Propofol or Pentothal for OB/C sections?

[BLADEMDA]

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How many of you guys have moved to Propofol for Inducing C section patients? In my practice we made the change about 6-7 years ago with no problems. Mommy and Baby are still doing fine with Propofol.

 

[Planktonmd]

How many of you guys have moved to Propofol for Inducing C section patients? In my practice we made the change about 6-7 years ago with no problems. Mommy and Baby are still doing fine with Propofol.

Have not used STB in more than 10 years.

 

[Idiopathic]

i prefer bupivacaine

 

[deleted126335]

How many of you guys have moved to Propofol for Inducing C section patients? In my practice we made the change about 6-7 years ago with no problems. Mommy and Baby are still doing fine with Propofol.

What in your opinion is the advantage of propofol over pentothal?

 

[Idiopathic]

but seriously, i guess both are fine - propofol definitely crosses and i think fetal blood levels are within 70% of mothers, i dont think pentothal crosses as quickly, probably all depends on how quick they get the baby out.

edit: we have both and use propofol almost exclusively, i cant think of a fetal complication that weve had related to it

 

[rsgillmd]

but seriously, i guess both are fine - propofol definitely crosses and i think fetal blood levels are within 70% of mothers, i dont think pentothal crosses as quickly, probably all depends on how quick they get the baby out.

edit: we have both and use propofol almost exclusively, i cant think of a fetal complication that weve had related to it

If you want to talk F/M values there really isn't much of a difference. For thiopental it is 0.4-1.1, according to Chestnut and 0.65-0.85 for propofol.

During residency I used Propofol exclusively for C/S because it was just a pain in the neck to get the Thiopental out of Pyxis quick enough. Never heard a complaint from NICU, and we worked closely with them. I've used both at my current institution for C/S, and haven't been able to detect a difference.

I'm probably biased but in my experience propofol blunts the response to laryngoscopy in a severe preeclamptic better than thiopental.