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Psychiatric Bulletin (2003) 27: 156. doi: 10.1192/pb.27.4.156-a
© 2003 The Royal College of Psychiatrists
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Psychiatric Bulletin (2003) 27: 156
© 2003 The Royal College of Psychiatrists

Correspondence

Good practice of ECT administration

Tom MacEwan, Consultant in Old Age Psychiatry

Old Age Psychiatry Directorate, Royal Cornhill Hospital, Clerkseat Building, Aberdeen, AB25 2ZH

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 (Robertson 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.[Abstract/Free Full Text]





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