 2Linked to original sources

Should psychiatrists administer anesthesia for ECT?

Whether psychiatrists are qualified to give anesthesia for ECT is controversial. At the authors' hospital, over a 9-year period ECT resulted in no mortality and minimal morbidity; in 98.8% of the treatments, anesthesia was given by psychiatrists. The average nursing time required for cases in which anesthesiologists administered anesthetic was longer than that for psychiatrists' cases. This difference may be related to succinylcholine dose and efficacy of ECT. The authors' surveys indicated that psychiatrists and anesthesiologists have differing opinions on whether psychiatrists should administer anesthesia for ECT and that few psychiatry residency programs which teach ECT provide training in anesthesia.

Ambulatory Care↗

Behavioral desensitization of phobic anxiety using thiopental sodium.

The author evaluated a random sample of 25 patients suffering from a variety of phobic anxiety states who were treated with desensitization using thiopental sodium combined with progressive reduction in the use of oral anxiolytic medication. At 24-week follow-up, 11 of the patients reported mild symptoms of phobic anxiety and 14 reported none; 9 of the patients reported their use of tranquilizers had decreased and 15 reported they had used non for at least 2 weeks. These results demonstrate the usefulness of the treatment in producing sustained reduction of phobic anxiety and tranquilizer use.

Anxiety Disorders↗