Electroconvulsive Therapy in Pregnancy

Lakshmana, Raju; Hiscock, Richard; Galbally, Megan; Fung, Alison; Walker, Susan; Blankley, Gaynor; Buist, Anne

doi:10.1007/978-3-642-54562-7_14

Cited by 3 publications

(3 citation statements)

References 48 publications

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“…ECT has been safely used for the treatment of severe depression during pregnancy, and it may be the treatment of choice for patients with severe depression or bipolar episodes carrying a significant risk to the mother and/or the foetus (BeyondBlue, 2011). Anaesthesia in pregnancy carries increased risk of rapid desaturation and reflux with aspiration (Lakshmana et al, 2014). For these reasons ECT should be undertaken in a unit where there is ready access to foetal and maternal monitoring and access to appropriate post-anaesthetic recovery services, especially in the third trimester and late second trimester.…”

Section: Clinical Management Of Mood Disorders With Complex Presentatmentioning

confidence: 99%

Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders

Malhi

Bassett

Boyce

et al. 2015

Aust N Z J Psychiatry

679

681

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Professor Marie-Paule Austin, Professor Michael Berk, Dr Yulisha Byrow, Professor Helen Christensen, Dr Nick De Felice, A/Professor Seetal Dodd, A/Professor Megan Galbally, Dr Josh Geffen, Professor Philip Hazell, A/Professor David Horgan, A/Professor Felice Jacka, Professor Gordon Johnson, Professor Anthony Jorm, Dr Jon-Paul Khoo, Professor Jayashri Kulkarni, Dr Cameron Lacey, Dr Noeline Latt, Professor Florence Levy, A/Professor Andrew Lewis, Professor Colleen Loo, Dr Thomas Mayze, Dr Linton Meagher, Professor Philip Mitchell, Professor Daniel O'Connor, Dr Nick O'Connor, Dr Tim Outhred, Dr Mark Rowe, Dr Narelle Shadbolt, Dr Martien Snellen, Professor John Tiller, Dr Bill Watkins, Dr Raymond Wu.

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Section: Clinical Management Of Mood Disorders With Complex Presentatmentioning

confidence: 99%

Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders

Malhi

Bassett

Boyce

et al. 2015

Aust N Z J Psychiatry

679

681

View full text Add to dashboard Cite

show abstract

“…These risks should be carefully weighed against those of other treatments, or no treatment. Principles to guide ECT during pregnancy developed jointly by anaesthetics, obstetrics and psychiatry are available to clinicians (Austin and Highet, 2017; Lakshmana et al, 2014). In pregnancy, screening and selection of appropriate patients is essential and should be conducted by a psychiatrist experienced in ECT, in consultation with both a psychiatrist with appropriate training and expertise in perinatal psychiatry and an obstetrician.…”

Section: Ranzcp Professional Practice Guidelines For the Administratimentioning

confidence: 99%

Royal Australian and New Zealand College of Psychiatrists professional practice guidelines for the administration of electroconvulsive therapy

Weiss¹,

Hussain

et al. 2019

Aust N Z J Psychiatry

117

109

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Objectives: To provide guidance for the optimal administration of electroconvulsive therapy, in particular maintaining the high efficacy of electroconvulsive therapy while minimising cognitive side-effects, based on scientific evidence and supplemented by expert clinical consensus. Methods: Articles and information were sourced from existing guidelines and the published literature. Information was revised and discussed by members of the working group of the Royal Australian and New Zealand College of Psychiatrists’ Section for Electroconvulsive Therapy and Neurostimulation, and findings were then formulated into consensus-based recommendations and guidance. The guidelines were subjected to rigorous successive consultation and external review within the Royal Australian and New Zealand College of Psychiatrists, involving the full Section for Electroconvulsive Therapy and Neurostimulation membership, and expert and clinical advisors and professional bodies with an interest in electroconvulsive therapy administration. Results: The Royal Australian and New Zealand College of Psychiatrists’ professional practice guidelines for the administration of electroconvulsive therapy provide up-to-date advice regarding the use of electroconvulsive therapy in clinical practice and are informed by evidence and clinical experience. The guidelines are intended for use by psychiatrists and also others with an interest in the administration of electroconvulsive therapy. The guidelines are not intended as a directive about clinical practice or instructions as to what must be done for a given patient, but provide guidance to facilitate best practice to help optimise outcomes for patients. The outcome is guidelines that strive to find the appropriate balance between promoting best evidence-based practice and acknowledging that electroconvulsive therapy is a continually evolving practice. Conclusion: The guidelines provide up-to-date advice for psychiatrists to promote optimal standards of electroconvulsive therapy practice.

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“…It is essential that clinicians identify pre-existing risk factors for poor outcomes, appropriately monitor maternal and foetal well-being before, during and after the procedure, and utilise effective preventative interventions. The location and team composition for conducting the ECT and what measures should be taken before, during and after the procedure to prevent maternal and foetal complications depend on the stage of pregnancy ( Lakshmana et al, 2014 ).…”

Section: Considerations In Special Groups and Situationsmentioning

confidence: 99%

Evidence-based consensus guidelines for the management of catatonia: Recommendations from the British Association for Psychopharmacology

et al. 2023

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The British Association for Psychopharmacology developed an evidence-based consensus guideline on the management of catatonia. A group of international experts from a wide range of disciplines was assembled. Evidence was gathered from existing systematic reviews and the primary literature. Recommendations were made on the basis of this evidence and were graded in terms of their strength. The guideline initially covers the diagnosis, aetiology, clinical features and descriptive epidemiology of catatonia. Clinical assessments, including history, physical examination and investigations are then considered. Treatment with benzodiazepines, electroconvulsive therapy and other pharmacological and neuromodulatory therapies is covered. Special regard is given to periodic catatonia, malignant catatonia, neuroleptic malignant syndrome and antipsychotic-induced catatonia. There is attention to the needs of particular groups, namely children and adolescents, older adults, women in the perinatal period, people with autism spectrum disorder and those with certain medical conditions. Clinical trials were uncommon, and the recommendations in this guideline are mainly informed by small observational studies, case series and case reports, which highlights the need for randomised controlled trials and prospective cohort studies in this area.

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Electroconvulsive Therapy in Pregnancy

Cited by 3 publications

References 48 publications

Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders

Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders

Royal Australian and New Zealand College of Psychiatrists professional practice guidelines for the administration of electroconvulsive therapy

Evidence-based consensus guidelines for the management of catatonia: Recommendations from the British Association for Psychopharmacology

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