19-Jul-2014
VISAKHAPATNAM: With the Bill to conduct electroconvulsive therapy (ECT) under 
anaesthesia for mentally ill patients all set to become a law, medical experts 
point to the need for creating posts of qualified anaesthetists at 
government-run mental hospitals.

In fact, with several ECTs being held per day at government mental hospitals, 
doctors feel it is important to set up anaesthesia units in each mental 
hospital.
For instance, at the Government Hospital for Mental Care (GHMC), Vizag, around 
20 patients are administered ECT daily and once the Bill becomes a law, it 
would becoming mandatory to conduct the ECT in the presence of not just a 
psychiatrist but also a qualified anaesthetist. The anaesthesia dose has to be 
given for a few minutes, say three to five minutes, but has to be administered 
by a qualified anaesthetist.
"We have already started conducting ECT under general anaesthesia by making 
temporary arrangements for anaesthetists since there was a vacancy for two 
psychiatrists. So, those two vacant posts are held by anaesthetists now. But 
once regular psychiatrists are posted, we will immediately need sanctioning of 
posts for anaesthetists," said GHMC superintendent Dr N N Raju.
"In fact, we have sent proposal to the government to set up a four-member 
anaesthesia unit that will include a post graduate student too," added the 
psychiatrist.
Dr A Satyanarayana, head of the department of anaesthesia at King George 
Hospital (KGH), also pointed to the need for immediate sanctioning of posts. 
"At KGH, we are the second largest department after gynaecology comprising 
around 30 anaesthetists. But overall in the country, there's a dearth of 
anaesthetists. They are not distributed proportionately in the area or district 
hospitals in psychiatry and other wings. With ECT under general anaesthesia to 
be made mandatory soon, if posts aren't sanctioned now, anaesthetists from 
other general hospitals will have to be called in to conduct ECT in psychiatric 
care centres, which will create confusion and problems," he said.

http://timesofindia.indiatimes.com/city/visakhapatnam/Anaesthetists-needed-in-govt-run-mental-hospitals/articleshow/38636908.cms
 
                                                                                
  

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