10) ECT Flashcards Preview

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Flashcards in 10) ECT Deck (7):
1

When was ECT first used?

1938 - Bini and Cerletti

2

What is mortality rate of ECT?

1 in 50,000 (general anaesthetic)

3

What are some proposed mechanisms of action?

Effects on NA and serotonin receptors
Dopaminergic effects

4

When is ECT used?

Severe depression
Depression with psychosis
Catatonia
Manic episode

5

How is ECT administered?

Usually bilateral electrodes and just above seizure threshold
Use of general anaesthetic and muscles relaxant
2 times per week, 6-12 treatments

6

What are some side effects of ECT?

Amnesia
Headache
Muscles pain
Confusion
Nausea
Nerve palsy

7

When is ECT contraindicated?

Cardiac conditions
Increased intracranial pressure
Pregnancy