Accessibility Page Navigation
Style sheets must be enabled to view this page as it was intended.
The Royal College of Psychiatrists Improving the lives of people with mental illness
 ECTAS logo

 

 

The ECTAS Discussion Forum

ECTAS operates an email discussion forum which is open to staff from member services.  The forum comprises of over 600 professionals including psychiatrists, anaesthetists, nurses and ODPs, as well as patients who are ECTAS peer reviewers or members of ECTAS committees.  The forum is a frequently used resource where staff can seek advice and expertise from peers across the UK.

ECTAS maintains a library of the discussions from the forum, extending back over 10 years.  ECTAS member services can request these discussions by contacting the ECTAS project team

Please note that when requesting discussions, they may be some years old (all discussions are dated).  If you require more up-to-date advice, please do use the email discussion group.

Please click on the link below to see a list of topics under each category.

Administering treatment

  • Bifrontal ECT
  • Concave paddles (use of)
  • Consenting patients for unilateral/bilateral
  • Dose titration
  • Impedance
  • Inadequate seizures
  • Seizure threshold
  • Ultra-brief pulse treatment
  • Unilateral vs bilateral treatment

Anaesthetic issues

  • Anaesthetic machines
  • Asystole
  • Bradycardia
  • Breathing circuit
  • Capnography
  • Consent to anaesthesia
  • Consultant anaesthetist input
  • Intubation
  • Ketamine as an anaesthetic agent
  • Maintaining anaesthesia
  • Malignant hyperpyexia
  • Malignant hyperthermia
  • Methohexitone
  • Prolonged QTC
  • Pseudocholinesterase
  • Rivaroxaban
  • Sedation prior to ECT
  • Subdurals
  • Use of volatile agents and infusion pumps
  • Ventricular tachycardia

Assessment tools

  • ACE-III
  • Capacity assessments
  • Cognitive assessments
  • Depression rating scales
  • Measuring time to orientation
  • MMSE
  • Measuring subjective experience
  • Post-ECT audit tools
  • Valid attitude scales

Clinic equipment

  • Back up ECT machines
  • Cleaning ECT paddles
  • EEG skin prep wipes
  • EEG traces (paper copies)
  • Electrode gel
  • Infection control policy
  • Mouth guards
  • Old ECT machines
  • Support cushions
  • Thymatron servicing
  • Trolleys

Clinical issues

  • Acoustic neuroma
  • Agitation/aggression
  • Alzheimer's
  • Anorexia
  • Aortic stenosis
  • BMI (high)
  • Bone graft
  • Brain injury
  • Burns (recent) 
  • Catatonia (frequency of treatment; anaesthesia)
  • Clavicle fracture
  • Cochlear implant/hearing aids
  • Corneal abrasions
  • Delusional disorder
  • Dementia
  • Detached retina
  • Driving (during the course)
  • DVT
  • Epilepsy
  • Frontal lobe dementia
  • Haematomas
  • High dose benzodiazepines
  • Implant in temporal area
  • Intracerebral clip
  • Intracranial metal objects
  • Macro adenoma
  • Medication cessation
  • Multiple sclerosis
  • Myoclonic jerks
  • Neuroleptic malignant syndrome
  • Non-convulsive status epilepticus
  • Pacemaker
  • Parkinsons
  • Pituitary tumors
  • Post-epileptic catatonia
  • Post-natal psychosis
  • Pregnancy
  • Stroke (patient with history of)
  • Young people (under 18)

ECT & the media

  • 'Call The Midwife'
  • Participation in TV programmes

ECT away from the base clinic

  • Remote sites
  • District general hospitals/theatres
  • Mobile units
  • Transporting patients from one site to another/travelling to the ECT suite

Observing treatment

  • People observing treatment; relatives; medical students; students of other disciplines.

Legislation & guidelines

  • Advance directives
  • Capacity & consent (a variety of discussions available, including consent to anaesthesia)
  • Community Treatment Orders
  • Form T6
  • NICE guidelines
  • Section 62
  • SOAD

Logistics

  • Amalgamating clinics
  • Carer involvement
  • Clinic catchment area
  • Cost of treatment
  • One-stop clinics
  • Staffing
  • Throughput (safe levels)

Maintenance ECT

  • Agitated depression
  • Catatonia
  • Consent to treatment
  • Recurring mania

Staff training

  • GPs
  • Junior doctors - training & assessment
  • Life support training
  • Recovery nurses
  • Update training for administering doctors

 


 

ECTAS, 21 Prescot Street, London, E1 8BB 

Tel: 020 3701 2653   Fax: 020 3701 2761  Email:  ectas@rcpsych.ac.uk

Disclaimer

 

 

 

 

Login - Members Area

If you don't have an account please Click here to Register

Make a Donation

 

 

 

 

Where next....

 

ECTAS