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出境医 / 临床实验 / EEG Changes During Induction of Propofol Anesthesia (PropoStatus)

EEG Changes During Induction of Propofol Anesthesia (PropoStatus)

Study Description
Brief Summary:
PropoStatus is a prospective observational study investigating the EEG changes seen in neurologically healthy patients during induction of general anesthesia with propofol.

Condition or disease
Anesthesia, General Healthy Subjects

Detailed Description:

PropoStatus is a prospective observational study investigating the EEG changes seen in neurologically healthy patients during induction of general anesthesia with propofol. EEG changes are investigated in different levels of anesthesia from awake state to deep anesthesia in which burst suppression pattern (BSP) is seen in the EEG. Furthermore, the relation of EEG changes and clinically evaluated depth of anesthesia is studied.

The study population is comprised of neurologically healthy individuals who come to the hospital for elective surgery requiring general anesthesia. The patients will not receive any pre-medication. They will give a written consent to participate to the study. During induction of anesthesia, the vital signs will be monitored using the standard protocol of the operating room. EEG will be recorded using a self-adhesive disposable forehead electrode and wireless measurement device. The EEG is observed during the recording from a laptop or tablet computer. The anesthesia is induced using propofol with a fixed infusion rate of 30 mg/kg/h. The patient is asked to squeeze the anesthetist's hand repeatedly every 10 s. The moment at which the patients does not respond to the command anymore is considered as the loss of consciousness. The infusion is continued until BSP is observed in the EEG. The infusion is then continued for 3 min after which the recording of EEG is stopped. The administration of anesthesia is then continued as required by the operation.

Study Design
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Study Type : Observational
Actual Enrollment : 20 participants
Observational Model: Case-Only
Time Perspective: Prospective
Official Title: Assessment of Frontal EEG Changes Using Self-adhesive Disposable Forehead Electrode and Wireless Measurement Device During Induction of Propofol Anesthesia
Actual Study Start Date : October 25, 2018
Actual Primary Completion Date : February 5, 2019
Actual Study Completion Date : February 5, 2019
Arms and Interventions
Outcome Measures
Primary Outcome Measures :
  1. EEG slow-wave activity [ Time Frame: Induction of anesthesia (approx. 10-30 min) ]
    EEG slow-wave activity is defined by the low-frequency (<1 Hz) signal power. The study investigates the topographic distribution of the activity as well as the coupling of the activity between the electrodes. The relation of slow-wave activity and loss of consciousness will be investigated as well.


Secondary Outcome Measures :
  1. EEG activity on other frequency bands [ Time Frame: Induction of anesthesia (approx. 10-30 min) ]
    In addition to slow wave activity, the study investigates the topographic distribution of the activities on other frequency bands (delta, theta, alpha, beta) as well as the coupling of these activities between the electrodes.The relation of these other activities and loss of consciousness will be investigated as well.


Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Sampling Method:   Non-Probability Sample
Study Population
Neurologically healthy individuals coming to hospital for elective surgery with general anesthesia
Criteria

Inclusion Criteria:

  • ASA 1-2 (no neurological or cardiovascular diseases)

Exclusion Criteria

  • BMI > 30
Contacts and Locations

Locations
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Finland
South Karelia Central Hospital
Lappeenranta, Finland, 53130
Sponsors and Collaborators
University of Oulu
South Carelia Central Hospital
Cerenion Oy
Investigators
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Principal Investigator: Jukka Kortelainen, MD, PhD University of Oulu
Tracking Information
First Submitted Date May 7, 2019
First Posted Date May 9, 2019
Last Update Posted Date May 9, 2019
Actual Study Start Date October 25, 2018
Actual Primary Completion Date February 5, 2019   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: May 7, 2019)
EEG slow-wave activity [ Time Frame: Induction of anesthesia (approx. 10-30 min) ]
EEG slow-wave activity is defined by the low-frequency (<1 Hz) signal power. The study investigates the topographic distribution of the activity as well as the coupling of the activity between the electrodes. The relation of slow-wave activity and loss of consciousness will be investigated as well.
Original Primary Outcome Measures Same as current
Change History No Changes Posted
Current Secondary Outcome Measures
 (submitted: May 7, 2019)
EEG activity on other frequency bands [ Time Frame: Induction of anesthesia (approx. 10-30 min) ]
In addition to slow wave activity, the study investigates the topographic distribution of the activities on other frequency bands (delta, theta, alpha, beta) as well as the coupling of these activities between the electrodes.The relation of these other activities and loss of consciousness will be investigated as well.
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title EEG Changes During Induction of Propofol Anesthesia
Official Title Assessment of Frontal EEG Changes Using Self-adhesive Disposable Forehead Electrode and Wireless Measurement Device During Induction of Propofol Anesthesia
Brief Summary PropoStatus is a prospective observational study investigating the EEG changes seen in neurologically healthy patients during induction of general anesthesia with propofol.
Detailed Description

PropoStatus is a prospective observational study investigating the EEG changes seen in neurologically healthy patients during induction of general anesthesia with propofol. EEG changes are investigated in different levels of anesthesia from awake state to deep anesthesia in which burst suppression pattern (BSP) is seen in the EEG. Furthermore, the relation of EEG changes and clinically evaluated depth of anesthesia is studied.

The study population is comprised of neurologically healthy individuals who come to the hospital for elective surgery requiring general anesthesia. The patients will not receive any pre-medication. They will give a written consent to participate to the study. During induction of anesthesia, the vital signs will be monitored using the standard protocol of the operating room. EEG will be recorded using a self-adhesive disposable forehead electrode and wireless measurement device. The EEG is observed during the recording from a laptop or tablet computer. The anesthesia is induced using propofol with a fixed infusion rate of 30 mg/kg/h. The patient is asked to squeeze the anesthetist's hand repeatedly every 10 s. The moment at which the patients does not respond to the command anymore is considered as the loss of consciousness. The infusion is continued until BSP is observed in the EEG. The infusion is then continued for 3 min after which the recording of EEG is stopped. The administration of anesthesia is then continued as required by the operation.

Study Type Observational
Study Design Observational Model: Case-Only
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population Neurologically healthy individuals coming to hospital for elective surgery with general anesthesia
Condition
  • Anesthesia, General
  • Healthy Subjects
Intervention Not Provided
Study Groups/Cohorts Not Provided
Publications *
  • Kortelainen J, Väyrynen E, Huuskonen U, Laurila J, Koskenkari J, Backman JT, Alahuhta S, Seppänen T, Ala-Kokko T. Pilot Study of Propofol-induced Slow Waves as a Pharmacologic Test for Brain Dysfunction after Brain Injury. Anesthesiology. 2017 Jan;126(1):94-103.
  • Kortelainen J, Väyrynen E, Juuso I, Laurila J, Koskenkari J, Ala-Kokko T. Forehead electrodes sufficiently detect propofol-induced slow waves for the assessment of brain function after cardiac arrest. J Clin Monit Comput. 2020 Feb;34(1):105-110. doi: 10.1007/s10877-019-00282-3. Epub 2019 Feb 20.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Completed
Actual Enrollment
 (submitted: May 7, 2019)
20
Original Actual Enrollment Same as current
Actual Study Completion Date February 5, 2019
Actual Primary Completion Date February 5, 2019   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • ASA 1-2 (no neurological or cardiovascular diseases)

Exclusion Criteria

  • BMI > 30
Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers Not Provided
Contacts Contact information is only displayed when the study is recruiting subjects
Listed Location Countries Finland
Removed Location Countries  
 
Administrative Information
NCT Number NCT03943745
Other Study ID Numbers 31/2018
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: No
Responsible Party University of Oulu
Study Sponsor University of Oulu
Collaborators
  • South Carelia Central Hospital
  • Cerenion Oy
Investigators
Principal Investigator: Jukka Kortelainen, MD, PhD University of Oulu
PRS Account University of Oulu
Verification Date May 2019