Actively Recruiting

Age: 18Years - 75Years
All Genders
ID06400901

Electrophysiology Based Brain Network Study on Deep Brain Nuclei LFP and Cortical EEG During the Recovery From General Anesthesia

Led by Ruijin Hospital · Updated on 2024-05-13

42

Participants Needed

1

Research Sites

52 weeks

Total Duration

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AI-Summary

What this Trial Is About

Researchers are exploring how deep brain nuclei activity and the cerebral cortex function during recovery from general anesthesia in patients undergoing deep brain stimulation (DBS) surgery. This study aims to understand the changes and connections between deep brain nuclei firing and cortical activity during the return of consciousness. The research focuses on the brain's neural networks involved in recovery, which is not just a passive drug clearing process but an active brain function. During the study, patients having DBS surgery will have their local field potentials (LFP) from deep brain nuclei and scalp electroencephalograms (EEG) from the frontal cortex recorded simultaneously. No additional interventions are given beyond the planned DBS surgery. These recordings occur during the recovery period after general anesthesia to analyze how signals from deep brain areas relate to cortical EEG activity. Participants will be monitored for changes in brain signals over about 2 hours during recovery from anesthesia. Researchers will evaluate the number of patients showing changes in LFP and EEG patterns. The study includes assessments of brain activity to better understand consciousness recovery mechanisms. Patients are expected to cooperate during surgery and recording, with the total observation focused on the immediate post-anesthesia recovery phase.

CONDITIONS

Brief Title

Analysis of Deep Brain Nuclei LFP and Cortical EEG Signals During the Recovery From General Anesthesia

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age between 18 and 75 years
  • ASA (American Society of Anesthesiologists) classification I-III
  • Candidates meeting indications for deep brain stimulation (DBS) surgery
  • Right-handed with normal listening and speaking abilities
  • Signed informed consent and willing to cooperate with researchers
Not Eligible

You will not qualify if you...

  • Cognitive impairment with Montreal Cognitive Assessment (MoCA) score less than 26
  • Severe depression with Beck Depression Inventory (BDI-II) score 25 or higher
  • Dysfunction of important organs such as heart, lungs, liver, or kidneys, or unstable vital signs
  • Expected to enter intensive care unit (ICU) after surgery
  • Alcohol or drug dependence
  • Received general anesthesia within one month before surgery or allergy to general anesthetics
  • DBS surgery lasting more than 4 hours
  • Pregnancy

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Surgery and Immediate Post-operative Care

Duration - Surgery day plus approximately 2 hours of recovery monitoring

Participants undergo deep brain stimulation surgery as part of their routine care; electrophysiological signals from deep brain nuclei and cortical EEG are recorded during recovery from general anesthesia.

1 surgery day visit with electrophysiological monitoring during recovery

Trial Site Locations

Total: 1 location

1

Ruijin Hospital Shanghai Jiaotong University School of Medicine

Shanghai, Shanghai Municipality, China, 20025

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Research Team

X

Xin Ma, MD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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Published Research Related To This Trial

Dynamic changes in rhythmic and arrhythmic neural signatures in the subthalamic nucleus induced by anaesthesia and tracheal intubation.

Yongzhi Huang, Kejia Hu, Alexander L Green...

https://pubmed.ncbi.nlm.nih.gov/32336475