Anaesthesia for electroconvulsive therapy: use of propofol revisited

Eur J Anaesthesiol. 1994 Sep;11(5):423-5.

Abstract

In three clinically depressed patients undergoing repeated electroconvulsive therapy (ECT) with either propofol or methohexitone, dose-dependent decreases in the duration of motor and EEG seizure activity were noted. Use of a 'minimally' hypnotic dose of propofol (0.75-1.0 mg kg-1) was associated with a seizure duration which was comparable to standard hypnotic doses of methohexitone. We conclude that doses of propofol < 1.5 mg kg-1 are associated with a clinically acceptable duration of EEG seizure activity (> 30 s) during ECT.

Publication types

  • Case Reports
  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Anesthesia, Intravenous*
  • Bipolar Disorder / therapy
  • Depressive Disorder / therapy*
  • Dose-Response Relationship, Drug
  • Electroconvulsive Therapy*
  • Electroencephalography / drug effects
  • Female
  • Humans
  • Male
  • Methohexital / administration & dosage
  • Methohexital / pharmacology
  • Middle Aged
  • Motor Activity / drug effects
  • Propofol / administration & dosage*
  • Propofol / pharmacology
  • Psychotic Disorders / therapy
  • Seizures / physiopathology
  • Time Factors

Substances

  • Methohexital
  • Propofol