Table 2 Details of ECT administration
ECT session | BL/UL | Mental Capacity | Dosea | Charge delivered (mC) | Current (A) | Frequency (Hertz) | Pulse width/ms | Stimulus duration/s | Seizure duration | Anaesthesia | Other information | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
Visual GTCS/s | EEG/s | |||||||||||
1 | BL | Consented | 10% did not elicit adequate seizure. Increased to 15% | 75.9 | 0.90 | 20 | 0.50 | 4.2 | 19 | 21 | Propofol 90 mg Suxamethonium 40 mg | 800 ml Hartmann’s solution IV given |
2 | BL | Section 62 | 15% | 75.7 | 0.90 | 20 | 0.50 | 4.2 | 20 | 23 | Propofol 70 mg Suxamethonium 35 mg | Unable to consent. Given under section 62 1 L Hartmann’s solution IV given |
3 | BL | Section 62 | 15% | 76.6 | 0.91 | 20 | 0.50 | 4.2 | 20 | 31 | Propofol 80 mg Suxamethonium 40 mg | 1 L Hartmann’s solution IV given |
4 | BL | T6 | 25% | 126.6 | 0.90 | 20 | 0.50 | 7.0 | 32 | 48 | Propofol 70 mg Suxamethonium 35 mg | 800 ml Hartmann’s solution IV given |
5 | BL | T6 | 25% | 126.7 | 0.91 | 20 | 0.50 | 7.0 | 15 | 38 | Propofol 70 mg Suxamethonium 35 mg | 1 L Hartmann’s solution IV given |
6 | BL | T6 | 25% did not elicit visual seizure. Increased to 35% | 177.7 | 0.91 | 30 | 0.50 | 6.5 | Not observed | 35 | Propofol 90 mg Suxamethonium 35 mg | Unable to obtain MMSE due to severe catatonia. 500 ml Hartmann’s solution IV given |
7 | BL | T6 | Increased to 55%, as no visual seizure in session 6 | 281.7 | 0.91 | 40 | 0.50 | 7.7 | 28 | 54 | Propofol 70 mg Suxamethonium 40 mg | Difficult to engage prior to treatment due to distress and agitation 500 ml Hartmann’s solution IV given |
8 | BL | T6 | 55% | 288.2 | 0.94 | 40 | 0.50 | 7.7 | 18 | 35 | Propofol 80 mg Suxamethonium 35 mg | Unable to obtain MMSE due to severe catatonia 500 ml Hartmann’s solution IV given |
9 | BL | T6 | 55% | 280.3 | 0.91 | 40 | 0.50 | 7.7 | 25 | 41 | Propofol 80 mg Suxamethonium 40 mg | |
10 | BL | T6 | 55% | 282.7 | 0.92 | 40 | 0.50 | 7.7 | 10 | 29 | Propofol 80 mg Suxamethonium 35 mg | |
11 | BL | T6 | 55% | 282.3 | 0.92 | 40 | 0.50 | 7.7 | 10 | 14 | Propofol 80 mg Suxamethonium 40 mg | 500 ml IV 0.9% saline given |
12 | BL | T6 | 75% | 379.0 | 0.90 | 60 | 0.50 | 7.0 | 20 | 30 | Propofol 80 mg Suxamethonium 40 mg | |
13 | BL | T6 | 75% | 378.0 | 0.90 | 60 | 0.50 | 7.0 | 9 | 27 | Propofol 80 mg Suxamethonium 40 mg | |
14 | BL | T6 | 75% | 377.6 | 0.90 | 60 | 0.50 | 7.0 | 20 | 26 | Propofol 80 mg Suxamethonium 40 mg | |
15 | BL | T6 | 75% | 377.6 | 0.90 | 60 | 0.50 | 7.0 | 5 | 19 | Propofol 80 mg Suxamethonium 40 mg | |
16 | BL | T6 | 75% | 380.4 | 0.91 | 60 | 0.50 | 7.0 | 11 | 33 | Propofol 100 mg Suxamethonium 40 mg | |
17 | BL | T6 | 75% | 380.2 | 0.91 | 60 | 0.50 | 7.0 | 15 | 17 | Propofol 100 mg Suxamethonium 40 mg | |
18 | Cancelled due to pyrexia of 37.7 C° pre-ECT. COVID-19 was suspectedb. | |||||||||||