Why is methohexital used in ECT?
Methohexital – gold standard for ECT, no change of seizure duration but better tolerated than etomidate secondary to ability to blunt hemodynamic response and better than propofol and thiopental because it does not decrease seizure duration.
Is ECT contraindicated in epilepsy?
We conclude that most epileptic patients can be treated with ECT without dose adjustment in antiepileptic medications and provide general recommendations for safe use of ECT in this population.
What are the adverse effects of methohexital?
Common side effects may include:
- drowsiness;
- nausea, vomiting, stomach pain;
- chills or shivering;
- coughing, hiccups;
- muscle twitching; or.
- mild skin rash or itching.
When do you stop ECT treatment?
You won’t need to have any more ECT sessions if you have responded well to treatment. If you have any serious side effects doctors should stop the treatment. The way that you process information should also be monitored regularly. This is called your cognition.
Which conditions is known to have the best response to ECT?
Psychosis is perhaps the best-established predictor of ECT response. More than a dozen studies, from the 1950s to the recent Consortium for Research in ECT (CORE) multicenter study, show better response rates for this severe form of depression, in which delusions, paranoia, or both are present.
What is considered as a gold standard for confirmation of seizure in ECT?
EEG-tracing during ECT is the golden standard for modern ECT with the use of muscle relaxants. EEG can be used to monitor the physiologic response of brain from the electrical stimulant and to show whether the seizure is adequate.
When is methohexital used?
Methohexital is primarily used to induce anesthesia, and is generally provided as a sodium salt (i.e. methohexital sodium). It is only used in hospital or similar settings, under strict supervision. It has been commonly used to induce deep sedation or general anesthesia for surgery and dental procedures.
How long does methohexital last?
Methohexital, a methylated barbiturate, is rarely used for the induction of general anesthesia in hospital operating rooms, but it has been used more widely for anesthesia in dentistry. The sleep time after a single dose is 5 to 7 minutes, and the mean elimination half-life is 3.9 hours.
Are there any contraindications to electrical stimulation?
Contraindications to Electrical Stimulation 1 “1. DO NOT apply to the thoracic area (or transthoracically) of a patient with arrhythmia,… 2 DO NOT apply anywhere on the body of a patient with a demand-type implanted cardiac pacemaker… 3 DO NOT apply through the carotid sinus area (at the bifurcation of the common carotid artery);
What are the contraindications of electrotherapy for bleeding?
Electrotherapy Contraindications Tim Watson Page 2 Hot Packs CONTRAINDICATIONS Impaired circulation Areas of recent bleeding or haemorrhage Lack of local thermal sensation Devitalised tissue e.g. after deep X ray therapy Open wounds Impaired circulation of the part to be treated Malignancy PRECAUTIONS
Do you apply electrical stimulation to the thoracic area?
DO NOT apply to the thoracic area (or transthoracically) of a patient with arrhythmia, congestive heart failure, recent myocardial infarction, and other heart conditions 2. DO NOT apply anywhere on the body of a patient with a demand-type implanted cardiac pacemaker or defibrillator or deep brain stimulator
Are there any contraindications to EMG biofeedback?
Biofeedback CONTRAINDICATIONS Dermatological conditions (e.g. eczema, dermatitis) Allergy to the electrode or contact material (tape / gel) Patients who are unable to understand or respond to the instructions of the therapist Patients with pacemakers (although not directly affected by the EMG Biofeedback, they may be susceptible