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NCT06809556Not yet recruiting

Association of EEG Parameters with Postoperative Delirium in Patient's with Parkinson's Disease

Association of Processed Electroencephalography Derived Parameters with Postoperative Delirium in Patients with Parkinson's Disease Undergoing Elective Neurosurgery

Source: ClinicalTrials.gov · Last updated 5 Feb 2025 · Not updated for over 12 months - ask the site whether it is still open

Brief summary (registry, in English)

Patients with Parkinson's disease seem prone to developing postoperative delirium after surgery, the causes of which remain understudied and multifactorial. Anesthetic management remains challenging due to the changes in neurotransmitter levels in these patients which translate to altered drug effects. Avoiding excessive anesthesia is essential. Processed electroencephalography (EEG) is used worldwide along with our centre to monitor depth of anesthesia. It is non-invasive and easy to use. Some EEG patterns like "burst suppression" are easily identifiable and indicate that the brain has fallen into an excessively low metabolic state, which could mean increased anesthetic sensitivity. Appearance of "burst suppression" can predict delirium in non-neurosurgical procedures, but this has never been studied during surgery for deep brain stimulator insertion in Parkinson's disease patients. Through this study we wish to observe the association of EEG parameters with the development of postoperative delirium in this subset of the population.This has the capacity to change anesthetic practice by being mindful of the fragile brain of such patients and individualizing drug dosing for each patient to improve outcomes and reduce hospital stay.

Status (registry)
Not yet recruiting
Study type
Observational
Enrollment
40 (estimated)
First submitted
30 Jan 2025
Start date
1 Mar 2025
Primary completion date
1 Mar 2027
Lead sponsor
London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
NCT number
NCT06809556

What you commit to

  • Study type: Observational
  • Planned participants: 40
  • From 1 Mar 2025 to the primary completion date, 1 Mar 2027
  • No sites listed in no country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Inability to place sensor/ record EEG for the entire duration of surgery
  • Emergency surgery
  • Redo surgery

Other

  • Refusal/withdrawal of consent
  • Preoperative delirium (defined as per 3D CAM score)

Who the study is looking for

  • Diagnosis of Parkinson's disease
  • Elective neurosurgery for implantation of DBS electrodes and implantable pulse generator (IPG) device.
  • 18 years of age or older

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

This page is information, not medical advice. Discuss any trial with your doctor.