Electroconvulsive Therapy Procedure

1. The patient should be NPO for at least eight hours and blood pressure, cardiac activity, oxygen content, and the electroencephalogram should be monitored.

2. A short-acting barbiturate, such as methohexital, is administered for anesthesia. A tourniquet (to prevent paralysis) is applied to one extremity in order to monitor the motor component of the seizure.

3. Muscle paralysis is then induced bysuccinylcholine. After an airway has been established, a rubber mouth block is then placed and an electrical stimulus is applied to induce the seizure.

4. The duration of the seizure is monitored by EEG and by the isolated extremity.

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