The Depth of Paediatric Anaesthesia: Observational Trial
ANAPED
1 other identifier
observational
100
1 country
1
Brief Summary
Perioperative measurement of the Depth of anaesthesia is currently recommended part of daily anaesthesia good clinical practice. The optimal depth of anaesthesia measured by Bispectral index could be between 40-60. The lower (over 60) depth of anaesthesia could be associated with accidental intraoperative episodes of awareness and deeper (below 40) anaesthesia could lead to higher adverse events or even haemodynamic instability.
Trial Health
Trial Health Score
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participants targeted
Target at P50-P75 for all trials
Started Jan 2022
1 active site
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Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 2, 2022
CompletedStudy Start
First participant enrolled
January 14, 2022
CompletedFirst Posted
Study publicly available on registry
January 18, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2023
CompletedMarch 24, 2023
March 1, 2023
2 years
January 2, 2022
March 23, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Cumulative time outside recommended BIS levels
The cumulative time spent outside the recommended BIS levels will be evaluated
intraoperatively
Periods outside recommended BIS levels
The incidence of periods outside the recommended anaesthesia depth will be recorded (episode is defined by ≥ 30 seconds interval outside the predefined limits, the end of episode is defined by the return to recommended BIS level).
intraoperatively
Secondary Outcomes (5)
Ability to respond
Intraoperatively
Incidence of emergence delirium
2 hours postoperatively
Incidence of overall complications
2 hours postoperatively
Delay to respond
Intraoperatively
Incidence of postoperative nausea and vomiting (PONV(
2 hours postoperatively
Study Arms (1)
Paediatric patients scheduled for general anesthesia
Paediatric patients (between 1 year -19 years) undergoing elective general anaesthesia with presumed duration over 1 hour will be eligible for inclusion
Interventions
BIS monitor will be placed on the forehead according to the manufacturer recommendation and the anaesthesia team will be blinded to BIS monitor during the whole case. The initial BIS tracing will be recorded starting the surgery initiation (defined as the depth of anesthesia by the anaesthesiologist to initiate surgical intervention) and ending with end of surgical intervention.
Eligibility Criteria
Paediatric patients (between 1 year -19 years) undergoing elective general anaesthesia with presumed duration over 1 hour will be eligible for inclusion.
You may qualify if:
- Age 1 year-19 years
- Elective general anaesthesia with presumed duration over 60 minutes
- BIS monitor available
You may not qualify if:
- Outside the age limits
- Acute surgery
- Presumed anaesthesia duration below 1 hour
- Without the possibility of BIS monitoring
- Patient indicated for sedation and mechanical ventilation after anesthesia
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Brno University Hospitallead
- Masaryk Universitycollaborator
Study Sites (1)
Brno University Hospital
Brno, South Moravian, 62500, Czechia
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Petr Stourac, prof. MD., Ph.D., MBA
Department of paediatric anaesthesia and intensive care medicine
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Clinical Professor
Study Record Dates
First Submitted
January 2, 2022
First Posted
January 18, 2022
Study Start
January 14, 2022
Primary Completion
December 31, 2023
Study Completion
December 31, 2023
Last Updated
March 24, 2023
Record last verified: 2023-03