Effect of Total Intravenous Anesthesia (TIVA) With Magnesium Sulfate on Intra-Operative Neuromonitoring (IONM) in Patients Undergoing Spine Surgery
试验速览
- 阶段
- 不适用
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- IONM Reading
研究概览
简要总结
Anesthesia for neurosurgery requires balancing deep and effective anesthesia as well as postoperative analgesia versus the risks of delayed recovery and postoperative respiratory depression. This randomized placebo-controlled, double-blind study was designed to evaluate the effect of magnesium sulfate on the total anesthetic and analgesic consumption using the clinical parameters in addition to the effect on IONM reading.
详细描述
Objectives:
- Decrease anesthetic consumption
- Decrease use of muscle relaxants
- Decrease analgesic consumption
- Excellent recovery
Patients & Methods:
- 2 groups (total 50) Randomized Controlled Double Blind (RCDB) Study
- Propofol + remifentanil + saline (Control = C group)
- Propofol + remifentanil + Mgso4 (Magnesium = M group)
- Adult Spine decompression and fixation After getting the Institutional Review Board (IRB) approval, This randomized controlled double blind study includes 2 groups of patients (each group 25) will be enrolled in the study. All patients undergo spine decompression and fixation surgery
Induction:
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 30 Years 至 60 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult Patients Undergoing Spine Surgery
排除标准
- •Renal Impairment
- •Liver Cell failure
- •Heart Block
结局指标
主要结局
IONM Reading
时间窗: 1- baseline 2-during surgery 3-immediately after surgery
Reading the effect on the intraoperative neuromonitoring either motor or sensory evoked potential
次要结局
- Blood Pressure(1- baseline 2-during surgery 3-immediately after surgery 4- every one hour postoperative till 24 hours)
- Morphine Consumption(Over 24 hours postoperative)
- Heart Rate(1- baseline 2-during surgery 3-immediately after surgery 4- every one hour postoperative till 24 hours)
- Pain Score(Over 24 hours postoperative)
研究者
Essam M. Manaa (MD)
Assistant Professor & Consultant
King Khalid University Hospital
