Propofol frente a tiopental en 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.