Median Effective Concentration of Ciprofol and Its Correlation With Bispectral Index: A Prospective Observational Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Enrollment
- 101
- Locations
- 1
- Primary Endpoint
- The effect-site concentration of cipofol, when MOAAS reaches 2
Study Overview
Brief Summary
- Eligible patients were selected and enrolled in the study.
- General anesthesia was induced using ciprofol in all participants, with standardized evaluation of consciousness levels during induction.
- The patients' pain and cognition are followed up after surgery.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients aged 18-65 years
- •Scheduled for elective thyroidectomy
- •ASA physical status classification I-II
- •Willing to participate and providing written informed consent
Exclusion Criteria
- •Recent use of sedatives or opioid analgesics
- •Severe hepatic or renal dysfunction defined as:Child-Pugh class C (score ≥10), Creatinine clearance <35 mL/min ,Requiring preoperative dialysis
- •Significant cardiovascular comorbidities
- •Body mass index ≥35 kg/m² or <18.5 kg/m²
- •Known hypersensitivity or adverse reactions to propofol/ciprofol
- •Neuropsychiatric disorders including:Alzheimer's disease,History of cerebrovascular events,Traumatic brain injury,Space-occupying brain lesions,Other significant neurological deficits
Arms & Interventions
ciprofol group
Anesthesia induction was achieved through target-controlled infusion of ciprofol.
Intervention: Ciprofol (Drug)
Outcomes
Primary Outcomes
The effect-site concentration of cipofol, when MOAAS reaches 2
Time Frame: From the beginning of anesthesia induction until 1 minute after intubation, the MOAA/S score was assessed every minute, with simultaneous recording of the effect-site concentration (Ce).
The effect-site concentration of cipofol corresponding to MOAA/S score (Modified Observer's Assessment of Alertness/Sedation) of 2. (Modified Observer's Assessment of Alertness/Sedation: 5--Responds readily to name spoken in normal tone ; 4--Lethargic response to name spoken in normal tone ; 3--Responds only after name is called loudly and/or repeatedly ; 2--Responds only after mild prodding or shaking ; 1--Responds only after painful trapezius squeeze ; 0--No response after painful trapezius squeeze;)
Secondary Outcomes
- The effect-site concentration of cipofol, when MOAA/S reaches 0.(From the beginning of anesthesia induction until 1 minute after intubation, the MOAA/S score was assessed every minute, with simultaneous recording of the effect-site concentration (Ce).)
- Bispectral index(From the beginning of anesthesia induction until 1 minute after intubation, the MOAA/S score was assessed every minute, with simultaneous recording of the BIS values.)
- The EC₅₀ and EC₉₅ of ciprofol(From the beginning of anesthesia induction until 1 minute after intubation , the MOAA/S score was assessed every minute, with simultaneous recording of the effect-site concentration (Ce).)
- Heart rate(From the beginning of anesthesia induction until 1 minute after intubation, the MOAA/S score was assessed every minute, with simultaneous recording of the HR.)
- Blood pressure(From the beginning of anesthesia induction until 1 minute after intubation, the MOAA/S score was assessed every minute, with simultaneous recording of the systolic blood pressure, diastolic blood pressure and mean arterial pressure.)
