F32.2 F32.3 F33.2 F33.3
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. ECT prescribed as an inpatient at home 2. written consent for participation in the project 3. indication for ECT is a diagnosis of F32.x (depression) or F33.x (recurrent depression) according to ICD-10.
Exclusion criteria
Exclusion criteria: 1. pregnancy and breastfeeding 2. persons who are accommodated by court or official order and/or receive ECT 3. persons with known cerebral vascular diseases, e.g. stenoses, stents or aneurysms. 4. persons who are incapable of giving consent and/or are unable to understand the nature, significance and scope of the research project and to give their consent 5. persons who are unwilling or unable to understand and follow the instructions of the staff 6. persons without a suitable transcranial window for sonographic assessment of the intracranial vascular status
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Quantification of the change in flow dynamics before, immediately after and one hour after the seizure during ECT using TCCS in five consecutive ECT sessions. Particular focus is placed on the analysis of intracranial flow profiles. | — |
Secondary
| Measure | Time frame |
|---|---|
| Correlation of cerebral perfusion changes with the clinical • the clinical quality criteria of the seizures (heart rate, seizure duration, hemispheric coherence, amplitude and postictal suppression) • the anesthetic used (etomidate, esketamine or propofol) • the electrode positioning • the blood pressure • the etCO2 • the change in the Montgomery-Åsberg Depression Rating Scale (MADRS) and in the Beck Depression Inventory II (BDI-II) (result of the baseline visit - result of the last study visit) | — |
Countries
Germany
Contacts
Universitätsklinik der RWTH Aachen, Klinik für Psychiatrie, Psychotherapie und Psychosomatik