Recovery after ECT: comparison of propofol, etomidate and thiopental.

Por: Eletroconvulsoterapia - IPAN (Instituto de Pesquisas Avançadas em Neuroestimulação)  21/08/2009
Palavras-chave: Depressão, Estimulação Magnética Transcraniana, EMTr

To compare post anesthetic time for patient recovery after electroconvulsive therapy, as measured by the post anesthetic Recovery Score of Aldrete and Kroulik, using three different types of hypnotic drugs (propofol, etomidate and thiopental). METHOD: Thirty patients were randomized to receive one of the three drugs (n = 10 in each group), during a course of electroconvulsive therapy treatment. Patients and raters were blinded to which drug was received. Main treatment characteristics were recorded (as total electric charge received seizure threshold, number of treatments, and the mean time for recovery) along the whole treatment. RESULTS: Thiopental and propofol were associated with a significance increase in charge needed to induce a seizure (p < 0.0001) when compared to etomidate, as well as a significant decrease of time for recovery (p = 0.042).

Palavras-chave: Depressão, Eletroconvulsoterapia - Ect, EMTr, Estimulação Magnética Transcraniana

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