Bispectral Index, Suppression Rate and Emergence Agitation in Spine Surgeries
NCT ID: NCT06334939
Last Updated: 2024-10-24
Study Results
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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COMPLETED
94 participants
OBSERVATIONAL
2024-01-01
2024-08-30
Brief Summary
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When the literature is examined, there are not enough studies on Bis suppression ratio and its relationship with recovery agitation is not yet known enough. For this purpose, our study aimed to question this relationship.
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Detailed Description
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For this purpose, patients\' post-anesthesia recovery scores and perioperative BIS and BIS suppression rates will be compared.
Conditions
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Study Design
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CASE_CROSSOVER
PROSPECTIVE
Study Groups
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EA group
The group that includes patients who develop Emergence agitation after anesthesia and during the recovery period.
Bispectral Index Monitoring
Study patients will undergo perioperative bispectral index and BIS suppression ratio (SR) monitoring under anesthesia. The lowest BIS and BIS SR values and the values taken at 10-minute intervals will be recorded throughout the case.
The Richmond agitation scale will be calculated in the recovery room after anesthesia.
Non EA Group
The group will include calm patients who do not develop Emergence agitation after anesthesia and during the recovery period.
Bispectral Index Monitoring
Study patients will undergo perioperative bispectral index and BIS suppression ratio (SR) monitoring under anesthesia. The lowest BIS and BIS SR values and the values taken at 10-minute intervals will be recorded throughout the case.
The Richmond agitation scale will be calculated in the recovery room after anesthesia.
Interventions
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Bispectral Index Monitoring
Study patients will undergo perioperative bispectral index and BIS suppression ratio (SR) monitoring under anesthesia. The lowest BIS and BIS SR values and the values taken at 10-minute intervals will be recorded throughout the case.
The Richmond agitation scale will be calculated in the recovery room after anesthesia.
Eligibility Criteria
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Inclusion Criteria
* Patients to be extubated in the postoperative operating room
* Patients without known vascular diseases will be included.
Exclusion Criteria
* Those who need postoperative intensive care
* Patients who are not planned to be extubated in the operating room
18 Years
ALL
No
Sponsors
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Ahmet Yuksek
OTHER_GOV
Responsible Party
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Ahmet Yuksek
Associate Proffesor, MD
Principal Investigators
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Ahmet YUKSEK, MD
Role: PRINCIPAL_INVESTIGATOR
Kocaeli City Hospital
Locations
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Kocaeli City Hospital
Kocaeli, Izmıt, Turkey (Türkiye)
Countries
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References
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Riker RR, Fraser GL, Wilkins ML. Comparing the bispectral index and suppression ratio with burst suppression of the electroencephalogram during pentobarbital infusions in adult intensive care patients. Pharmacotherapy. 2003 Sep;23(9):1087-93. doi: 10.1592/phco.23.10.1087.32766.
Evered LA, Chan MTV, Han R, Chu MHM, Cheng BP, Scott DA, Pryor KO, Sessler DI, Veselis R, Frampton C, Sumner M, Ayeni A, Myles PS, Campbell D, Leslie K, Short TG. Anaesthetic depth and delirium after major surgery: a randomised clinical trial. Br J Anaesth. 2021 Nov;127(5):704-712. doi: 10.1016/j.bja.2021.07.021. Epub 2021 Aug 28.
Eertmans W, Genbrugge C, Vander Laenen M, Boer W, Mesotten D, Dens J, Jans F, De Deyne C. The prognostic value of bispectral index and suppression ratio monitoring after out-of-hospital cardiac arrest: a prospective observational study. Ann Intensive Care. 2018 Mar 2;8(1):34. doi: 10.1186/s13613-018-0380-z.
Selig C, Riegger C, Dirks B, Pawlik M, Seyfried T, Klingler W. Bispectral index (BIS) and suppression ratio (SR) as an early predictor of unfavourable neurological outcome after cardiac arrest. Resuscitation. 2014 Feb;85(2):221-6. doi: 10.1016/j.resuscitation.2013.11.008. Epub 2013 Nov 25.
Lewis SR, Pritchard MW, Fawcett LJ, Punjasawadwong Y. Bispectral index for improving intraoperative awareness and early postoperative recovery in adults. Cochrane Database Syst Rev. 2019 Sep 26;9(9):CD003843. doi: 10.1002/14651858.CD003843.pub4.
Kreuer S, Wilhelm W, Grundmann U, Larsen R, Bruhn J. Narcotrend index versus bispectral index as electroencephalogram measures of anesthetic drug effect during propofol anesthesia. Anesth Analg. 2004 Mar;98(3):692-7, table of contents. doi: 10.1213/01.ane.0000103182.78466.ef.
Other Identifiers
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KSH.2023-32
Identifier Type: -
Identifier Source: org_study_id
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