Clinical trial

Influence of Variable Plasma Concentrations of Remifentanil on Burst Suppression (BS) Event Rate in Electroencephalographic (EEG) Recordings of Human Subjects Undergoing Total Intravenous General Anesthesia (TIVA) Under Propofol

Name
OAIC: 1345/23
Description
The goal of this clinical trial is to determine whether remifentanil has a facilitating effect on the generation of burst suppression by propofol in adult patients (18-60 years) candidates for elective surgery who require remifentanil and American Society of Anesthesiology (ASA) classification I or II. The main question it aims to answer are: • To determine whether remifentanil has a facilitating effect on the generation of burst suppression by propofol. Participants will undergo general anesthesia with remifentanil and propofol sequentially. After loss of consciousness, remifentanil will be adjusted to a medium or high concentration randomly and it will be determined at what concentration of propofol the burst suppressions are generated. Then, the concentrations of propofol that generate burst suppression associated with either a medium or high concentration of remifentanil will be compared.
Trial arms
Trial start
2024-03-01
Estimated PCD
2024-08-31
Trial end
2024-12-31
Status
Not yet recruiting
Treatment
High dose of remifentanil
The dose of remifentanil will be changed to determine the concentration of propofol at which burst suppressions are generated
Arms:
High dose
Medium dose of remifentanil
The dose of remifentanil will be changed to determine the concentration of propofol at which burst suppressions are generated
Arms:
Medium dose
Size
20
Primary endpoint
Propofol estimated concentration by Marsh pharmacological model, which generates burst suppression
During 10 minutes when propofol dosification is increased to 15 mg/kg/h
Eligibility criteria
Inclusion Criteria: * American Society of Anesthesiology I or II * Elective surgery of low or intermediate risk Exclusion Criteria: * Neurological disease * Psychiatric disease * Use of psychoactive drugs or opioids * Altered basal state of consciousness * Allergy to propofol * Body mass index \> 35 kg/m2 * Pre-existing renal, cardiac and/or hepatic dysfunction * Patient's refusal to participate
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['NA'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'CROSSOVER', 'primaryPurpose': 'BASIC_SCIENCE', 'maskingInfo': {'masking': 'SINGLE', 'whoMasked': ['PARTICIPANT']}}, 'enrollmentInfo': {'count': 20, 'type': 'ESTIMATED'}}
Updated at
2024-03-08

1 organization

1 product

4 indications

Indication
Anesthesia
Indication
Intravenous