ECT in the time of the COVID-19 pandemic

Author:

Ramakrishnan Venkata Subramanian1,Kim Young Kwang2ORCID,Yung Wanda3,Mayur Prashanth4ORCID

Affiliation:

1. Staff Specialist-Cumberland Hospital, Australia

2. Psychiatry Advanced Trainee-Cumberland Hospital, Australia

3. VMO Anaesthetist-Cumberland Hospital, Australia

4. Senior Staff Specialist and Medical Superintendent-Cumberland Hospital and Clinical Associate Professor Discipline of Psychiatry, University of Sydney, Australia

Abstract

Objective: The recent and ongoing COVID-19 pandemic outbreak has placed a huge burden on healthcare systems worldwide. This emergent situation applies invariably to mental health services, and policy makers have issued new directives to adequately deal with this crisis. The COVID-19 outbreak poses special challenges to the administration of electroconvulsive therapy (ECT) since the anaesthetic induction is an aerosol-generating process. The report provides a narrative account of modifications to the ECT practice at a tertiary care psychiatric hospital to mitigate the risk of COVID-19 transmission. Conclusion: We emphasise two main modifications: use of personal protective equipment (PPE) during the ECT and modifications in the anaesthetic procedure to mitigate potential transmission.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

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