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 Table of Contents    
Year : 2015  |  Volume : 57  |  Issue : 2  |  Page : 219
ECT administration manual, 2 nd Edition

Department of Psychiatry, N. K. P. Salve Institute of Medical Sciences, Nagpur, Maharashtra, India

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Date of Web Publication4-Jun-2015

How to cite this article:
Kirpekar V. ECT administration manual, 2 nd Edition. Indian J Psychiatry 2015;57:219

How to cite this URL:
Kirpekar V. ECT administration manual, 2 nd Edition. Indian J Psychiatry [serial online] 2015 [cited 2020 Aug 3];57:219. Available from:

Edited by:
Bangalore N. Gangadhar, A. Shyam Sundar, Jagadisha Thirthalli, Shivarama Varambally, Kesavan Muralidharan, C. Naveen Kumar, Preeti Sinha, Biju Viswanath
Edition: 2nd Edition
Published in 2013
Publisher name and address: Nimhans Publication, National Institute of Mental Health & Neurosciences, Bangalore - 560 029, Karnataka, India
Pages: 60, Price: Rs. 200/-
ISBN: 81-86442-00-X

This small book is a 'must have' manual written in a lucid English. Every psychiatry student should read this practical manual many times during his residency to master the techniques of giving correct ECT.

Professor Bangalore N. Gangadhar and his team need appreciation for bringing out this hands-on manual of electroconvulsive therapy (ECT). At a time when the numbers of ECT going down because of consumer related issues, this manual definitely puts you back to this useful modality of treatment in psychiatry. The book has proposed uniformity in the ECT procedures all over the country. The framework proposed is simple and can be implemented anywhere in India.

Book has been nicely divided into three parts. First part describes the basics of stimulus. It answers to questions like how to calculate the stimulus intensity, electrode placements and all the indications and contraindications for ECT use.

Practical issues like how long the person should remain NBM? Can we give ECTs on outpatient department basis? Where to tie the cuff to assess the convulsive nature of ECT are the simple but important issues that have been nicely put forth by the authors. The lists mentioning the drugs and equipment to be kept in ECT room are also complete. Pharmacotherapy during the procedure and how to withhold drugs is also explained. The tables showing assessment of patient parameters can be definitely made into a large poster and put in the recovery room.

In the third segment, the book describes the use of ECT in special situations like comorbid physical illness, pregnancy, childhood and old age and all the precautions to be followed.

The manual ends with necessary forms, checklists, records and questionnaires for assessment of memory.

If at all I can ask the authors for some improvisation in the next edition, I would like them to add some tips on troubleshooting and day-to-day maintenance of the ECT machine.

In my opinion, this is a must-have manual for your setup if you believe in the efficacy of ECT. It is a treasure-trove costing just ₹ 200.

Correspondence Address:
Vivek Kirpekar
Department of Psychiatry, N. K. P. Salve Institute of Medical Sciences, Nagpur, Maharashtra
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Source of Support: None, Conflict of Interest: None

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