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Bispectral Index Throughout Esophageal Cancer Operation

Not Applicable
Completed
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
Inclusion Criteria

the patients who are planned the esophageal cancer operation

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Exclusion Criteria
  • patient who has dermatitis
  • patient who refuse to participate in this study
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
BIS groupBISPatients who received the esophageal surgery
Primary Outcome Measures
NameTimeMethod
Change in Bispectral index scoreafter 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
NameTimeMethod
oxygenation and BISintraoperative

the effects of arterial blood gas analysis (O2 mmH2O and CO2 mmH2O) on BIS

the asymmetry of BISafter supine position 5 mins, 10 mins, 20 mins, 30 mins

The difference of BIS on supine position

The changes of BISintraoperative

the difference of BIS divided to 3 BIS level ( \<40,40-60,\>60)

Trial Locations

Locations (1)

Samsung medical center

🇰🇷

Seoul, Korea, Republic of

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