Document Detail

Delivery of Electroconvulsive Therapy in Canada: A First National Survey Report on Devices and Technique.
MedLine Citation:
PMID:  23519223     Owner:  NLM     Status:  Publisher    
OBJECTIVE: Electroconvulsive therapy (ECT) is an effective treatment for mood and other psychiatric disorders. Despite widespread use, the specifics of ECT practice in Canada are largely unknown. A nationwide survey designed to document current delivery was therefore conducted. METHOD: One hundred seventy-five Canadian ECT delivery sites were identified. A detailed questionnaire (13 pages, 76 questions grouped in 11 subheadings) was developed, translated into French, piloted, and then forwarded to all ECT centers. RESULTS: Return rate for the full questionnaire was 61%. Wide-ranging information pertaining to ECT was gathered. This article, which addresses the data specifically pertaining to ECT devices, electrical stimulus parameters and electrode placements, showed that many core aspects of ECT practice in Canada are in keeping with current recommendations. The use of old sine wave devices is virtually nonexistent. Electroencephalographic (EEG) monitoring of seizures is widespread. CONCLUSIONS: Specific concerns were identified, including the need for access to back-up devices at all centers, the lack of ECT credentialing requirements by Canadian hospitals, and a striking variation in dosing practices. An audit of Canadian practice and the development of a National Standards Document would be an essential next undertaking.
Caroline Gosselin; Peter Graf; Roumen Milev; Nicholas Delva; James Stuart Lawson; Murray Enns; Ian Gilron; Barry Martin; Peter Chan; Simon Patry; Mark Jewell
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-3-20
Journal Detail:
Title:  The journal of ECT     Volume:  -     ISSN:  1533-4112     ISO Abbreviation:  J ECT     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-3-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9808943     Medline TA:  J ECT     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
From the Departments of *Psychiatry and †Psychology, University of British Columbia (UBC), Vancouver; ‡Departments of Psychiatry and Psychology, Queen's University, Kingston; §Department of Psychiatry, Dalhousie University,Halifax; ∥Department of Psychiatry, Queen's University, Kingston ¶Department of Psychiatry, University of Manitoba, Winnipeg; #Departments of Anesthesiology and Perioperative Medicine and Biomedical and Molecular Sciences, Queen's University, Kingston; **Department of Psychiatry, University of Toronto, Toronto; ††Department of Psychiatry, UBC, Vancouver; ‡‡Department of Psychiatry, Laval University, Quebec City and §§Addiction and Mental Health, Alberta Health Services, Edmonton, Canada.
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