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Since developing an interest in the use of electroconvulsive therapy (ECT) in late life, I have received correspondence from psychiatrists describing diffi culties in obtaining anaesthetics for elderly patients who are perceived as frail or physically unwell. Nevertheless, Pippard & Ellam (1981) found in their survey of the use of ECT in 1980that 37% of courses were given to people aged 60 years and over. I decided to survey old age psychiatrists' viewson ECT,

Old people and ECT: what difficulties are encountered in obtaining anaesthetics for the elderly?