An old man has to be given electroconvulsive therapy (ECT). He's having pseudocholinesterase deficiency. What drugs would you use for giving anesthesia for his ECT? 1. Thiopentone and fentanyl 2. Propofol and fentanyl 3.
Propofol and Rocuronium 4. Thiopentone and Rocuronium Answer: Methohexital is the best choice because it's negligible anticonvulsant properties and Scoline is best choice for its short duration, but Scoline can't be given as the patient has pseudocholinesterase deficiency. Rocuronium or Vecuronium are best alternative drugs for muscle relaxation in this patient. Don't worry about long duration of Rocuronium. Sugammadex can also be given.
