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Electroconvulsive Therapy, Teaching Resource - belongs to Dr Emma Ross,…
Electroconvulsive Therapy
Indications
Catatonia
Depression
Treatment-resistant
Risks -
not eating and drinking
Mania
Process
Seizure induced with electricity
Electrodes/"pads" on either side of head
Activity watched on EEG
Smallest amount of electricity given
Stopped if prolonged
Muscle relaxant
Reduces physical seizure activity
Recovery suite
(Short) general anaesthetic
Day case
Anaesthetists, psychiatrists, specialist nurses
Usually twice a week
ECT suite
Team member who knows him can accompany
May need 12 treatments, can stop early or continue
(Maintenance)
Anaesthetic review
Mental Health Act/paperwork
Side Effects
Memory loss around ECT
Drowsiness
Muscle aches
Headache
Tend to be mild
Risks
Long-term memory loss
Unilateral electrode
Cognitive testing throughout treatment
Most related to GA
Dental damage
Mouthguard
Death (1/100,000)
Prolonged seizure
Benefits
Works quickly
Can often see improvement in first 2wks
Very effective
70-80% depression responds
Works with antidepressants
Teaching Resource - belongs to Dr Emma Ross, Advanced Clinical Fellow