Neurologische, neuromusculaire en psychiatrische pathologie

Neurologische, neuromusculaire en psychiatrische pathologie Neurologische, neuromusculaire en psychiatrische pathologie

23.06.2014 Views

Psychiatric Indications for ECT Depressive disorders – Inadequate response to antidepressive agents – “Endogenous” depression – Depressive states accompanied with melancholic or paranoid delutions, suicidal tendencies or excessive suffering. Schizophrenia – Acute schizofrenia – Catatonic states Manic states – Rarely

Form and Duration of an ECT Insult Typical “grand mal” seizure Latency period: 2 - 5 seconds Tonic fase: 10 - 15 seconds Clonic fase: 30 - 60 seconds Seizure duration Increase *Preoxygenation *Hyperventilation *Ketamine Decrease * Anesthetics: barbiturates benzodiazepines, propofol * ↑ age

Form and Duration of an ECT Insult<br />

Typical “grand mal” seizure<br />

Lat<strong>en</strong>cy period: 2 - 5 seconds<br />

Tonic fase:<br />

10 - 15 seconds<br />

Clonic fase:<br />

30 - 60 seconds<br />

Seizure duration<br />

Increase<br />

*Preoxyg<strong>en</strong>ation<br />

*Hyperv<strong>en</strong>tilation<br />

*Ketamine<br />

Decrease<br />

* Anesthetics: barbiturates<br />

b<strong>en</strong>zodiazepines, propofol<br />

* ↑ age

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