Little John, Munday Jo, Atkins Martin
University of Melbourne and Monash University, Grampians Psychiatric Services, Ballarat, Vic., Australia.
Australas Psychiatry. 2005 Jun;13(2):140-7. doi: 10.1080/j.1440-1665.2005.02177.x.
Specific guidelines, ongoing controversies in technique and audit reviews have made clinicians wary about continuing in electroconvulsive therapy (ECT). This paper attempts to reassure practitioners by incorporating such changes into a simple approach to ECT based on outcomes equivalence.
A selected compilation of the recent literature was used to describe a model for starting and/or continuing an effective ECT service.
It was suggested that a useful way of approaching ECT service delivery is to focus on what is actually important, getting patients better, and to do so within the context and capability of each hospital.
ECT is a changing field. Remaining true to the core principles of clinical practice, patient selection and technique, provides a basis for beginning, continuing and further developing an effective ECT service.
特定指南、技术方面持续存在的争议以及审计审查使临床医生对继续进行电休克治疗（ECT）持谨慎态度。本文试图通过将这些变化纳入基于疗效等效性的简单ECT治疗方法中，让从业者安心。
选用近期文献的汇编来描述启动和/或持续开展有效ECT服务的模式。
有人提出，开展ECT服务的一种有效方式是关注真正重要的方面，即让患者病情好转，并在每家医院的实际情况和能力范围内做到这一点。
ECT是一个不断变化的领域。坚持临床实践、患者选择和技术的核心原则，为启动、持续开展和进一步发展有效的ECT服务提供了基础。
