RecruitingNot ApplicableNCT06922500

Processed EEG for Monitoring of Anesthetic Depth in Intracranial Tumor Surgery

Anesthetic Depth Assessed by Processed EEG (pEEG) - a Comparison of Manual Total Intravenous Anesthesia and Target Controlled Anesthesia in Tumor Resection Via Craniotomy


Sponsor

Region Skane

Enrollment

126 participants

Start Date

Nov 21, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

An important feature of neurosurgical anesthesia is early postoperative recovery of consciousness with minimal residual sedation. This is a key factor to enable early neurological assessment and early discovery of postoperative complications. The goal of this single centre clinical trial is to compare propofol/remifentanil anesthesia delivered by manual total intravenous anesthesia (mTIVA) or target controlled infusion (TCI) for intracranial tumor resection via craniotomy. Anesthetic depth will be assessed by a simplified processed EEG (pEEG). The main question is time spent within recommended pEEG- levels from anesthesia induction until end of surgery. Secondary questions are: * mean pEEG-level, time from end of surgery to consiousness, * peroperative propofol/remifentanil consumption * postoperative degree of sleepiness * awareness assessment Participants are adults having have planned surgery for open resection of a brain tumor and will receive general anesthesia with propofol and remifentanil randomized to mTIVA or TCI. pEEG vill be blinded. * Participants will be asked to grade postoperative sleepiness using a specific scale * Follow up regarding awareness will be performed.


Eligibility

Min Age: 18 Years

Inclusion Criteria3

  • Elective craniotomy for tumor resection
  • Adult patient
  • Consent to participation

Exclusion Criteria2

  • Cognitive impact affecting infrmed consent
  • brain tumor planned for biopsy without resection Tumor localisation not permitting placement of pEEG electrodes.

Interventions

DEVICEdepth of anesthesia

Time spent within recommended pEEG-levels


Locations(1)

Anesthesia and Intensive Care, Skane University Hospital

Lund, Sweden

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NCT06922500


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