A Strategy for Management of Electroconvulsive Therapy Patients During the COVID-19 Pandemic

Bryson, Ethan O.; Aloysi, Amy

doi:10.1097/yct.0000000000000702

Cited by 26 publications

(52 citation statements)

References 7 publications

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“…Screening includes a recent history of travel, exposure to suspected or diagnosed cases, and the presence of Covid-19 symptoms requiring Covid-19 RT-PCR testing from nasopharyngeal swab ( Burhan et al, 2020 ; Gil-Badenes et al, 2020 ; Lapid et al, 2020 ; Schumann et al, 2020 ). A few recommend baseline RT-PCR testing for all patients 1–2 days before the first ECT ( Bryson and Aloysi, 2020 ; Flexman et al, 2020 ; Sienaert et al, 2020 ). Most groups advised avoiding ECT in Covid-19 positive cases for the first two weeks unless it is urgent and life-saving due to the risk of infection spread ( Flexman et al, 2020 ; Gil-Badenes et al, 2020 ; Lapid et al, 2020 ; Ramakrishnan et al, 2020 ).…”

Section: Review Of Recommendations/suggestions For Ect Across the World During Covid-19 Pandemicmentioning

confidence: 99%

Electroconvulsive therapy services during COVID-19 pandemic

Surve

Sinha

Baliga

et al. 2021

Asian Journal of Psychiatry

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The COVID-19 pandemic has hit the electroconvulsive therapy (ECT) services hard worldwide as it is considered an elective procedure and hence has been given less importance. Other reasons include the risk of transmission of infections, lack of resources, and the scarcity of anesthesiologists due to their diversion to intensive care units to manage COVID-19 patients. However, ECT is an urgent and life-saving measure for patients diagnosed with depression and other severe mental illnesses who have suicidality, catatonia, or require a rapid therapeutic response. COVID-19 pandemic is a significant source of stress for individuals due to its impact on health, employment, and social support resulting in new-onset psychiatric illnesses and the worsening of a pre-existing disorder. Hence, a continuation of the ECT services during the COVID-19 pandemic is of paramount importance. In this narrative review, the authors from India have compiled the literature on the ECT practice during the COVID-19 pandemic related to the screening and testing protocol, necessity of personal protective equipment, modification in ECT Suite, electrical stmulus settings, and anesthesia technique modification. The authors have also shared their experiences with the ECT services provided at their institute during this pandemic. This description will help other institutes to manage the ECT services uninterruptedly and make ECT a safe procedure during the current pandemic.

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Section: Review Of Recommendations/suggestions For Ect Across the World During Covid-19 Pandemicmentioning

confidence: 99%

Electroconvulsive therapy services during COVID-19 pandemic

Surve

Sinha

Baliga

et al. 2021

Asian Journal of Psychiatry

View full text Add to dashboard Cite

show abstract

“… 3 There has been a concern about the potential risk to patients from cross-contamination within ECT departments, risk to staff from aerosol-generating procedures during ECT, and the redeployment of ECT teams, all contributing to limiting patient's access to treatment. 4 …”

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confidence: 99%

Electroconvulsive Therapy Administered During the COVID-19 Pandemic

Yeole

Kapri

Karia

et al. 2020

J ECT

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“…When the pandemic was at its peak there was a difficulty to find available anaesthetists, as they were providing care to critically ill patients with COVID-19. Now, when it has been possible to resume activity, security measures have been implemented in the ECT protocols, 17 including the intensification of protection measures for healthcare personnel and patients to reduce the risk of infection. Even so, the response to mental health services has differed between countries, regions and health areas.…”

mentioning

confidence: 99%