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Related Concept Videos

Electroconvulsive Therapy01:30

Electroconvulsive Therapy

513
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
513

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Electroconvulsive therapy protocol adaptation during the COVID-19 pandemic.

Joaquín Gil-Badenes1, Ricard Valero2, Marc Valentí3

  • 1Bipolar and Depressive Disorders Unit, Hospital Clínic de Barcelona, Catalonia, Spain; Barcelona Clínic Schizophrenia Unit, Hospital Clínic de Barcelona, Catalonia, Spain; Department of Psychiatry and Psychology, Hospital Clínic de Barcelona, Catalonia, Spain; Institute of Neuroscience (ICN), Hospital Clínic de Barcelona, Catalonia, Spain; Hospital Clínic de Barcelona, 170 Villarroel St., 08036 Barcelona, Catalonia, Spain.

Journal of Affective Disorders
|July 23, 2020
PubMed
Summary

Electroconvulsive therapy (ECT) protocols were developed to ensure patient and professional safety during the COVID-19 pandemic. These guidelines address infectious hazards and resource limitations for ECT units.

Keywords:
COVID-19CoronavirusECTElectroconvulsive therapyProtocolSARS-CoV-2

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Area of Science:

  • Neuroscience
  • Infectious Disease Control
  • Healthcare Management

Background:

  • The COVID-19 pandemic presented significant challenges to electroconvulsive therapy (ECT) units, including infectious risks from aerosol-generating procedures and resource scarcity.
  • These challenges necessitated the development of specific safety protocols to protect both patients and healthcare professionals.

Purpose of the Study:

  • To create a comprehensive protocol for conducting electroconvulsive therapy (ECT) safely during the COVID-19 pandemic.
  • To provide a framework for ECT units to adapt their practices in response to pandemic-related risks and resource constraints.

Main Methods:

  • A multidisciplinary team, including mental health, anesthesia, and occupational risk professionals, was assembled.
  • A review of scientific literature and guidelines was conducted, followed by consensus-building discussions to draft and refine the protocol.
  • The protocol was designed to be continuously updated based on evolving pandemic conditions.

Main Results:

  • The developed protocol encompasses structural and functional considerations for ECT units.
  • Key components include SARS-CoV-2 screening, adaptations in clinical practice (PPE, airway management, recovery), and management strategies for COVID-19 cases.
  • The protocol also outlines a system for ongoing assessment and improvement.

Conclusions:

  • Electroconvulsive therapy (ECT) remains a vital medical procedure and should be continued during pandemics.
  • Each ECT unit is encouraged to develop a tailored protocol, using this proposal as a reference.
  • Implementation may be challenging due to resource limitations and the need for local adaptation.