Anesthesia
Conditions
Keywords
sevoflurane, Bistpectral index, Anesthetic Depth Monitoring System, population pharmacodynamics
Brief summary
The investigators want to compare the performance of anesthetic depth monitoring for sedation (ADMS) to the bispectral index (BIS) as electroencephalographic measures of sevoflurane effect using two combined sigmoidal Emax models via population pharmacodynamic approach.
Detailed description
Intraoperative awareness under general anesthesia is rare, but it may cause serious psychological sequelae. Anesthetic depth monitoring system based on electroencephalography(EEG) or evoked potential are broadly used methods. Bispectral index (BIS) monitor is most popular anesthetic depth monitoring system. Anesthetic depth monitoring for sedation (ADMS) is developed in Korea as an electroencephalographic monitor for measuring the depth of anesthesia. The investigators want to compare the performance of ADMS to the bispectral index (BIS) as electroencephalographic measures of sevoflurane effect using two combined sigmoidal Emax models via population pharmacodynamic approach.
Interventions
Sponsors
Study design
Intervention model description
Combined sigmoidal Emax models from anesthetic depth monitoring for sedation (ADMS) and combined sigmoidal Emax models from bispectral index (BIS) via population pharmacodynamic approach.
Eligibility
Inclusion criteria
* adult patients scheduled for an elective operation and postoperative epidural PCA with ASA physical status 1,2,3 who have signed the wrtten informed consent.
Exclusion criteria
* preventive anticoagulation treatment * Significant liver, kidney, coagulation dysfunction * Clinically significant ECG abnormalities * administration of psychologic durgs or opioid within 14 days before surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Bispectral Index (BIS) | Data capture will be started 45 minutes after induction of general anesthesia for 70 minutes | captured BIS data (0\ 100) from the BIS system after induction of general anesthesia, sevoflurane concentrations will be progressively increased and then decreased over 70 min. |
| Anesthetic depth monitoring for sedation (ADMS) | Data capture will be started 45 minutes after induction of general anesthesia for 70 minutes | captured ADMS data (0\ 100) from the ADMS system after induction of general anesthesia, sevoflurane concentrations will be progressively increased and then decreased over 70 min. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adverse events | visit patients 24 hours after operation. | Observe all adverse events both groups |
Countries
South Korea