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Good practice of ECT administration

Published online by Cambridge University Press:  02 January 2018

Tom MacEwan
Tom MacEwan*
Affiliation:
Old Age Psychiatry Directorate, Royal Cornhill Hospital, Clerkseat Building, Aberdeen, AB25 2ZH
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Psychiatric Bulletin , Volume 27 , Issue 4 , April 2003 , pp. 156
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Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Copyright © Royal College of Psychiatrists, 2003

Dr Mahapatra is correct in his assertion that the method of ECT administration in the audit described was common practice at that time. Indeed in one survey (Reference Robertson, Freeman and FergusonRobertson et al, 1997), 58% of clinics in Scotland did not use the cuff technique.

One of the purposes of audit was to examine the effects of a different ECT machine and further training on rates of missed fits. A significant reduction in missed fits was observed.

As discussed in my paper, stimulus titration and EEG monitoring could be considered in future practice and further audit could be carried out.

References

Robertson, C., Freeman, C. P. L. & Ferguson, G. (1997) ECT in Scotland. Psychiatric Bulletin, 21, 699–702.Google Scholar
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