Anesthesia Brain Monitor, Sufentanil, Target Controlled Infusion
Conditions
Brief summary
Sufentanil Target Controlled infusion (TCI, Gepts model) effects on Neuromonitoring during Total Intravenous Anesthesia (TIVA) with Propofol TCI (Eleveld model) has not been investigate yet. Authors aim to investigate its effect on Patient State index (PSi), the power spectrum EEG, the Analgesia Nociception Index (ANI) nad pupillometry values during maintenance durin TIVA-TCI with Propofol and Sufentanil.
Detailed description
Sufentanil Target Controlled infusion (TCI, Gepts model) effects on Neuromonitoring during Total Intravenous Anesthesia (TIVA) with Propofol TCI (Eleveld model) has not been investigate yet. Authors aim to investigate its effect on Patient State index (PSi), the power spectrum EEG, the Analgesia Nociception Index (ANI) and pupillometry values during maintenance during TIVA-TCI with Propofol and Sufentanil.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Undergo general anaesthesia with Targeted Controlled Infusion of Propofol (Eleveld model) and Sufentanil (Gepts model)
Exclusion criteria
* Neurological disease * Psychiatric disease * Obesity * Regional anesthesia performed
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effects of Sufentanil on Patient State index (PSi) during stable Propofol general anesthesia | PSi values and Sufentanil Target Controlled Infusion (TCI) concentrations will be monitored during all the time of surgery | Evaluate if sufentanil variations during general anesthesia has an impact on the PSi values |
| Effects of Sufentanil on Electroencephalogram (EEG) power spectrum during stable Propofol general anesthesia | EEG power spectrum and Sufentanil Target Controlled Infusion (TCI) concentrations will be monitored during all the time of surgery | Evaluate if sufentanil variations during general anesthesia has an impact on the EEG power spectrum |
| Effects of Sufentanil on Analgesia Nociception Index (ANI) during stable Propofol general anesthesia | ANI values and Sufentanil Target Controlled Infusion (TCI) concentrations will be monitored during all the time of surgery | Evaluate if sufentanil variations during general anesthesia has an impact on the ANI values |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Analgesia Nociception Index (ANI) values and postoperative pain | Numeric Rating Scale (NRS) will be evaluated after the end of surgery and 24 hours after the end of surgery and compared to ANI values after 24 hours | Evaluate if different ANI values at the same Sufentanil concentrations has an impact on postoperative pain |
| Patient State Index (PSi) values and postoperative delirium | Confusion assessment method (CAM) test for delirium will be performed after the end of surgery and compared to PSi values after 24 hours | Evaluate if different PSi values at the same Sufentanil concentrations has an impact on postoperative pain |
| Analgesia Nociception Index (ANi) values and postoperative nausea and vomiting | Nausea and vomiting occurrence will be detected hours atend of surgery and compared to ANI values after 24 hours | Evaluate if different ANi values at the same Sufentanil concentrations has an impact on postoperative nausea and vomiting. |
Countries
Italy