Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Perioperative anesthesia can affect postoperative cognitive function. In our previous study, intraoperative dexmedetomidine (Dex) infusion reduced the incidence of delirium within the first 5 days after brain tumor. However, the mechanism is still unclear. With the development of neuroimaging, multimodal neuroimaging technology provide a new method to explore the underlying mechanism. Therefore, the purpose of this study is to analyze the alterations of brain network under sedation and anesthesia by different anesthetics in patients with supratentorial glioma and their association with cognition.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dex group | Participants will be sedated and maintained by dexmedetomidine. |
| |
| Propofol group | Participants will be sedated and maintained by propofol. |
| |
| Remimazolam group | Participants will be sedated and maintained by remimazolam. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dexmedetomidine | Drug | Participants will be sedated and maintained by dexmedetomidine during the surgery. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The alterations of brain network connectivity. | fMRI and DTI will be used to detect brain network connectivity. | Before sedation, 30 minutes after sedation,and 30 minutes after surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative delirium. | The incidence and severity of postoperative delirium and its association with changes of brain network connectivity. | Day 1-5 after surgery. |
| Electroencephalogram changes |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
The population will be selected from patients who schedule to receive elective surgery in Beijing Tiantan Hospital.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yuming Peng, MD,Ph.D | Contact | 8610-59976658 | florapym766@163.com |
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Tian Tan Hospital, Capital Medical University | Recruiting | Beijing | Beijing Municipality | 100070 | China |
Not provided
| ID | Term |
|---|---|
| D000071257 | Emergence Delirium |
| ID | Term |
|---|---|
| D003693 | Delirium |
| D003221 | Confusion |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
Not provided
Not provided
| ID | Term |
|---|---|
| D020927 | Dexmedetomidine |
| D015742 | Propofol |
| C522201 | remimazolam |
| ID | Term |
|---|---|
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
Not provided
Not provided
Not provided
Not provided
Not provided
| Propofol | Drug | Participants will be sedated and maintained by propofol during the surgery. |
|
| Remimazolam Injection | Drug | Participants will be sedated and maintained by remimazolam during the surgery. |
|
Electroencephalogram will be used to record the brain activity.
| From patients admission to operation room until 10 minutes after surgery |
| rScO2 changes. | Regional cerebral oxygen saturation (rScO2) will be monitored with near-infrared spectroscopy (NIRS). | From patients admission to operation room until 10 minutes after surgery |
| D009422 |
| Nervous System Diseases |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012816 | Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D010636 |
| Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |