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CompletedNCT02830815Updated Jul 2, 2021

Comparative Effects of Two Anesthetic Techniques on Auditory Brain Response in Children

An observational study in Auditory Brainstem Response, sponsored by Children's Hospital Medical Center, Cincinnati. Completed at 1 site in United States. Open to participants aged Up to 18 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-07-02.

Sponsored by Children's Hospital Medical Center, Cincinnati · Observational

Study type
Observational
Model
Case-crossover
Time perspective
Prospective
Enrollment
80
Ages
Up to 18 Years
Sex
All
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Study summary

This will be a prospective, blinded, cross-over study to compare the effects of two anesthetic techniques on the interpretability of auditory brainstem response testing in children.

Read the detailed description

The proposed study will be a single-center, prospective, crossover-controlled study of the two anesthetic techniques (propofol and sevoflurane). The investigators plan to enroll 80 patients who receive general anesthesia at Cincinnati Children's Hospital Medical Center Department of Radiology for ABR testing. A sample size recalculation will be performed during the study to determine the exact number of subjects necessary for sufficient power. As per standard anesthesia practice for this test in radiology department, all subjects will serve as their own control, receiving both anesthetic techniques within the same ABR testing session. The audiologist will employ broadband click stimulus testing after induction with Sevoflurane, after which the patient will be switched over to a propofol infusion and the sevoflurane stopped. After the completion of the remainder of the ABR (tone-burst testing), the audiologist will repeat the broadband click testing (now while under propofol anesthesia), and the results will be recorded. At this point, results will be de-identified, with the exception of which ear was tested and the intensity level, and these results will be reviewed by a panel of 5 audiologists. These audiologists will be blinded to the anesthetic technique and patient information. They will provide a judgment at each intensity level, for each ear whether or not a response is present (in a Yes/No format). A study coordinator blinded to the anesthetic technique will record the outcome data. The anesthesia providers and nursing team will not be blinded.

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Conditions studied

  • Auditory Brainstem Response

Keywords

  • Broadband click stimulus testing
  • General Anesthesia
  • Sevoflurane
  • Propofol
  • Amplitude latency
  • Wave V
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In context

Lead sponsor

Children's Hospital Medical Center, Cincinnati is the lead sponsor of 661 studies on the registry; 134 are open to participants now.

Of its 54 completed or terminated interventional studies of FDA-regulated products, 30 (56%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Up to 18 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Patients will be recruited from the radiology ABR schedule

Inclusion criteria

  • 0 - 18 years old
  • ASA status I, II, or III
  • Scheduled for ABR with general anesthesia

Exclusion criteria

Exclusion Criteria:

  • Contraindication to sevoflurane or propofol
  • ASA >3
05

Study design

Observational model
Case-crossover
Time perspective
Prospective
Enrollment
80 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Qualitative interpretability of ABR testing in the same patient undergoing two anesthetic techniques

    This will be measured by a blinded panel of audiologist review the two ABR click test results and provide judgment at each intensity level, for each ear and whether or not a response is present.

    Time frame: Participants will be followed for the duration of the ABR test approximately 60 - 90 minutes

Secondary outcomes

  1. Amplitude of Wave V of the ABR after broadband click stimulus

    Time frame: Participants will be followed for the duration of the ABR test approximately 60 - 90 minutes

  2. Latency of Wave V of the ABR after broadband click stimulus

    Time frame: Participants will be followed for the duration of the ABR test approximately 60 - 90 minutes

07

Study locations

1 site
  • Cincinnati Children's Hospital Medical Center
    Cincinnati, Ohio 45339, United States
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References and documents

Publications

  • Kandil AI, Ok MS, Baroch KA, Subramanyam R, Mahmoud MA, McAuliffe JJ 3rd. Why a Propofol Infusion Should Be the Anesthetic of Choice for Auditory Brainstem Response Testing in Children. Anesth Analg. 2022 Apr 1;134(4):802-809. doi: 10.1213/ANE.0000000000005693. PubMed 35113042 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 2, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02830815
Lead sponsor
Children's Hospital Medical Center, Cincinnati
Responsible party
Sponsor
First posted
Jul 13, 2016
Start date
Jun 2016
Primary completion
Nov 27, 2018
Completion
Nov 27, 2018
Last update
Jul 2, 2021

Study contacts

Ali Kandil, DO
principal investigator · Children's Hospital Medical Center, Cincinnati

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2021. You cannot join it, but the record below documents what was studied.

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