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[Anesthesia for electroconvulsive therapy: propofol versus thiopental]
A Harti1, B Hmamouchi, H Idali
1Service d'Anesthésie-Réanimation Chirurgicale (Pavillon 17), CHU Ibn Rochd, Quartier des Hôpitaux, 20100 Casablanca, Maroc.
L'Encephale
|August 8, 2001
Summary
Thiopentone and propofol offer excellent anesthesia for sismotherapy. Thiopentone is recommended due to its lower cost, good tolerance, and effective anesthesia, despite propofol
Area of Science:
- Anesthesiology
- Pharmacology
- Psychiatry
Background:
- Sismotherapy anesthesia requires short duration, deep narcosis, and muscle relaxation.
- Anesthetic drugs must have rapid onset for quick patient awakening.
Purpose of the Study:
- To compare the efficacy and safety of propofol versus thiopentone for anesthesia in sismotherapy.
- To evaluate anesthetic characteristics including onset time, duration, narcosis quality, and side effects.
Main Methods:
- A comparative study involving 40 sismotherapy sessions under general anesthesia.
- Patients were divided into two groups: 20 receiving thiopentone (2-3 mg/kg) and 20 receiving propofol (1-1.5 mg/kg).
- Monitoring included electrocardioscope and pulpe oxymeter; key parameters evaluated were onset, duration, narcosis quality, muscle relaxation, and vital signs.
Main Results:
- Both propofol and thiopentone provided excellent anesthesia quality and deep muscle relaxation.
- Propofol showed a faster onset of action (30 seconds) compared to thiopentone (45 seconds).
- Average doses were 167 mg for propofol and 202 mg for thiopentone, with both drugs demonstrating effective narcosis.
Conclusions:
- Thiopentone is a viable and recommended anesthetic for sismotherapy due to its cost-effectiveness, good tolerance, and adequate anesthetic properties.
- While propofol offers faster onset, thiopentone's overall profile, including ease of administration and lower cost, makes it a suitable choice.
- Both agents ensure deep anesthesia and satisfactory awakening, but thiopentone presents advantages in terms of cost and side effect profile for this specific application.