Prediction of Propofol Effect-Site Concentration Associated With Deep Anesthesia
Prediction of Propofol Effect-Site Concentration Associated With Deep Anesthesia During Induction of General Anesthesia Based on Electroencephalographic Features: a Prospective Observational Study
Ciusss de L'Est de l'Île de Montréal
110 participants
Apr 7, 2025
OBSERVATIONAL
Conditions
Summary
The goal of this observational study is to explore the variability of the concentration at the effect site (Ce) of propofol to reach deep anesthesia (DA) during induction of general anesthesia in adults. The investigators hypothesized that there is a great variability in this Ce that could be precisely explained by * Electroencephalographic (EEG) features available prior to induction of anesthesia * Cognitive performance * Patients characteristics Participants will undergo preoperative cognitive testing and awake EEG. Then, induction of general anesthesia will be performed using continuous infusion of propofol. The Ce at which Deep anesthesia is observed will be recorded.
Eligibility
Inclusion Criteria2
- Scheduled for any kind of surgery under general anesthesia.
- Adults
Exclusion Criteria6
- Inability to communicate in French or English,
- Known allergy or intolerance or other medical condition that precludes the use of prescribed general anesthesia protocol for this study,
- Patients requiring rapid sequence induction,
- Anticipated or known difficult intubation patient,
- Anticipated or known difficult ventilation patient,
- Body mass index ≥ 35 kg.m-2.
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Interventions
Preoperative cognitive battery test
Preoperative 24 channel EEG
preoperative 128-channel electroencephalogram
induction of general anesthesia using propofol 1%
Locations(1)
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NCT06346158