1 / 11

ELECTROCONVULSIVE THERAPY ( ECT )

ELECTROCONVULSIVE THERAPY ( ECT ). doc.MUDr.Alexandra Žourková,CSc. Dept. of Psychiatry, Masaryk University, Brno. ELECTROCONVULSIVE THERAPY ( ECT ). THE INDUCTION OF A GRAND MAL SEIZURE BY MEANS OF AN ELECTRICAL PULSE THROUGH THE BRAIN.

kenton
Download Presentation

ELECTROCONVULSIVE THERAPY ( ECT )

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. ELECTROCONVULSIVE THERAPY ( ECT ) doc.MUDr.Alexandra Žourková,CSc. Dept. of Psychiatry, Masaryk University, Brno

  2. ELECTROCONVULSIVE THERAPY ( ECT ) • THE INDUCTION OF A GRAND MAL • SEIZURE BY MEANS OF AN ELECTRICAL • PULSE THROUGH THE BRAIN P R I N C I P L E O F E C T • THE PERSON IS UNDER ANESTHESIA

  3. ELECTROCONVULSIVE THERAPY ( ECT ) • UNKNOWN EXACTLY • ( NEUROTRANSMITTERS IN THE • BRAIN – GABA, ADRENALIN, • SEROTONIN, DOPAMINE, • ENDOGENOUS OPIATES …) MECHANISM OF ACTION

  4. ADMINISTRATION ( AWAKE AND NOT PREMEDICATED, COMPLICATIONS ) H I S T O R I C A L

  5. ADMINISTRATION • ATROPINE (REDUCE SECRETION) • GENERAL SHORT – ACTING ANESTHESIA • (REDUCE ANXIETY AND DISCOMFORT) N O W • DEPOLARIZING MUSCLE RELAXANT • (ELIMINATE COMPLICATIONS) • BILATERALLY ADMINISTRATION • UNILATERALLY ADMINISTRATION

  6. CLINICAL EVALUATION • MEDICAL HISTORY AND • PHYSICAL EXAMINATION • LABORATORY TEST • PRETREATMENT REGIMEN • INFORMAL CONSENT • ELECTRICAL STIMULUS • 70 – 110 V FOR 0,1 – 0,5 s / 200 – 1600mA • USUALLY NUMBER OF ECT • 6 – 10 THREE TIMES WEEKLY

  7. I N D I C A T I O N • MAJOR DEPRESSIVE EPIZODES • (WORKS MORE QUICKLY, IS SAFER, • IS PROBABLY MORE EFFECTIVE THAN TCAS) • ACUTE MANIA • SCHIZOFRENIA – AFFECTIVE AND • CATATONIC SYMPTOMS

  8. ABSOLUTE CONTRAINDICATION • A SPACE OCCUPYING CEREBRAL • LESION THAT CAUSES INCREASED • INTRACRANIAL PRESSURE

  9. S I D E E F F E C T S M O S T C O M M O N • TRANSITORY MEMORY LOSS • HEADACHE • MUSCLE ACHES

  10. S I D E E F F E C T S L E S S C O M M O N • INCREASE IN PERMEABILITY OF THE • BLOOD-BRAIN BARRIER • SYSTEMIC HYPERTENSION • APNEA • CARDIAC ARRHYTHMIAS

  11. References : • Waldinger R.J.: Psychiatry for medical students, Washington, DC : American Psychiatric Press, 1997 • Kaplan HI, Sadock BJ, Grebb JA.: Kaplan and Sadock´s synopsis of psychiatry, Baltimore: Williams and Wilkins, 1997

More Related