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

Sci Rep. 2020 Apr 10;10(1):6192. doi: 10.1038/s41598-020-62999-5.

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anesthesia, Obstetrical / adverse effects
  • Anesthesia, Obstetrical / methods*
  • Beta Rhythm / drug effects
  • Cesarean Section / adverse effects
  • Delta Rhythm / drug effects
  • Female
  • Humans
  • Intraoperative Awareness / diagnosis*
  • Intraoperative Awareness / epidemiology
  • Intraoperative Awareness / etiology
  • Intraoperative Neurophysiological Monitoring / methods
  • Intraoperative Neurophysiological Monitoring / statistics & numerical data*
  • Pregnancy
  • Propofol / administration & dosage*
  • Retrospective Studies
  • Risk Assessment / methods
  • Risk Assessment / statistics & numerical data
  • Thiopental / administration & dosage*

Substances

  • Thiopental
  • Propofol