ECT Flashcards
1
Q
Indications for ECT
A
Treatment-resistant depression
Life-threatening severe depression
Treatment-resistant mania
Catatonia
2
Q
Absolute contraindications for ECT
A
Cochlear implant
3
Q
Relative contraindications for ECT
A
Raised intracranial pressure Intracranial aneurysm History of cerebral haemorrhage Recent myocardial infarction (less than 3 months) Aortic aneurysm Uncontrolled cardiac arrhythmias Decompensated cardiac failure (ECHO may be helpful) Acute respiratory infection Deep vein thrombosis
4
Q
Side effects
A
headache
confusions
impaired cognitive function
temporary retrograde and anterograde amnesia
5
Q
longer term side effects
A
Specific components of retrograde memories before ECT may be affected longer term
6
Q
Bilateral vs unilateral electrode placement
A
Unilateral less effective
Bilateral more cognitive side effects
