Monitoring of Anesthetic Depth and EEG Band Power Using PLE (Phase Lag Entropy) During Propofol Anesthesia

NCT ID: NCT03299621

Last Updated: 2017-11-14

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

35 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-13

Study Completion Date

2018-08-31

Brief Summary

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The evaluation of the anesthetic depth monitoring using PLE (Phase Lag Entropy) during propofol anesthesia

Detailed Description

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The devices using EEG are commonly used for measuring the depth of consciousness during anesthesia. However, the existing devices are largely dependent on the biphasic analysis of 1-channel EEG signals, and thus do not provide proper information for anesthetic depth.

Recent study reported that the complexity or diversity of communication between the brain regions is related to the level of consciousness. In particular, during anesthesia, the phase synchronization (phase shift) between EEG signals at the front of the brain increases, indicating a reduction in communication diversity and a close relationship with loss of consciousness. Therefore, to predict the depth of sleep, a technique for precisely quantifying the complexity of inter-domain communication in the frontal brain is needed. Recently, PLEM™ (Inbody co., ltd, Republic of Korea), developed using the phase lag entropy (PLE), is a 4-channel EEG monitoring device that measures the entropy of the phase difference pattern between two channels of prefrontal and frontal brain. In addition, PLEM™ is able to observe changes in band power of EEG (Gamma, Beta, Alpha, Theta, and Delta waves). As the depth of anesthesia increases, the amplitude and frequency of EEG decreases. Generally, Beta waves (13-30 Hz) are seen in awake conscious patients and Alpha waves (8-12 Hz) are seen in patients resting with eyes closed. And Theta waves (4-7 Hz) and Delta waves (0-3 Hz) can be present in a patient who is sleeping or anesthetized.

The purpose of this study was to evaluate the efficacy for anesthetic depth monitoring of PLEM™ monitor during propofol anesthesia. The primary outcome of this study was to investigate the changes of PLE value and band power of EEG (Gamma, Beta, Alpha, Theta, Delta waves) on the PLEM™ monitor while varying the depth of anesthesia using propofol target controlled infusion (TCI) during anesthetic induction. The secondary outcomes of this study were to investigate whether the muscle relaxant affects the PLE value, and to compare the PLE values with BIS (bispectral index) (Aspect medical system, USA) that was the most widely used to measure the depth of anesthesia.

Conditions

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Anesthesia, General

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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PLE (Phase Lag Entropy) monitoring

Investigators monitor the change of PLE value using the sensor of PLEM™ during propofol anesthesia.

Group Type EXPERIMENTAL

PLE (Phase Lag Entropy)

Intervention Type DEVICE

Monitoring of PLE value using the monitoring of PLEM™ device during propofol anesthesia.

Muscle relaxant injection

Investigators monitor the change for PLE value using the sensor of PLEM™ before and after the injection of muscle relaxant.

Group Type EXPERIMENTAL

Muscle Relaxant

Intervention Type DRUG

Monitoring of PLE value using the monitoring of PLEM™ device before and after the injection of muscle relaxant that used for tracheal intubation.

Interventions

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PLE (Phase Lag Entropy)

Monitoring of PLE value using the monitoring of PLEM™ device during propofol anesthesia.

Intervention Type DEVICE

Muscle Relaxant

Monitoring of PLE value using the monitoring of PLEM™ device before and after the injection of muscle relaxant that used for tracheal intubation.

Intervention Type DRUG

Other Intervention Names

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PLEM™ (Inbody co., ltd) Muscle relaxant (rocuronium)

Eligibility Criteria

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Inclusion Criteria

* The patients undergoing elective general anesthesia with American Society fo Anesthesiologist (ASA) physical status I or II (20-60 years)

Exclusion Criteria

* Patients with difficulty airway
* Patients with cardiovascular disease
* Patients with cerebrovascular disease
* Patients with respiratory disease
Minimum Eligible Age

20 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Korea University Anam Hospital

OTHER

Sponsor Role lead

Responsible Party

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Hye-Won Shin

Department of Anesthesiology and Pain Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hye-Won Shin, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Korea University Anam Hospital, Seoul, Inchon-ro 8-gil 73, Seoul, Republic of Korea

Locations

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Korea University Anam Hospital

Seoul, Inchon-ro 8-gil 73, South Korea

Site Status RECRUITING

Korea University Anam Hospital

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Hyun-Jung Kim, M.D.

Role: CONTACT

Phone: 821033859168

Email: [email protected]

Hye-Won Shin, Ph.D.

Role: CONTACT

Phone: 821092735025

Email: [email protected]

Facility Contacts

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Hye-Won Shin, Ph.D.

Role: primary

Hye Won Shin, M.D., PhD.

Role: primary

References

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Shin HW, Kim HJ, Jang YK, You HS, Huh H, Choi YJ, Choi SU, Hong JS. Monitoring of anesthetic depth and EEG band power using phase lag entropy during propofol anesthesia. BMC Anesthesiol. 2020 Feb 26;20(1):49. doi: 10.1186/s12871-020-00964-5.

Reference Type DERIVED
PMID: 32102676 (View on PubMed)

Other Identifiers

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MD17014

Identifier Type: -

Identifier Source: org_study_id