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SC1. ECT (Electroconvulsive Therapy) is a psychiatric treatment using a controlled electric current to induce a therapeutic seizure.
2. It is mainly used for severe depression with suicidal tendency and treatment-resistant depression.
3. Other indications include catatonia, mania, schizophrenia with catatonic features.
4. Absolute contraindication: Raised intracranial pressure (ICP).
5. Relative contraindications: Recent MI, uncontrolled hypertension, aneurysm, severe cardiac disease.
6. Modified ECT is standard—given with anesthesia and muscle relaxant (succinylcholine).
7. Procedure: NPO 6–8 hrs, consent, premedication, electrode placement, current 70–120V.
8. Bilateral ECT works faster, but causes more memory loss; unilateral has fewer cognitive effects.
9. Side effects: Headache, confusion, transient memory loss, retrograde amnesia.
10. Fastest improvement seen in acute suicidal depression & catatonia.
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