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Gliomas are the most common primary intracranial malignancy, and behavioral experiments in patients with supratentorial gliomas under sedation have shown potential neurological abnormalities; however, these behavioral experiments are susceptible to external influences. Therefore, more objective evidence is needed to support and extend the existing conclusions. The purpose of this study is to compare the EEG signatures (such as the EEG signal power) at various levels of anesthetics induced sedation in patients with supratentorial glioma in frontal lobe and in patients without intracranial-occupying lesion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Awake State | OAA/S=5 |
| |
| Sedation State | OAA/S=3 |
| |
| Unconsciousness State | OAA/S=1 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| OAA/S=5 | Other | Prior to anesthesia induciton, EEG signatures will be recorded at Observer's Assessment of Alertness/Sedation (OAA/S) score of 5 (awake, eye-close state) for few minutes. |
| Measure | Description | Time Frame |
|---|---|---|
| 1. The time-frequency characteristics of EEG power changes at different sedation depths in neurosurgical patients. | The EEG power will be calculated by raw signal at awake, eye-closed state and after reaching the steady-state sedation depths of OAA/S=3 and OAA/S=1. | Prior to anesthesia induction, three minutes after reaching the target level of sedation |
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Inclusion Criteria:
Exclusion Criteria:
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Patients aged between 18 and 60 years with American Society of Anesthesiology status I or II who were scheduled to receive elective surgery under general anesthesia. Patients with supratentorial glioma in right frontal lobe diagnosed by magnetic resonance imaging were included in the glioma group while patients requiring general anesthesia without intracranial-occupying lesion were included in the control group.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Tiantan Hospital | Beijing | Beijing Municipality | 100050 | China | ||
| Beijing TianTan Hospital |
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| OAA/S=3 | Other | Given sedative anesthetics (propofol, midazolam or dexmetomidine), EEG signatures will be recorded after reaching steady state of OAA/S=3 (responds only after name called loudly and/or repeatedly) for few minutes. |
|
| OAA/S=1 | Other | Increasing drug concentration, EEG signatures will be recorded after reaching steady state of OAA/S=1 (does not respond to noxious stimuli) for few minutes. |
|
| Beijing |
| 100070 |
| China |