COVID-19 and Mental Health (CMH) Initiative: Research
Developing a Rational Approach Towards Offering Procedural Interventions (ECT and rTMS) for At-risk Populations in Psychiatry During the COVID-19 Pandemic: An Interdisciplinary Evidence Synthesis
Key Messages
A systematic triage system by the ECT team is required to optimize ECT caseload. Screening for COVID-19 symptoms is essential, there is possibility of asymptomatic carriers, and everyone in the ECT treatment room must consistently use Personal Protective Equipment (PPE) and adhere to protocols developed in collaboration with Anesthesia/Infection Control. A negative pressure room and/or intubation may be suggested or required for COVID-19 patients. For rTMS, consider a phase-based 11-step checklist (spanning modifying in-person protocols, using telemedicine, and addressing COVID-19 associated adverse events) and consider accelerated protocols as described in Bikson M et al, Brain Stimulation 13 (2020) 1124-1149.
Keywords
- COVID-19
- Depression
- Mood Disorders
- Electroconvulsive therapy
- rTMS
- Anesthesia
- Day procedure
- Outpatient procedures
- Short procedures
- Infection Prevention & Control
Author(s)
- Nominated Principal Applicant: Venkat Bhat, St. Michael’s Hospital, UnityHealth Toronto & Toronto Western Hospital, University Health Network
- Daniel Blumberger, Centre for Addiction & Mental Health
- Alastair Flint, University Health Network
- Jeff Daskalakis, Centre for Addiction & Mental Health
- Sagar Parikh, University of Michigan, Ann Arbor
- Melanie Anderson, University Health Network
- Keyvan Karkouti, University Health Network
- Karen Foley, University Health Network
- Alon Vaisman, University Health Network
- Sidney Kennedy, University Health Network
- Salima Ladak, University Health Network
- Jamie Robertson, UnityHealth Toronto
- Karim Ladha, UnityHealth Toronto
- David Koczerginski, Association of General Hospital Psychiatric Services
For more information, please contact: Jackie Jagoda, Jackie.jagoda@unityhealth.to
Related Syntheses
- Knowledge Synthesis for Mechanistic and Targeted In-Person and Digital Social-Connection Intervention for Wellness and Resilience in Older Adults in Pandemic Context and Beyond
- An Evidence Synthesis Service to Support Ontario’s Mental Health and Addictions Centre of Excellence
- Niikaniganaw (All My Relations) Ii – the COVID-19 Rapid Response: Indigenous Approaches to Synthesizing Knowledge for Culturally-safe and Stigma Free Mental Health Care for Under-served Indigenous Communities in Ottawa-Gatineau
Population
Chronic Disease and/or Mental Illnes
Language
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