ECT Flashcards
What will happen whe the patient walks into the room? (ECT depression)
- Lay on the bed in loose clothing
- strapped down
- local anaesthetic
- muscle relaxants
What are fixed to to the temples and how? (ECT depression)
Electrodes bilaterally or unilaterally
What current is passed through the brain? (ECT depression)
70-130 volts
How long is the current passed through the brain? (ECT depression)
0.5 seconds
How many times does this treatment happen? (ECT depression)
2-3 times, 3-4 weeks
How do they think ECT works? (ECT depression)
Potentially increases hormone levels, changing the pattern of blood across the brain
What side effects can occur? (ECT depression)
Memory loss, migraines and cognitive impairments
If ECT is combined with deep sleep therapy what can happen? (ECT depression)
- hypoxia - oxygen deficiency
* anoxia - lack of oxygen
How effective is ECT? (ECT depression)
Very effective. 15% of patients who have ECT have suicidal thoughts (saves lives)
Compare ECT to drugs (ECT depression)
Review of 18 studies from 1,144 patients, showed that ECT is far more effective
What did Scott (2004) find? (ECT depression)
None of the ECT trials had been compared to new drugs such as SSRI’s
Why is ECT not appropriate? (ECT depression)
Many ethical issues, the DOH recorded 700 patients who received ECT and 59% had not given concent
What was ECT previously used to treat? (ECT depression)
Schizophrenia