OBJECTIVE: To review the literature on the definition of aerosol-generating procedures (AGPs), identify high-risk AGPs, guidelines to use personal protective equipment (PPE) and review evidence to see if electroconvulsive therapy (ECT) is a high-risk AGP requiring the use of PPE .
METHODS: Existing guidelines and research data were reviewed to answer the questions .
RESULTS: There is consensus about the type of anaesthesia used during ECT, what constitutes AGPs and what PPE should be used . It was not clear if ECT was an AGP, but we argue that it is one based on evidence .
CONCLUSION: We conclude that ECT is an AGP and that it requires the appropriate use of PPE after taking in to account local supply and demand.