10) ECT Flashcards
1
Q
When was ECT first used?
A
1938 - Bini and Cerletti
2
Q
What is mortality rate of ECT?
A
1 in 50,000 (general anaesthetic)
3
Q
What are some proposed mechanisms of action?
A
Effects on NA and serotonin receptors
Dopaminergic effects
4
Q
When is ECT used?
A
Severe depression
Depression with psychosis
Catatonia
Manic episode
5
Q
How is ECT administered?
A
Usually bilateral electrodes and just above seizure threshold
Use of general anaesthetic and muscles relaxant
2 times per week, 6-12 treatments
6
Q
What are some side effects of ECT?
A
Amnesia Headache Muscles pain Confusion Nausea Nerve palsy
7
Q
When is ECT contraindicated?
A
Cardiac conditions
Increased intracranial pressure
Pregnancy
