ECT

INTRODUCTION

Resources

History

Mechanism of Action

Physiology of ECT Seizure

(EEG trace)

(Neurohormonal effects)

(Future directions)

Physics of ECT

A) ECT CONSULT

Indications

Relative Contraindications

(Personality disorders)

(↑ autonomic sensitivity)

(↑ anesthesia sensitivity)

Special Populations

(Elderly)

(Children)

(Pregnant)

Consent Process

B) PRIOR TO ECT

Consider seizure threshold

Consider medications

C) ECT PROCESS

Anesthesia

Techniques

(Electrode placement)

(Pulse width)

(Stimulus dose)

Delivering Stimulus

D) POST-ECT

Side Effects

Complications

Prognosis

(Acute response rates)

(Speed of response)

(Relapse rates)

E) MAINTENANCE ECT (RELAPSE PREVENTION)

Outpatient Considerations