The Electroencephalographic Mechanisms of Anesthesia and Human Consciousness

Обзор

In the field of general anesthesia research, the neural mechanism underlying the loss of consciousness has long been a highly core issue. It remains unclear what consciousness is and how it emerges from brain activity. By studying anesthesia and sleep, the investigators aim to reveal what happens in the brain when consciousness is lost and when it returns. Dexmedetomidine, a widely used drug in clinical anesthetic practice, plays an important role in the anesthetic process due to its unique pharmacological properties. It hardly causes respiratory depression during the sedative and hypnotic process, which makes it occupy an important position in clinical anesthetic regimens. The emergence of stereoelectroencephalography (SEEG) technology has brought new opportunities for research on anesthesia mechanisms. Compared with traditional electroencephalographic (EEG), SEEG can directly penetrate into deep brain structures to record electrical activities, enabling precise localization of brain regions closely related to consciousness regulation. At present, although there have been some studies on the effects of dexmedetomidine on EEG activities, there are still many deficiencies. Most studies have focused on simple spectral analysis of EEG signals or observations of limited brain regions, lacking comprehensive multi-dimensional research on functional connectivity between brain regions, microstates, and complexity. Through monitoring key brain regions, the SEEG technology can obtain more targeted and accurate information, thereby providing strong support for comprehensively revealing the neural mechanisms of dexmedetomidine-induced loss of consciousness.

Вмешательства

• Препарат Dexmedetomidine
  Escalating concentrations until loss of responsiveness

Первичные конечные точки

• Stereo-electroencephalography [Срок оценки: After the patient has completed the monitoring of epileptic seizures due to clinical needs, they can participate in this test. Through test completion, an average of 3 hours.]

Вторичные конечные точки (4)

• Functional connectivity [Срок оценки: through test completion, an average of 3 hours]
• The complexity [Срок оценки: through test completion, an average of 3 hours]
• Phase-amplitude coupling (PAC) [Срок оценки: through test completion, an average of3 hours.]
• Directional connectivity [Срок оценки: through test completion, an average of 3 hours]

Критерии участия

Критерии включения

• Age range: 1 - 65 years old
• BMI: 18.5 - 25.0 kg/m²
• ASA physical status classification: I - III
• Patients diagnosed with drug - refractory epilepsy who, after long - term monitoring of epileptic seizures, require stereo-electroencephalography (SEEG) electrode implantation based on the clinical need for monitoring their epilepsy.
• Patients voluntarily participate in this study and sign a written informed consent form.

Критерии исключения

• Patients with severe arrhythmia or other organic heart diseases;
• Patients with comorbid obstructive sleep apnea-hypopnea syndrome (OSAHS);
• Patients with hepatic or renal dysfunction; those with a history of immunodeficiency diseases , or a history of cancer/malignant tumors, or a history of autoimmune diseases, or severe cardiovascular and cerebrovascular diseases, or other diseases that may significantly reduce life expectancy;
• Patients with any history of diseases that may affect protocol compliance (such as severe mental disorders, disturbance of consciousness; cognitive dysfunction, drug abuse or addiction, etc.);
• Pregnant or lactating women, or those of childbearing potential who are unwilling/unable to take effective contraceptive measures;
• Patients with known allergies to the ingredients contained in the drugs used in this study;
• Patients who have participated in any drug clinical trial within 6 months before the screening examination;
• Patients who are deemed unsuitable to participate in this study by the researcher.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Фундаментальное исследование

Центры проведения

Китай · 1 центр

• General hospital of southern theater command, PLA — Гуанчжоу

Идентификаторы

NCT: NCT07145697 · Mechanisms of Consciousness

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗