CClinicalTrials.gg
Status unknownNCT03773588Closedloop TCIUpdated Dec 12, 2018

Entropy and Surgical Pleth Index Guided Closed Loop Target Controlled Infusion Total Intravenous Anesthesia With Propofol

An interventional study of Closed-Loop propofol Target controlled infusion by Entropy and SPI and Open-loop propofol target controlled infusion in Anesthesia Awareness, sponsored by KVG Medical College and Hospital. Status unknown at 1 site in India. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2018-12-12.

Sponsored by KVG Medical College and Hospital · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Dec 2018), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 100 Years
Sex
All
01

Study summary

Closed-loop infusion system for target controlled infusion of propofol by using TCI pump designed by BD Technology. (Germany) guided with entropy and surgical pleth index (GE) will not only prevent awareness from Anesthesia but also optimise the dose anesthetic agents based on feedback from adequacy of Anesthesia monitoring. Which not only reduces Anesthesia agents but also enhances recovery from Anesthesia. Innovation using TCI combined with closed-loop controlled intravenous anesthesia under the guide of Entropy.In this study we performed a randomized, controlled, study to compare closed-loop control and open-loop control of propofol by using the Entropy and SPI guided closed-loop infusion system.

Read the detailed description

Monitoring of Adequacy of Anesthesia using Entropy and Surgical pleth index to guide total intravenous anesthesia is more effective to maintain depth of anesthesia compared with target controlled infusion with open systems, it is unclear what driver and variables to achieve this goal be more physiological; in the literature doesn´t exist studies showing that the closed-loop system for hypnotic is better than the controlled algorithm based pharmacokinetic models and open loop system (target controlled infusion-TCI) to maintain anesthetic depth. Thus, a system was designed for intravenous anesthesia in closed loop for propofol as hypnotic based on neuromonitoring with Entropy and surgical pleth index as adequacy of Anesthesia depth.

The purpose of this study is to determine the therapeutic effectiveness of a closed loop TCI for administration of intravenous anesthesia using adequacy of anesthesia monitoring to maintain a depth of anesthesia compared to an open loop system TCI.

02

Conditions studied

  • Anesthesia Awareness

Keywords

  • Closed loop
  • Entropy
  • Surgical pleth index
  • Adequacy of Anesthesia
  • Target controlled infusion
03

In context

Intraoperative Awareness

51 studies on the registry are indexed under Intraoperative Awareness; 7 are open to participants now.

This study's planned enrollment of 40 is below the median of 60 across 25 interventional studies indexed under Intraoperative Awareness.

Browse Intraoperative Awareness studies →

Lead sponsor

KVG Medical College and Hospital is the lead sponsor of 3 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Older than 18 years
  • Scheduled for noncardiac surgery elective low-risk or intermediate risk. -Expected surgery time greater than 1 hour
  • Procedure requiring general anesthesia
  • Classification of the American Society of Anesthesiologists (ASA) as I,II, lll

Exclusion criteria

Exclusion Criteria:

  • Pregnant women
  • Surgery scheduled urgent or emergency
  • Personal history of allergy to eggs or any other part of propofol
  • Personal history of abnormalities or congenital or acquired cognitive sequels: infantile cerebral palsy, Down syndrome, cerebral ischemic disease, traumatic brain injury, brain tumor, autism.
  • Chronic use of benzodiazepines or antipsychotics
  • A patient who does not consent to participate in the study prior to surgery or before randomization
  • Need for anesthetic or analgesic blockade before surgery peripheral nerve
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
40 participants (estimated)

Study arms

  • Active comparator
    Closed-Loop propofol Target control infusion

    Closed loop target controlled infusion(TCI) TIVA with propofol using BD TCI pumps guided by entropy and SPI

    Device: Closed-Loop propofol Target controlled infusion by Entropy and SPI

  • Active comparator
    Open-loop propofol target control infusion

    Open-loop target controlled infusion of propofol using BD TCI pumps based on Schnider effect site algorithm

    Device: Open-loop propofol target controlled infusion

Interventions

  • DeviceClosed-Loop propofol Target controlled infusion by Entropy and SPI

    Closed loop target infusion of propofol using BD TCI pumps guided by entropy and Surgical pleth index

    Also known as: Closed-loop propofol Target controlled infusion

  • DeviceOpen-loop propofol target controlled infusion

    Propofol target controlled infusion using Schnider algorithm to determine effect site concentration

    Also known as: Open-loop propofol TCI

06

What researchers measure

Primary outcomes

  1. Adequacy of anesthesia

    Difference in therapeutic effectiveness determined by the time in state suitable anesthetic depth. The proper anesthetic depth is defined as the efficacy to maintain a Spatial entropy in the range of 40 - 60 during a surgery.

    Time frame: 1 day

  2. Time taken for recovery from Anesthesia

    Total time taken for recovery after stopping of infusion

    Time frame: 1 day

Secondary outcomes

  1. Total consumption of propofol

    Total consumption of propofol during surgery

    Time frame: 1 day

  2. Number of hypotension events

    Time frame: 1 day

07

Study locations

1 of 1 sites recruiting
  • Subbaih institute of medical sciences
    Shimoga, Karnataka, India
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 12, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03773588
Lead sponsor
KVG Medical College and Hospital
Responsible party
Shivakumar M C, MD (Professor and HEAD, Department of Anesthesiologist and critical care medicine, KVG Medical College and Hospital) — Principal investigator
First posted
Dec 12, 2018
Start date
Oct 10, 2018
Primary completion
Jan 10, 2019 (estimated)
Completion
Jan 15, 2019 (estimated)
Last update
Dec 12, 2018

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Dec 2018. You cannot join it, but the record below documents what was studied.

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