Induction of Anaesthesia, Age
Conditions
Brief summary
This study is aimed at increasing the safety of the use of anaesthesia in an elderly population (\> 60 years). Patients with decreased physiological reserve, including all elderly patients, have an increased risk of getting an erroneous induction bolus. This project will investigate how fast elderly patients (\> 60 years) fall asleep during bolus induction of anaesthesia with two of the most used hypnotics, thiopental and propofol, evaluated with BIS-monitoring and clinical signs of anaesthetic depth. The hemodynamic response will also be evaluated.
Interventions
Thiopental given as a bolus dose of 2,5 mg/kg.
Propofol given as a bolus dose of 1 mg/kg.
Sponsors
Study design
Eligibility
Inclusion criteria
* Elective surgical patients above 60 years of age, with an indication of general anaesthesia during surgery. * Informed consent. * The patient must be legally competent. * The patient must be able to read and understand Danish.
Exclusion criteria
* Known allergic reactions to thiopental, propofol, lidocaine or alfentanil * Body Mass Index (BMI) \<18 and \> 35. * NYHA-class \> 2.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Onset-time defined as the time from started induction bolus to: - Time to BIS-value <50. | 120 seconds |
Secondary
| Measure | Time frame |
|---|---|
| Hemodynamical effect (bloodpressure/pulse) every 60 seconds. | 120 seconds |
| Onset-time defined as the time from started induction bolus to: - Time to loss of grip. | 120 seconds |
| Onset-time defined as the time from started induction bolus to: - Time to eye closure. | 120 seconds |
| Onset-time defined as the time from started induction bolus to: - Time to ciliary reflex cessation. | 120 seconds |
Countries
Denmark