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Electroplexy (E.C.T.) Techniques in Current Use

A Report of a Questionnaire Recently Circulated to Hospitals

Banstead Hospital, Sutton, Surrey

ABSTRACT

1. At a recent court case a number of psychiatrists failed to agree upon a uniform technique of electroplexy, as a result of which the plaintiff lost his case.
   
2. Previous writers presented a confusing picture concerning techniques of E.C.T. administration, and it was considered important to ascertain which techniques were in current practice at various mental hospitals and teaching centres in this country, and to obtain other useful data.
   
3. A questionnaire was sent out. This showed that opinions were sharply divided about the best technique of giving E.C.T. and whether an anaesthetist should or should not be in attendance. At some 60 per cent. of the hospitals contacted, E.C.T. was modified with Pentothal and Scoline, and at 85 per cent. relaxants were used. These findings were considered to be of value should any further cases of litigation arise.
   
4. The results were discussed in detail, and were taken to indicate the necessity for obtaining proper scientific data concerning the most satisfactory technique of giving E.C.T. A research scheme on these lines is at present in progress at Banstead Hospital. Future studies should include female as well as male patients.