indications for ECT
Tx res depression
life threatening severe depression
catatonia
Tx res mania
absolute contraindications to ECT
Cochlear implant
raised icp
Relative contraindications
Raised ICP Intracranial aneurysm Hx of cerebral haemorrhage Recent MI Aortic aneurysm Uncontrolled arrhythmias cardiac failure chest infection deep vein thrombosis
Common SE of ECT
headache
confusion
impaired cog function
temporary retrograde and anterograde amnesia
Two options for electrode placement - differences between and most common
bilateral - most common - prob more effective but more cog SE
unilateral - prob less effective but less cog SE
What is used to determine whether an effective seizure was achieved?
EEG