What is the absolute contraindication for ECT?
What is the absolute contraindication for ECT? Correct Answer Raised ICP
Concept:-
- Electroconvulsive therapy was first introduced by Bini and Cerletti in April 1938. From 1980 onwards ECT is being considered a unique psychiatric treatment.
- Voltage-70-120 volts.
- Duration-0.7-1.5 seconds.
- Frequency: 3 times per week or as indicated.
- Total number: 6-10 up to 25 may be preferred as indicated.
Important Points
Indication:
- Major depression, severe catatonia, severe psychosis
Contraindication:
- Raised ICP is an absolute contraindication for ECT
- (absolute contraindication, congestive heart failure, cerebral hemorrhage, retinal detachment, pneumonia, acute myocardial infarction, brain tumor, cerebral aneurysm.
Drugs used
- Inj. succinyl choline 0.5 mg/kg (Muscle relaxant).
- Inj. thiopentone sodium 3 mg/kg (Anesthetic). Inj. atropine 3 mg/kg (To reduce respiratory secretions and prevent aspiration).
Nursing responsibilities:
- Informed consent, empty stomach before for 4-6 hours prior to ECT, hold the medication that can increase the threshold of seizure, head shampoo, environment preparation oxygen, suction, medication, monitors.
- Side-lying position after ECT.
Side effects
- Fracture and short-term memory loss
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Feb 20, 2025