Patients who are scheduled for spine surgery by posterior approach requiring neurophysiological monitoring under general anesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients who are scheduled for spine surgery by posterior approach requiring intraoperative neurophysiological monitoring.
Exclusion criteria
Exclusion criteria: ASA PS 4 or 5. Previous history of epilepsy, cerebrovascular diseases History of neuromuscular disorders including myasthenia gravis, lower extremity peripheral nerve dysfunction, severe heart disease. Those who can not understand the purpose of this study such as dementia. Those who are allergic to the drugs to be used. Those who are judged unsuitable by the research doctor.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The amplitude of H reflex of left soleus muscle at propofol effect site concentration 2.0 and 4.0 mcg/ml. | — |
Secondary
| Measure | Time frame |
|---|---|
| The amplitude and latency of motor evoked potential, M wave and F wave in bilateral soleus muscle at three propofol concentration(effect site concentrations 2.0, 3.0 and 4.0 mcg/ml). The amplitude and latency of H Reflex in left soleus muscle at propofol concentration(effect site concentrations) 3.0 mcg/ml. The latency of H Reflex in left soleus muscle at three propofol concentration(effect site concentrations 2.0, 3.0 and 4.0 mcg/ml). The amplitude and latency of H Reflex in right soleus muscle at three propofol concentration(effect site concentrations 2.0, 3.0 and 4.0 mcg/ml). The amplitude and latency of motor evoked potential in bilateral abductor pollicis brevis, bilateral quadriceps, bilateral tibialis anterior, bilateral abductor hallucis and bilateral hamstrings at three propofol concentration(effect site concentrations 2.0, 3.0 and 4.0 mcg/ml). The amplitude and latency of posterior tibial nerve somatosensory evoked potential at three propofol concentration(effect site concentrations 2.0, 3.0 and 4.0 mcg/ml). | — |
Countries
Japan
Contacts
Niigata University Graduate School of Medical and Dental Sciences Division of Anesthesiology