ABSTRACT

Electroconvulsive Therapy (ECT) remains one of the most effective forms of neurostimulation for severe mental illness. Sound scientific research underpins contemporary practice challenging the complex history and stigma that surround this treatment.

The Electroconvulsive Therapy Workbook integrates the history of ECT with major advances in practice, including ultrabrief ECT, in a hands-on workbook format. Novel forms of neurostimulation are reviewed, highlighting the future directions of practice in this exciting area. The book is also richly illustrated with historical and technical images and includes ‘clinical wisdom’ sections that provide the reader with clinical insights into ECT practice. Online eResources are also available, featuring a wide range of questions and answers related to each chapter to help test and consolidate readers’ understanding of ECT, as well as regionally specific legislation governing ECT practice in Australia and New Zealand.

This comprehensive introduction to ECT is a must-read for doctors in training, psychiatrists who require credentialing in this procedure, anaesthetists, nursing staff who work in ECT and other professionals who have an interest in ECT as well as consumer and carer networks.

part CHAPTER 1|20 pages

Introduction

chapter Section 1.1|8 pages

Overview

chapter Section 1.2|3 pages

Definition

chapter Section 1.3|7 pages

Equipment

part CHAPTER 2|118 pages

Knowledge

chapter Section 2.1|10 pages

History: treatment of mental illness

chapter Section 2.2|9 pages

History: ECT

chapter Section 2.3|11 pages

Major advances in ECT practice

chapter Section 2.4|6 pages

Mechanism of action

chapter Section 2.5|21 pages

Clinical indications for ECT: adults

chapter Section 2.7|5 pages

Clinical indications: older people

chapter Section 2.8|3 pages

Efficacy of ECT

chapter Section 2.9|4 pages

Contraindications for ECT

chapter Section 2.10|35 pages

Brain stimulation: new directions

part CHAPTER 3|16 pages

Organisational/administrative skills

part CHAPTER 4|96 pages

Clinical skills

chapter Section 4.1|7 pages

The sequence of ECT

chapter Section 4.2|23 pages

Adverse events of ECT

chapter Section 4.3|31 pages

Medical risks and management

chapter Section 4.4|16 pages

Drug interactions

chapter Section 4.5|17 pages

Tips for clinical practice

part CHAPTER 5|98 pages

Technical skills

chapter Section 5.1|14 pages

ECT technique

chapter Section 5.2|19 pages

Electrode placement

chapter Section 5.3|7 pages

Stimulus dosing strategies

chapter Section 5.4|18 pages

The stimulus

chapter Section 5.5|18 pages

Electroencephalogram (EEG)

chapter Section 5.6|11 pages

Anaesthesia for ECT

chapter Section 5.7|9 pages

ECT devices: set-up procedure

part CHAPTER 6|12 pages

Ambulatory ECT, continuation ECT and maintenance ECT

chapter Section 6.1|10 pages

ECT after completion of the index course

part CHAPTER 7|8 pages

The ECT nurse and the ECT coordinator

chapter Section 7.1|6 pages

Nurses: key members of the ECT team

part CHAPTER 8|10 pages

ECT: the lived experience

chapter Section 8.1|8 pages

Consumer perspectives

part CHAPTER 9|42 pages

Scenario-based problems

chapter Section 9.1|5 pages

Postictal delirium and ECT

chapter Section 9.4|8 pages

Fear of ECT

chapter Section 9.6|10 pages

EEG challenges: what should you do next?