Successful Electroconvulsive Therapy in a Patient With Confirmed, Symptomatic COVID-19

Braithwaite, Richard; McKeown, Hollie L; Lawrence, Victor; Cramer, Oliver

doi:10.1097/yct.0000000000000706

Cited by 12 publications

(19 citation statements)

References 4 publications

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“… Patients should be masked in recovery. International Author, Year Type of Article Group/Specialty Aim/Purpose ECT Practice Modifications Braithwaite, 2020 10 United Kingdom Case report Psychiatry To describe successful ECT in a 67-year old male with life threatening severe major depression with catatonia, who was positive for SARS-CoV-2 with active symptoms and radiological evidence of pneumonitis. 6 bitemporal ECT twice weekly.…”

Section: Resultsmentioning

confidence: 99%

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Electroconvulsive Therapy Practice Changes in Older Individuals Due to COVID-19: Expert Consensus Statement

Lapid

Seiner

Heintz

et al. 2020

The American Journal of Geriatric Psychiatry

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Highlights What is the primary question addressed by this study? How have ECT practices changed to adapt to public health guidelines for treating older adults amidst the coronavirus 2019 (COVID-19) pandemic? What is the main finding of this study? Electroconvulsive therapy (ECT) continues to be an essential treatment for older adults with severe mental illness, and extensive infection control and public health measures are being taken to mitigate risk of transmission while sustaining operations. What is the meaning of the finding? Substantial changes to ECT practices are anticipated to be long-standing and will likely evolve further in response to availability of testing and treatment for COVID-19.

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Section: Resultsmentioning

confidence: 99%

“…However, in Belgium patients with COVID-19 continue to receive ECT with a special treatment schedule, 9 and a single case report in the UK described successful ECT treatment of a patient with severe catatonia who was ill with COVID-19. 10 …”

Section: Ect Operationsmentioning

confidence: 99%

Electroconvulsive Therapy Practice Changes in Older Individuals Due to COVID-19: Expert Consensus Statement

Lapid

Seiner

Heintz

et al. 2020

The American Journal of Geriatric Psychiatry

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“…Most groups advised avoiding ECT in Covid-19 positive cases for the first two weeks unless it is urgent and life-saving due to the risk of infection spread ( Flexman et al, 2020 ; Gil-Badenes et al, 2020 ; Lapid et al, 2020 ; Ramakrishnan et al, 2020 ). Conversely, COVID-19 positive patients have received ECT successfully in tertiary care hospitals without the above restrictions ( Sienaert et al, 2020 ), even during the symptomatic phase of COVID-19 infection ( Braithwaite et al, 2020 ). Furthermore, many added information regarding the possible risks of contracting COVID-19 disease to the informed consent ( Burhan et al, 2020 ; Lapid et al, 2020 ).…”

Section: Review Of Recommendations/suggestions For Ect Across the World During Covid-19 Pandemicmentioning

confidence: 99%

“…The risk of aerosolization remains similar in both techniques, and it may avoid the need for invasive airway management/ BMV ( Thiruvenkatarajan et al, 2020a , b , Li et al, 2020 ). Few centers prefer placing an endotracheal tube (ETT) for airway management ( Braithwaite et al, 2020 ). Though ETT and LMA can provide better oropharyngeal/airway seal, maintain closed-loop ventilation, prevent the need of BMV and allow the anesthesiologist to maintain a safe distance from the patient, higher incidence of cough during recovery and subsequent aerosolisation negates the benefits.…”

Section: Review Of Recommendations/suggestions For Ect Across the World During Covid-19 Pandemicmentioning

confidence: 99%

Electroconvulsive therapy services during COVID-19 pandemic

Surve

Sinha

Baliga

et al. 2021

Asian Journal of Psychiatry

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The COVID-19 pandemic has hit the electroconvulsive therapy (ECT) services hard worldwide as it is considered an elective procedure and hence has been given less importance. Other reasons include the risk of transmission of infections, lack of resources, and the scarcity of anesthesiologists due to their diversion to intensive care units to manage COVID-19 patients. However, ECT is an urgent and life-saving measure for patients diagnosed with depression and other severe mental illnesses who have suicidality, catatonia, or require a rapid therapeutic response. COVID-19 pandemic is a significant source of stress for individuals due to its impact on health, employment, and social support resulting in new-onset psychiatric illnesses and the worsening of a pre-existing disorder. Hence, a continuation of the ECT services during the COVID-19 pandemic is of paramount importance. In this narrative review, the authors from India have compiled the literature on the ECT practice during the COVID-19 pandemic related to the screening and testing protocol, necessity of personal protective equipment, modification in ECT Suite, electrical stmulus settings, and anesthesia technique modification. The authors have also shared their experiences with the ECT services provided at their institute during this pandemic. This description will help other institutes to manage the ECT services uninterruptedly and make ECT a safe procedure during the current pandemic.

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“…In this article, we will limit our discussion to 6 valuesproportionality, the duty to provide care, equity, solidarity, as well as transparency and inclusiveness-because these have been most at issue in recent publications about providing ECT in the pandemic. [16][17][18] This should not be taken to imply that other values are not relevant. For example, individual liberty and protection of the public from harm might have been particularly salient if clinicians were planning to require ECT recipients to quarantine before and between ECT sessions or to make patients' access to ECT contingent on their adherence to public health recommendations in other ways.…”

mentioning

confidence: 99%

Ethical Considerations in Providing Electroconvulsive Therapy during the COVID-19 Pandemic

et al. 2021

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Successful Electroconvulsive Therapy in a Patient With Confirmed, Symptomatic COVID-19

Cited by 12 publications

References 4 publications

Electroconvulsive Therapy Practice Changes in Older Individuals Due to COVID-19: Expert Consensus Statement

Electroconvulsive Therapy Practice Changes in Older Individuals Due to COVID-19: Expert Consensus Statement

Electroconvulsive therapy services during COVID-19 pandemic

Ethical Considerations in Providing Electroconvulsive Therapy during the COVID-19 Pandemic

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