%0 Journal Article
%T Propofol frente a tiopental en la terapia electroconvulsiva Propofol versus Thiopental in electroconvulsive therapy
%A Edwin Garc赤a Garc赤a
%A Jorge Rosa D赤az
%A Ernesto Rodr赤guez Casas
%A Yoel Echazabal Mart赤nez
%J Revista Cubana de Medicina Militar
%D 2007
%I ECIMED
%X Con el fin de comparar efectos cl赤nicos de tiopental y propofol en la terapia electroconvulsiva, se estudiaron 50 pacientes en el Hospital Militar Central ※Dr. Carlos J. Finlay§. Se emple車 tiopental 3 mg/kg o propofol 1,5 mg/kg endovenoso y succinilcolina 0,5 mg/kg; se aplic車 est赤mulo biparietal (120-150 volts). Se analizaron las variables presi車n arterial media, frecuencia y ritmo cardiaco, duraci車n de la convulsi車n y de la recuperaci車n. No hubo diferencias estad赤sticamente significativas al comparar las cifras tensionales en ambos grupos; cl赤nicamente se present車 mayor incremento en el grupo tiopental terminada la convulsi車n; las arritmias cardiacas fueron m芍s frecuentes tambi谷n en este grupo (70 %) al compararlo con propofol (14 %). La duraci車n de la convulsi車n fue 29,84 s en el grupo propofol y 37,24 s en el grupo tiopental, con tiempos de recuperaci車n de 6,85 y 8,16 min promedio respectivamente. El propofol result車 mejor hipn車tico para la terapia electroconvulsiva. To compare clinical effects of Thyopental and Propofol in electroconvulsive therapy (ECT), 50 patients were studied in ※Dr. Carlos J. Finlay§ Central Military Hospital, Thyopental was used (3 mg/kg) or Propofol (1.5 mg/kg) by intravenous way, and succinylcholine ( 0.5 mg/kg) ; biparietal stimulus was applied (120-150 v). Following variables were analyzed: mean blood pressure, cardiac frequency and rhythm, duration of generalized seizure, and of recovery. There weren't significant statistically differences in comparison of tension figures in both groups; clinically there was a greater increase in Thiopental group post generalized seizure; cardiac arrhythmias were also more frequent in this group (70 %) in comparison to Propofol (14 %). Generalized seizure course was of 29.84 s in Propofol group, and of 37.24 in Thyopental group, with recovery times of 6.85 and 8.16 average minutes, respectively. Propofol was a better hypnotic for electroconvulsive therapy.
%K Propofol
%K tiopental
%K terapia electroconvulsiva.
%K Propofol
%K Thyopental
%K electroconvulsive therapy
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572007000200005