Your SlideShare is downloading. ×
Electro convulsive treatment prof.fareed minhas
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×

Saving this for later?

Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime - even offline.

Text the download link to your phone

Standard text messaging rates apply

Electro convulsive treatment prof.fareed minhas

442
views

Published on

Published in: Education, Health & Medicine

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
442
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
21
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. ELECTRO CONVULSIVE THERAPY BY MARYYAM ALI FINAL YEAR
  • 2. DEFINITION; • It is the production of a generalized central nervous system seizure produced by means of an electric current.
  • 3. PRINCIPLE; • It is to exceed the main seizure threshold , which here is accomplished by electric current. • If this threshold is not exceeded the treatment fails.
  • 4. MODE OF ACTION; • Not well understood. • In animal studies , however , it has been noticed to increase the sensitivity of norepinephrine and serotonin receptors.
  • 5. INDICATIONS FOR ECT; • 70-85% Effective in treatment of severe depression , particularly when agitation and delusion are present with it. In addition in patients with; with suicidal tendency, delay in treatment is a risk to health, refusal to drink and eat, depressive stupors, antidepressants are cotraindicated/nonresponsive.
  • 6. OTHER INDICATIONS ARE; • • • Manic disorders and psychosis in pregnancy. Chronic schizophrenia. Acute schizophrenia , not generally only when; drugs are un-effective, or urgent need of treating the psychosis. • In elderly patients with risks of s/e of drugs.
  • 7. METHOD OF ECT; • Anesthesia: given by I/V short acting anesthetic (THIOPENTAL 125-150mg)---for sleep, and a muscle relaxant (SUXAMETHONIUM 30-50mg). • Application of electrodes to brain: BILATERALLY/UNILATERALLY. • Dose: 80V for 100-300ms 4-8times for 3-4wks.
  • 8. METHOD OF ECT (contd.) • Treatment after ECT: manage patients headache, IMIPRAMINE (Tricylic antidepressant) for few months to decrease relapses.
  • 9. SIDE EFFECTS; • Transient memory loss depending upon , No. • • • and frequency of ECT, Oxygenation during ECT with anesthesia, Use of LITHIUM with ECT (previously). Headache for few hrs to a day or so. Defects in new learning in few people. Anticipatory anxiety. (GENERALLY THESE SIDE EFFECTS ARE SEEN IN THOSE WITH INEFFECTIVE ECT)
  • 10. PREVIOUSLY SEEN SIDE EFFECTS; • Before anesthesia was used in ECT; spinal compression fractures were common.
  • 11. COMPLICATIONS; • In 1/1000 cases cardiovascular or respiratory complications develop. • These complications are preventable if contraindications are kept under consideration , along with care during anesthesia.
  • 12. CONTRAINDICATIONS; • • • • • Increase intra cranial pressure. Cardiac diseases. Aortic aneurysm. Bronchopulmunary disease. Venous thrombosis.
  • 13. OBSTACLES; • Poor public understanding. • Lack of acceptance of the technique.