ECT Procedure
ECT involves a series of treatments. For each treatment, you will be brought
to a specially equipped room in this hospital. The treatments are usually
given in the
morning, before breakfast. Because the treatments involve general anesthesia,
you
will have had nothing to drink or eat for at least 6 hours before each
treatment,
unless special orders have been written by the doctor to receive medicines
with a sip
of water. An intravenous line (IV) is placed in your arm so that medicines
that are
part of the procedure can be given. One of these is an anesthetic drug
that will
quickly put you to sleep. When you are asleep, you are given a second drug
that
relaxes your muscles. Because you are asleep, you do not experience pain
or
discomfort during the procedure. You do not feel the electrical current
and when you
wake up you have no memory of the treatment.
To prepare for the treatments, monitoring sensors are placed on your head
and
chest. Blood pressure cuffs are placed on one arm and one ankle. This enables
the
physician to monitor your brain waves, heart, and blood pressure. These
recordings
involve no pain or discomfort.
After you are asleep, a small, carefully controlled amount of electricity
is
passed between two electrodes that have been placed on your head. Depending
on
where the electrodes are placed, you may receive either bilateral ECT or
unilateral
ECT. In bilateral ECT, one electrode is placed on the left side of the
head, the other
on the right side. When the current is passed, a generalized seizure is
produced in
the brain. Because you will be given a medication to relax your muscles,
muscular
contractions in your body that would ordinarily accompany a seizure will
be
considerably softened. You will be given oxygen to breathe. The seizure
will last for
approximately one minute.
Within a few minutes, the anesthetic drug will wear off an you will awaken.
You will be brought to a recovery room, where you will be observed unfit
you are
ready to leave the ECT area and return to the unit.