ArticlePsychotherapy and psychosomatics2020
Modified Anesthesia Protocol for Electroconvulsive Therapy Permits Reduction in Aerosol-Generating Bag-Mask Ventilation during the COVID-19 Pandemic.
Article in Psychotherapy and psychosomatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed.
- Electroconvulsive Therapy and Hyperventilation: A Narrative Review.Life (Basel, Switzerland) · 2025Review
- Tolerability and Clinical Outcomes With Anesthesia Dose Reduction During Electroconvulsive Therapy.JAMA network open · 2025Article
- Impact of COVID-19 on electroconvulsive therapy practice across Canadian provinces during the first wave of the pandemic.BMC psychiatry · 2023Article
- Anesthetic care for electroconvulsive therapy.Anesthesia and pain medicine · 2022Review
- The Impact of COVID-19 on Brain Stimulation Therapy.The Psychiatric clinics of North America · 2022Review
- An Online Survey About Electroconvulsive Therapy in Japan During the COVID-19 Pandemic: Comparison of Early and Recent Stages.Neuropsychiatric disease and treatment · 2022Article
- Psychotropics and COVID-19: An analysis of safety and prophylaxis.L'Encephale · 2021Article
- ECT: A decision to decrease risks during COVID-19 pandemic.Revista de psiquiatria y salud mental · 2021Article
- Ventilation Adjustment in ECT During COVID-19: Voluntary Hyperventilation is an Effective Strategy.Neuropsychiatric disease and treatment · 2021Article
- Electroconvulsive Therapy Practice Changes in Older Individuals Due to COVID-19: Expert Consensus Statement.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2020Article
- ECT: A decision to decrease risks during COVID-19 pandemic.Revista de psiquiatria y salud mentalArticle
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
introductionElectroconvulsive therapy (ECT) is a critical procedure in psychiatric treatment, but as typically delivered involves the use of bag-mask ventilation (BMV), which during the COVID-19 pandemic exposes patients and treatment staff to potentially infectious aerosols.
objectiveTo demonstrate the utility of a modified anesthesia protocol for ECT utilizing preoxygenation by facemask and withholding the use of BMV for only those patients who desaturate during the apneic period.
methodsThis chart review study analyzes patients who were treated with ECT using both the traditional and modified anesthesia protocols.
resultsA total of 106 patients were analyzed, of whom 51 (48.1%) required BMV using the new protocol. Of clinical factors, only patient BMI was significantly associated with the requirement for BMV. Mean seizure duration reduced from 52.0 ± 22.4 to 46.6 ± 17.1 s, but seizure duration was adequate in all cases. No acute physical, respiratory, or psychiatric complications occurred during treatment.
conclusionsA modified anesthesia protocol reduces the use of BMV by more than 50%, while retaining adequate seizure duration.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.