ECT in the time of the COVID-19 pandemic

Australas Psychiatry. 2020 Oct;28(5):527-529. doi: 10.1177/1039856220953705. Epub 2020 Sep 13.

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.

Keywords: COVID-19; aerosol-generating procedure; electroconvulsive therapy; personal protective equipment.

MeSH terms

  • Anesthesia / methods*
  • Betacoronavirus
  • COVID-19
  • Coronavirus Infections / prevention & control*
  • Electroconvulsive Therapy / methods*
  • Humans
  • Pandemics / prevention & control*
  • Personal Protective Equipment*
  • Pneumonia, Viral / prevention & control*
  • SARS-CoV-2