Composite Variability Index Versus Bispectral Index (BIS)

NCT ID: NCT01053611

Last Updated: 2011-03-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-09-30

Study Completion Date

2010-09-30

Brief Summary

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The aim of this study is to compare the accuracy of the changes in CVI in response to a standardized noxious stimulus during various targeted pseudo-steady-state concentrations of remifentanil and various steady state level of BIS as guided by propofol effect compartment controlled TCI (closed-loop).

Detailed Description

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Patients will be allocated to receive a specific effect-site concentration of remifentanil and propofol. For remifentanil, concentrations will be targeted at 0, 2, 4 and 6 ng/ml. After an equilibration period, anesthesia will be induced in all patients using propofol in order to reach and maintain a BIS value of 70, 50 or 30. After an equilibration period(from start of propofol infusion), OAA/S will be measured in all patient. All patients will receive a standard pain stimulus (30 seconds, 50 mA) in order to observe the influence of the effect-site concentration of propofol and remifentanil on the CVI. A time window of 5 minutes after the stimulus will be respected to observe the changes in both BIS and CVI. After this period, the study will be terminated and classical maintenance of anesthesia will be provided.

Conditions

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Sedation During

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Group 1 BIS value 30

Group Type ACTIVE_COMPARATOR

propofol + remifentanil 0 ng/ml

Intervention Type DRUG

remifentanil 0 ng/ml

Group 2 BIS value 30

Group Type ACTIVE_COMPARATOR

propofol + remifentanil 2 ng/ml

Intervention Type DRUG

Group 3 BIS value 30

Group Type ACTIVE_COMPARATOR

propofol + remifentanil 4 ng/ml

Intervention Type DRUG

Group 4 BIS valaue 30

Group Type ACTIVE_COMPARATOR

propofol + remifentanil 6 ng/ml

Intervention Type DRUG

Group 1 BIS value 50

Group Type ACTIVE_COMPARATOR

propofol + remifentanil 0 ng/ml

Intervention Type DRUG

Group 2 BIS value 50

Group Type ACTIVE_COMPARATOR

propofol + remifentanil 2 ng/ml

Intervention Type DRUG

Group 3 BIS value 50

Group Type ACTIVE_COMPARATOR

propofol + remifentanil 6 ng/ml

Intervention Type DRUG

Group 4 BIS value 50

Group Type ACTIVE_COMPARATOR

propofol + remifentanil 6 ng/ml

Intervention Type DRUG

Group 1 BIS value 70

Group Type ACTIVE_COMPARATOR

propofol + remifentanil 0 ng/ml

Intervention Type DRUG

Group 2 BIS value 70

Group Type ACTIVE_COMPARATOR

propofol + remifentanil 2 ng/ml

Intervention Type DRUG

Group 3 BIS value 70

Group Type ACTIVE_COMPARATOR

propofol + remifentanil 4 ng/ml

Intervention Type DRUG

Group 4 BIS value 70

Group Type ACTIVE_COMPARATOR

propofol + remifentanil 6 ng/ml

Intervention Type DRUG

Interventions

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propofol + remifentanil 0 ng/ml

remifentanil 0 ng/ml

Intervention Type DRUG

propofol + remifentanil 2 ng/ml

Intervention Type DRUG

propofol + remifentanil 4 ng/ml

Intervention Type DRUG

propofol + remifentanil 6 ng/ml

Intervention Type DRUG

propofol + remifentanil 0 ng/ml

Intervention Type DRUG

propofol + remifentanil 2 ng/ml

Intervention Type DRUG

propofol + remifentanil 6 ng/ml

Intervention Type DRUG

propofol + remifentanil 6 ng/ml

Intervention Type DRUG

propofol + remifentanil 0 ng/ml

Intervention Type DRUG

propofol + remifentanil 2 ng/ml

Intervention Type DRUG

propofol + remifentanil 4 ng/ml

Intervention Type DRUG

propofol + remifentanil 6 ng/ml

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* ASA class I and II patients requiring general anesthesia for elective surgical procedures

Exclusion Criteria

* patient refusal
* weight less than 70% or more than 130% of ideal body weight,
* neurological disorder
* recent use of psycho-active medication, including alcohol.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Medical Center Groningen

OTHER

Sponsor Role lead

Responsible Party

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University Medical Center Groningen

Locations

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University Medical Center Groningen

Groningen, Provincie Groningen, Netherlands

Site Status

Countries

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Netherlands

References

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Sahinovic MM, Eleveld DJ, Kalmar AF, Heeremans EH, De Smet T, Seshagiri CV, Absalom AR, Vereecke HEM, Struys MMRF. Accuracy of the composite variability index as a measure of the balance between nociception and antinociception during anesthesia. Anesth Analg. 2014 Aug;119(2):288-301. doi: 10.1213/ANE.0000000000000274.

Reference Type DERIVED
PMID: 24892803 (View on PubMed)

Other Identifiers

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2009.083

Identifier Type: -

Identifier Source: org_study_id

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