Health Condition 1: G549- Nerve root and plexus disorder, unspecified
Conditions
Interventions
Intervention1: Nil: Nil
Intervention2: Nil: Nil
Sponsors
nil
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion Criteria: 1.Patients aged 65 years or older 2.Patients undergoing elective spinal surgery or other surgeries where MEP monitoring is indicated 3.American Society of Anesthesiologists (ASA) physical status classification I-II
Exclusion criteria
Exclusion criteria: 1.Pre-existing neurological deficits affecting motor function 2.Contraindications to MEP monitoring (e.g., epilepsy, intracranial metal) 3.Severe cardiac conditions (e.g., severe coronary artery disease, heart failure). 4.Inability to provide informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The study will provide evidence on how sedation depth affects MEPs in older adults. The results will help identify the optimal sedation depth for reliable MEP monitoring in this population. The findings will contribute to improved patient safety and neurological outcomes during surgery.Timepoint: once TRAIN OF FOUR RATIO greater than 75 percentage , the amplitude and latency of motor evoked potentials at three different bis levels will be measured at time interval of 5 minutes | — |
Secondary
| Measure | Time frame |
|---|---|
| comparison between decremental time in tci propofol pump after surgical closure and time to patient awakening, hemodynamics at different depth of anaesthesia, post op neurologic deficitsTimepoint: once TRAIN OF FOUR RATIO greater than 75 percentage , hemodynamic variables like , HeartRate, BloodPressure , at three different bis levels will be measured at time interval of 5 minutes | — |
Countries
India
Contacts
Public Contactdheeraj masapu
aster whitefield hospital
Outcome results
None listed