Manual Versus Targer-controll Infusion in Reduction of Awareness and Dreaming

NCT ID: NCT03476213

Last Updated: 2024-05-10

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

RECRUITING

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-16

Study Completion Date

2027-06-30

Brief Summary

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This study compares manual total intravenous anesthesia (TIVA) and target-controll infusion (TCI) in reduction of awareness and dreaming, and the haemodynamical stability during operation. Half of patients will be anesthetized using manual TIVA and other half using TCI.

Detailed Description

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Awareness is possible in TIVA in case of technical failure or prolonged induction phase, TCI technology seems to prevent these events. Total of 80 patients planed for elective neurosurgical brain tumor resection fulfilling the inclusion criteria will be devided into two groups. First half will be anesthetized using TIVA with manual induction and the second half will be anesthetized using TCI. All patients will fulfil Modified Brice Questionnaire one hour after the end of operation.

Conditions

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Anesthesia Awareness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Group A will be anesthetized using TIVA, group B using TCI
Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Group TCI

induction and anesthesia will be held by using target-controll infusion

Group Type EXPERIMENTAL

Group TCI

Intervention Type PROCEDURE

Induction and anesthesia will be done by using Gepth model for sufentanil and Schnider effect model for propofol. Anesthetics will be aplicated using infusion pump Agilia (Fresenius Kabi). Another titration will be according to target value of entropy between 40 and 60 and surgical pleth index below 35.

Group TIVA

induction and anesthesia will be held by manual dosing of propofol and sufentanil

Group Type ACTIVE_COMPARATOR

Group TIVA

Intervention Type PROCEDURE

Induction of anesthesia will be done by titrating of propofol to the dose of 1.2 mg/kg and sufentanil 5-10 ug according to body weight, maintaining of anesthesia using continuous infusion of propofol 5 mg/ kg/hour and sufentanil 35 ug/hour to reach the target value of entropy between 40 and 60 and surgical pleth index below 35.

Interventions

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Group TCI

Induction and anesthesia will be done by using Gepth model for sufentanil and Schnider effect model for propofol. Anesthetics will be aplicated using infusion pump Agilia (Fresenius Kabi). Another titration will be according to target value of entropy between 40 and 60 and surgical pleth index below 35.

Intervention Type PROCEDURE

Group TIVA

Induction of anesthesia will be done by titrating of propofol to the dose of 1.2 mg/kg and sufentanil 5-10 ug according to body weight, maintaining of anesthesia using continuous infusion of propofol 5 mg/ kg/hour and sufentanil 35 ug/hour to reach the target value of entropy between 40 and 60 and surgical pleth index below 35.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Glasgow Coma scale 15
* ASA Physical Status Classification System I - III
* planed surgery for brain tumor to 5 hours
* postoperative awakening

Exclusion Criteria

* NYHA III, IV
* abuse of stimulating drugs, grass, alcohol dependence
* BMI over 40 in females and over 35 in men
* propofol alergie
* awake operations
* postoperative arteficial ventilation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital Hradec Kralove

OTHER

Sponsor Role lead

Responsible Party

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Dostalova Vlasta, MD, PhD

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Pavel Dostal, MD, Ph.D.

Role: STUDY_DIRECTOR

University Hospital Hradec Kralove

Locations

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University Hospital Hradec Kralove

Hradec Králové, , Czechia

Site Status RECRUITING

Countries

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Czechia

Central Contacts

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Vlasta Dostalova, MD. Ph.D.

Role: CONTACT

+420777883571

Facility Contacts

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Suchy Tomas, MD

Role: primary

00420495833218

Dostal Pavel, MD, PhD

Role: backup

00420495832828

Other Identifiers

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201506S

Identifier Type: -

Identifier Source: org_study_id

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