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Changes in practice of ECT: a follow-on study

  • Kate Trezise (a1)
Abstract
Aims and method

A retrospective case note study examining the effects of increased supervision on practice of electroconvulsive therapy (ECT).

Results

Increasing the level of supervision of ECT sessions was associated with patients receiving on average almost two fewer treatment applications per course of ECT.

Clinical implications

The risk of treatment is reduced because patients receive fewer anaesthetics, and they may be discharged home sooner. Such improvements in ECT practice should be relatively easily achievable in many ECT clinics.

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Copyright
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.
References
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Feighner, J. P. & Boyer, W. F. (1991) Selective Serotonin Reuptake Inhibitors: The Clinical Use of Citalopram, Fluoxetine, Fluvoxamine, Paroxetine and Sertraline. Chichester: John Wiley.
Markowitz, J. C. & Brown, R. P. (1987) Seizures with neuroleptics and antidepressants. General Hospital Psychiatry, 9, 135141.
Pettinati, H. M., Stephens, S. M., Willis, K. M., et al (1996) Evidence for less improvement in depression in patients taking benzodiazepines during unilateral ECT. American Journal of Psychiatry, 147, 10291035.
Royal College of Psychiatrists (1995) The ECT Handbook (Council Report CR39). London: Royal College of Psychiatrists.
Strömgren, L., Dahl, J., Fjeldbeg, N., et al (1980) Factors influencing seizure duration and number of seizures applied in unilateral electroconvulsive therapy. Acta Psychiatrica Scandinavica, 62, 158165.
Trezise, K. & Conlon, B. (1997) Effects of changes in practice of electroconvulsive therapy over a two year period. Psychiatric Bulletin, 21, 1012.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Changes in practice of ECT: a follow-on study

  • Kate Trezise (a1)
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