EEG DSA-guided Intravenous Anesthesia Using Dexmedetomidine and Propofol
Anesthetic Sparing Effects of Dexmedetomidine During Craniotomy: a Retrospective Propensity Score Matching Comparison Between Encephalographic Spectrogram-guided and Processes Encephalographic Index-guided Protocol
1 other identifier
observational
140
1 country
1
Brief Summary
Investigators conduct this retrospective analysis to test this hypothesis that the EEG spectrogram guided general anesthesia with dexmedetomidine co-administration with propofol may significantly reduce the propofol consumption during craniotomy and to investigate potential benefits on postoperative outcomes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Dec 2022
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 11, 2022
CompletedStudy Start
First participant enrolled
December 12, 2022
CompletedFirst Posted
Study publicly available on registry
December 19, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 25, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
February 25, 2023
CompletedDecember 21, 2022
December 1, 2022
1 month
December 11, 2022
December 19, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Propofol dose requirement
Intraoperative propofol consumption
4-6 hours
Secondary Outcomes (2)
Postoperative delirium
During hospital stay, estimated 7-10 days
Postoperative Barthel index change
During hospital stay, estimated 7-10 days
Study Arms (2)
Encephalographic spectrogram group
The dexmedetomidine and propofol infusions were titrated to maintain robust alpha power in the encephalographic spectrogram
Encephalographic index group
The dexmedetomidine and propofol infusions were titrated to maintain the bispectral index score between 40 and 60.
Eligibility Criteria
Patients undergoing elective craniotomy for brain tumor resection, aneurysm clipping, an intracranial bypass procedure, or microvascular decompression.
You may qualify if:
- Patients undergoing elective craniotomy for brain tumor resection, aneurysm clipping, an intracranial bypass procedure, or microvascular decompression
- age between 20 to 80 yr
You may not qualify if:
- Fever, elevated white blood cell or C-reactive protein
- Impaired liver function, eg. AST or ALT \>100; liver cirrhosis \> Child B class
- Impaired renal function, cGFR\< 60 ml/min/1.73 m2
- Cardiac dysfunction, such as heart failure \> NYHA class II
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
National Taiwan University Hospital
Taipei, 100, Taiwan
Study Officials
- PRINCIPAL INVESTIGATOR
Chun-Yu Wu
National Taiwan University Hospital
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 11, 2022
First Posted
December 19, 2022
Study Start
December 12, 2022
Primary Completion
January 25, 2023
Study Completion
February 25, 2023
Last Updated
December 21, 2022
Record last verified: 2022-12