How remifentanil changes propofol-induced burst suppression.
Official title: Influence of Variable Plasma Concentrations of Remifentanil on Burst Suppression (BS) Event Rate in Electroencephalographic (EEG) Recordings of Human Subjects Undergoing Total Intravenous General Anesthesia (TIVA) Under Propofol
Run by University of Chile · NCT06237101 · Data updated 2026-11-12
We will test whether different doses of remifentanil change the propofol concentration needed to produce burst suppression in adults (18–60) having elective surgery.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 60 Years |
| Sex | All |
| Enrollment | 20 (estimated) |
| Sponsor | University of Chile Academic / other |
| Locations | 2 sites (Santiago, RM and 1 other locations) |
| Status | Recruiting |
| Started | March 1, 2024 |
| Main results expected | August 31, 2026 |
| Study ends | September 30, 2026 |
| Registry record updated | November 20, 2025 |
| Trial ID | NCT06237101 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–60 with ASA physical status I or II scheduled for low- or intermediate-risk elective surgery who are free of neurologic/psychiatric disease and not taking psychoactive drugs or opioids.
✕Probably not a fit
Patients with neurologic or psychiatric disorders, altered baseline consciousness, significant organ dysfunction, BMI over 35, current opioid or psychoactive drug use, or propofol allergy are excluded and would not benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adult patients (ASA I–II) undergoing low- or intermediate-risk elective surgery receive sequential remifentanil and propofol while frontal EEG is recorded. After loss of consciousness, patients are randomized to a medium or high remifentanil effect-site concentration and propofol infusion rates are adjusted to determine the concentration that produces burst suppression. Burst suppression thresholds (propofol concentrations) are compared between the remifentanil dose groups. Routine monitoring and neuromuscular blockade are used to facilitate standardized airway management and surgical conditions.
Why it matters
Potential benefit: If successful, this could help anesthesiologists tailor anesthetic dosing to reduce unnecessary propofol exposure while maintaining appropriate EEG suppression.
How similar studies have gone: Prior work has shown that opioids can modify EEG patterns and interact with propofol, but direct randomized data specifically testing remifentanil's facilitation of propofol-induced burst suppression are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * American Society of Anesthesiology I or II * Elective surgery of low or intermediate risk Exclusion Criteria: * Neurological disease * Psychiatric disease * Use of psychoactive drugs or opioids * Altered basal state of consciousness * Allergy to propofol * Body mass index \> 35 kg/m2 * Pre-existing renal, cardiac and/or hepatic dysfunction * Patient's refusal to participate
Where it's running
-
Centro de Investigación Cínica Avanzada (CICA), Hospital Clinico de la Universidad de Chile
Santiago, Rm, Chile Recruiting -
Hospital Clinico de la Universidad de Chile
Santiago, Rm, Chile Recruiting
Study contacts
- Study coordinator: Antonello Penna, MD, PhD
- Email: apenna@uchile.cl
- Phone: +56229788209
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Transcranial random noise stimulation for behavioral and psychological symptoms in Alzheimer's disease
This trial tests whether high-frequency transcranial random noise stimulation can help people with early Alzheimer's disease who have BPSD, compared to a sham treatment.
-
Cannabis Effects on Recognition Memory and Brain Waves in Regular Users
This study tests how THC- and CBD-containing cannabis strains affect recognition memory and brain activity in regular cannabis users.
-
Relationship Between Burst Suppression at Start of Anesthesia and Deepness of TIVA
This study checks if early burst suppression in brain activity during anesthesia predicts deeper anesthesia later in the operation for adults having total intravenous anesthesia.
-
tDCS plus computerized cognitive training for children with autism
This project will test whether daily tDCS sessions combined with computer-based cognitive training can improve cognitive processing in 8–12-year-old children with autism compared with sham stimulation.
-
Using resting‑state brain connectivity to predict who benefits from tDCS in adolescents with autism
This project will test whether resting‑state brain connectivity can predict which adolescents (ages 12–22) with autism benefit from anodal or cathodal tDCS to the left DLPFC versus sham.
-
Monitoring anesthesia depth to improve recovery in older surgical patients
This study is testing whether using different methods to monitor anesthesia can help older patients recover better after spinal surgery.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.