[HTML][HTML] Comparison of electroencephalogram between propofol-and thiopental-induced anesthesia for awareness risk in pregnant women

HS Park, YS Kim, SH Kim, AR Jeon, SE Kim… - Scientific Reports, 2020 - nature.com
HS Park, YS Kim, SH Kim, AR Jeon, SE Kim, WJ Choi
Scientific Reports, 2020nature.com
There have been few comparative studies using electroencephalogram (EEG) spectral
characteristics during the induction of general anesthesia for cesarean section. This
retrospective study investigated the differences in the depth of anesthesia through EEG
analysis between propofol-and thiopental-induced anesthesia. We reviewed data of 42
patients undergoing cesarean section who received either thiopental (5 mg/kg) or propofol
(2 mg/kg). EEG data were extracted from the bispectral index (BIS) monitor, and 10-second …
Abstract
There have been few comparative studies using electroencephalogram (EEG) spectral characteristics during the induction of general anesthesia for cesarean section. This retrospective study investigated the differences in the depth of anesthesia through EEG analysis between propofol- and thiopental-induced anesthesia. We reviewed data of 42 patients undergoing cesarean section who received either thiopental (5 mg/kg) or propofol (2 mg/kg). EEG data were extracted from the bispectral index (BIS) monitor, and 10-second segments were selected from the following sections: 1) Stage I, BIS below 60 after induction; 2) Stage II, after intubation completion; 3) Stage III, end-tidal sevoflurane above 0 vol%. The risk of awareness was represented by the BIS and entropy measures. In Stage III, the thiopental group (n = 20) showed significantly higher BIS value than the propofol group (n = 22) (67.9 [18.66] vs 44.5 [20.63], respectively, p = 0.002). The thiopental group had decreased slow-delta oscillations and increased beta-oscillations as compared to the propofol group in Stages II and III (p < 0.05). BIS, spectral entropy, and Renyi permutation entropy were also higher in the thiopental group at Stages II and III (p < 0.05). In conclusion, frontal spectral EEG analysis demonstrated that propofol induction maintained a deeper anesthesia than thiopental in pregnant women.
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