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.
TABLE OF CONTENTS
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 2.6|12 pages
Clinical indications: children and adolescents
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
chapter Section 3.1|13 pages
Setting up an ECT service/clinical governance
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