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The aim of the present study is to investigate and quantify the influence of commonly used anesthetics on auditory and pain evoked potentials.
During surgery patients are exposed to different auditory and sensory stimuli. In this study we investigate the influence of different anesthetics to alertness and nociception. In addition to auditory stimuli (AEP as a measure of sedation), Contact Heat Evoked Potential Stimuli (CHEPS), and esophageal evoked potentials from the lower 1/3 of the esophagus are measured to quantify the effects of anesthetics. 60 Volunteers are enrolled into this study. For each drug, three different levels are measured:
Four drugs are measured in the study:
propofol, sevoflurane, S-ketamine and remifentanil.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Active Comparator | remifentanil |
|
| 2 | Active Comparator | propofol |
|
| 3 | Active Comparator | sevoflurane |
|
| 4 | Active Comparator | s-ketamine |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Propofol | Drug | TCI 0.5 mcg/ml 1.0 mcg/ml |
| |
| Remifentanil |
| Measure | Description | Time Frame |
|---|---|---|
| influence of different drugs on evoked responses | 2 hours |
| Measure | Description | Time Frame |
|---|---|---|
| discrimination of antinociceptive, visceral-perceptive and sedative effects of anesthetics | 2 hours | |
| quantification of anesthetic components of propofol, sevoflurane, S-ketamine and remifentanil | 2 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Eberhard Kochs, MD | Klinikum rechts der Isar der Technischen Universität München | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Technische Universität München, Klinikum rechts der Isar, Department of Anesthesiology | Munich | Bavaria | Germany |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D015742 | Propofol |
| D000077208 | Remifentanil |
| C000629870 | Esketamine |
| D000077149 | Sevoflurane |
| ID | Term |
|---|---|
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
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| Drug |
continuous infusion 0.05 mcg/kg/min 0.15 mcg/kg/min |
|
| S-Ketamine | Drug | continuous infusion 0.25 mg/kg/h 0.50 mg/kg/h |
|
| Sevoflurane | Drug | via face mask 0.40 Vol% 0.80 Vol% |
|
| D006838 |
| Hydrocarbons |
| D009930 | Organic Chemicals |
| D011422 | Propionates |
| D000144 | Acids, Acyclic |
| D002264 | Carboxylic Acids |
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D008738 | Methyl Ethers |
| D004987 | Ethers |
| D006845 | Hydrocarbons, Fluorinated |
| D006846 | Hydrocarbons, Halogenated |