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Brain Oscillatory Signatures of Auditory Stimuli Across Different Vigilance and Sedation States

Not Applicable
Recruiting
Conditions
Sleep
Anesthesia
Interventions
Other: Acoustic stimuli
Registration Number
NCT05799417
Lead Sponsor
Insel Gruppe AG, University Hospital Bern
Brief Summary

The investigators want to explore how presenting acoustic stimuli influences brain oscillatory signatures and heart rhythm- dynamics across different vigilance and sedation states.

The investigators will administer acoustic stimuli during sedation and anaesthesia while brain activity and heart activity are being recorded by electroencephalogram and electrocardiogram.

On the day following anaesthesia an optional nap/sleep period's EEG and ECG will be recorded. During this short sleep, patients will again be exposed to acoustic stimuli. The recorded EEG and ECG will be compared intra-and inter-individually to recordings from sedation and anaesthesia.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
80
Inclusion Criteria
  • Informed Consent as documented by signature
  • Good general health status
  • Planned ophthalmic/plastic surgery at Inselspital Berne
Exclusion Criteria
  • Contraindications on ethical grounds
  • Neurological/neurodegenerative disorder
  • Hearing problems (only if patients are not able to perceive the acoustic stimuli)
  • Pacemaker
  • Deep brain stimulator
  • Pregnancy
  • Known or suspected drug or alcohol abuse
  • Critical surgery procedure

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Acoustic stimuliAcoustic stimuliAcoustic stimuli and comparison to within-subject baseline
Primary Outcome Measures
NameTimeMethod
Spindle characteristics - amplitude of spindlesContinuously across anaesthesia/sedation/sleep up to 8 hours

Spindle amplitude in microVolts

Spindle characteristics - frequency of spindlesContinuously across anaesthesia/sedation/sleep up to 8 hours

Frequency of spindles in Hz

Brain oscillatory power derived by EEGContinuously across anaesthesia/sedation/sleep up to 8 hours

Brain oscillatory response to acoustic stimuli derived by power spectral density in canonical frequency bands from 0.5 up to 40 Hz.

Brain oscillatory response derived by Hilbert AmplitudeContinuously across anaesthesia/sedation/sleep up to 8 hours

Brain oscillatory response to acoustic stimuli derived by Hilbert-transforming EEG data and extracting Hilbert amplitude in microVolts

Spindle characteristics - number of spindlesContinuously across anaesthesia/sedation/sleep up to 8 hours

Number of spindles

Spindle characteristics - duration of spindlesContinuously across anaesthesia/sedation/sleep up to 8 hours

Duration of spindles in ms

Secondary Outcome Measures
NameTimeMethod
Heart rateContinuously across anaesthesia/sedation/sleep up to 8 hours

Heart rate derived from echocardiogram in bpm

Instantaneous heart rateContinuously across anaesthesia/sedation/sleep up to 8 hours

Instantaneous heart rate derived from echocardiogram in bpm

Heart rate variabilityContinuously across anaesthesia/sedation/sleep up to 8 hours

Heart rate variability derived from echocardiogram in ms

Slow wave characteristics - amplitudeContinuously across anaesthesia/sedation/sleep up to 8 hours

Slow wave amplitude in microVolt

Slow wave characteristics - numberContinuously across anaesthesia/sedation/sleep up to 8 hours

Number of slow waves

Slow wave characteristics - frequencyContinuously across anaesthesia/sedation/sleep up to 8 hours

Frequency of slow waves in Hz

Slow wave characteristics - slopeContinuously across anaesthesia/sedation/sleep up to 8 hours

Slope of slow waves in microVolts/s

Number of sleep arousalsContinuously across sleep up to 8 hours

Trial Locations

Locations (1)

Inselspital

🇨🇭

Bern, Switzerland

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