Bispectral Index Throughout Esophageal Cancer Operation
- Conditions
- Esophageal Cancer
- Interventions
- Device: BIS
- Registration Number
- NCT03397745
- Lead Sponsor
- Samsung Medical Center
- Brief Summary
The investigators try to conduct a study to assess the impact of changing patients' lateral decubitus position on BIS readings during esophageal cancer operation. Also, the investigators evaluate the effects of one-lung ventilation and total lung ventilation on BIS value with inhalation agent.
- Detailed Description
Bispectral index (BIS) was developed to monitor a patient's level of consciousness under general anesthesia. Several factors have been found to alter BIS readings without affecting the depth of anesthesia.Changing a patient's position (head up and head down) significantly affects the BIS values, which might affect the interpretation of anesthetic depth.
During esophageal cancer surgery, there were several factors which could affect to BIS values.First, the surgical positions are consisted with supine and lateral decubitus position more than 1 h. Thus, the investigators compare the BIS value of both side on supine and lateral decubitus position by both side approach. Second, the one lung ventilation was applied for surgical filed. It alters the oxygenation and the cerebral flow. Because of these effects, the BIS monitoring can differ by the period of surgery. Thus, in this study, the BIS value of both side monitor throughout the surgery.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 44
the patients who are planned the esophageal cancer operation
- patient who has dermatitis
- patient who refuse to participate in this study
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description BIS group BIS Patients who received the esophageal surgery
- Primary Outcome Measures
Name Time Method Change in Bispectral index score after lateral decubitus position 5 mins, 10 mins, 20 mins, 30 mins The difference of both side BIS value on lateral decubitus position
- Secondary Outcome Measures
Name Time Method oxygenation and BIS intraoperative the effects of arterial blood gas analysis (O2 mmH2O and CO2 mmH2O) on BIS
the asymmetry of BIS after supine position 5 mins, 10 mins, 20 mins, 30 mins The difference of BIS on supine position
The changes of BIS intraoperative the difference of BIS divided to 3 BIS level ( \<40,40-60,\>60)
Trial Locations
- Locations (1)
Samsung medical center
🇰🇷Seoul, Korea, Republic of