ECT in Standalone Psychiatry Hospital

You are working in a standalone psychiatry hospital covering a colleague's electroconvulsive therapy (ECT) list. The first patient is a 53-year-old anaesthetist colleague with severe depression who has been booked for ECT titration (first ECT treatment). You review her in her room prior to the start of the ECT list. She is visibly upset. Medical history Type 2 diabetes mellitus Hypertension Paroxysmal atrial fibrillation Medications Candesartan 16 mg daily Rivaroxaban 10 mg daily Venlafaxine 75 mg daily