why ect is contraindicated in increased icp?
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According to the American Psychiatric Association, patients receiving ECT are at higher risk if they show evidence of unstable or severe cardiovascular disease, a space-occupying intracranial lesion with evidence of elevated intracranial pressure, history of an acute cerebral hemorrhage or stroke, an unstable vascular ...
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Does ECT Cause Brain Damage? There is no evidence that, in the era of “modern” ECT, it causes “brain damage,” (i.e. structural changes to the brain).
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IOPP is contraindicated for use on electrically sensitive patients, patients with pacemakers, patients with known drug allergies to the drug being administered. It is also contraindicated for the use over damaged or denuded skin or recent scar tissue, across the temporal region and for treatment in the orbital regions.
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Atropine treatment before electroconvulsive therapy (ECT) is used for two main reasons: a) to prevent transient post-ictal bradyarrhythmias due to excessive vagal tone; b) to minimize secretions within the respiratory tract.
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An IVCD is the result of abnormal activation of the ventricles caused by conduction delay or block in one or more parts of the specialized conduction system (bundle of His, bundle branch or purkinje conduction system) resulting in widening of QRS complex.
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The most common risk of e-stim is skin irritation where the electrodes are placed. However, there's a much more serious risk to heart health. For people with a pacemaker or other implantable heart device, e-stim may be dangerous and isn't recommended. E-stim is also not recommended for those who are pregnant.
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CPP and ICP: The CPP, at its most basic, is dependent on the ICP and mean arterial pressure and its normal range is 60 to 80 mm Hg. Under normal conditions, the ICP is between 5 and 10 mm Hg and thus has less of an impact on CPP than MAP for clinical situations not involving intracranial pathology.
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['Infection at the implant site.', 'Allergic reaction to the medications used during the procedure.', 'Swelling, bleeding or bruising where your ICD was implanted.', 'Damage to the vein where your ICD leads are placed.', 'Bleeding around your heart, which can be life-threatening.']
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Inappropriate sinus tachycardia (IST) is not a life threatening condition although for some people it can have major effects on their day to day life. There is no proof that having IST increases the risk of other heart problems.
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InterNACHI inspectors should always disclaim knob-and-tube wiring during their inspections. It is not inherently dangerous. The dangers from this system arise from its age, improper modifications, and situations where building insulation envelops the wires.
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['Diagnosis. ... ', 'Researcher participant relationship. ... ', 'Involuntary treatment. ... ', 'Electroconvulsive therapy. ... ', 'Confidentiality. ... ', 'Informed consent. ... ', 'Conflict of interest. ... ', 'Placebo.']
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Intracranial pressure (ICP) monitoring is a diagnostic test that helps your doctors determine if high or low cerebrospinal fluid (CSF) pressure is causing your symptoms. The test measures the pressure in your head directly using a small pressure-sensitive probe that is inserted through the skull.
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Rapid pulses of electricity cause predictable changes in the field, resulting in tissue changes that can be measured and transformed into anatomic images. The pulses cause not just the desired changes but undesired vibrations of the gradient coils, resulting in the banging heard during an M.R.I. examination.
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It is contraindicated in patients with aortic regurgitation because it worsens the magnitude of regurgitation. IABP insertion should not be attempted in case of suspected or known aortic dissection because inadvertent balloon placement in the false lumen may result in extension of the dissection or even aortic rupture.
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AIVR can occur in atrial fibrillation (see image below) and other rhythms when the rate of firing in ectopic ventricular focus surpasses that of the underlying dominant ventricular rate.
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The patient with severe aortic stenosis is relatively "afterload fixed and preload dependent" -- meaning cardiac output does not increase with after-load reduction. Thus all afterload reducing agents (angiotensin-converting enzyme inhibitors, calcium channel blockers, blockers) are contraindicated.
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Lactated Ringer's solution should not be mixed with ceftriaxone (Rocephin) due to the significant risk of ceftriaxone and calcium precipitation.