Unique ID issued by UMIN | UMIN000023708 |
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Receipt number | R000027301 |
Scientific Title | Open lavel single center crossover study concerning the change of PVI(Pleth Variability Index) and SVV(Stroke Volume Valiance) durung mECT(modified Electro Convulsive Therapy). |
Date of disclosure of the study information | 2016/08/21 |
Last modified on | 2021/03/13 21:17:02 |
Open lavel single center crossover study concerning the change of PVI(Pleth Variability Index) and SVV(Stroke Volume Valiance) durung mECT(modified Electro Convulsive Therapy).
Prospective study concerning the change of PVI and SVV durung mECT.
Open lavel single center crossover study concerning the change of PVI(Pleth Variability Index) and SVV(Stroke Volume Valiance) durung mECT(modified Electro Convulsive Therapy).
Prospective study concerning the change of PVI and SVV durung mECT.
Japan |
Scheduled mECT cases of ASA 1 or 2.
Psychiatry | Anesthesiology |
Others
NO
Our goal in this study is to provide safer perioperative care for scheduled mECT through verification of the change of pleth variability index (PVI) and stroke volume valiance.
Safety,Efficacy
Others
Pragmatic
The difference of the change of PVI and SVV during mECT
1. The difference of the change of PVI during mECT (comparison between first time and second time)
2. The difference of the change of SVV during mECT(comparison between first time and second time)
Interventional
Single arm
Non-randomized
Open -no one is blinded
Self control
NO
NO
Institution is not considered as adjustment factor.
NO
No need to know
1
Treatment
Device,equipment |
Patients are prohibited eating from 9 p.m.of the previous night of mECT. After entering operating room, patient is monitered ECG, NIBP, SpO2, temperature and PVI of Masimo Radical 7 and SVV of ClearSight Fiinger Cuff (Edwards). Each of data is recorded throughout operation. After control EEG measurement, propofol 1mg/kg is administered. If the patient is alert after 3 minutes of administration, additional 0.2mg/kg is administered. This process is repeated until loss of awareness. After that, thigh mounted cuff is pressurred to 250mmHg, 1mg/kg of succinylcholine is administered.
ECT is done after one minutes's hand ventilation of twenty times per minute to inspiratory pressure 15mmg after confirming the oncet and dissipation of fasciculation. After the end of ECT, hand ventilation of six times per minute to inspiratory pressure 15mmg is continued until emergence of spontaneous respiration. Data of PVI and SVV are acquired until leaving operation room time. A comparison of change of PVI and SVV of following four points are checked after that. 1.After entering operation room and before anesthsia, 2.After administration of propofol and succinylcholine (just before ECT), 3.One minute after the ECT, 4.After awakening. The second time's ECT dose of propofol and succinylcholine is set to the same as the first time's total dose. In the case of ECT is uneffective, the second time's ECT dose of propofol is set to 0.8mg/kg.
Not applicable |
Not applicable |
Male and Female
1.ASA 1or 2 of scheduled mECT
2.Weight from 45kg to 90kg
3.Fully apprehended as to purport or meaning of the study and with written consent (approved by the ethics committee) after received an explanation.
1.Allergic or having contraindication to any medicine used in this study
2.Peripheral vascular disorder
3.Cardiovascular disturbance, Cerebrovascular disorder
4.Neuromuscular disease
5.BMI>35
6.Renal impairment (estimated Ccr<30)
20
1st name | |
Middle name | |
Last name | Tomoyuki Sato |
saiseikai yokohamashi tobu hospital
department of anesthesiology
3-6-1 shimosueyoshi turumi-ku yo kohama-shi kanagawa-ken
045-576-3000
tomoyukisatoh@seagreen.ocn.ne.jp
1st name | |
Middle name | |
Last name | Tomoyuki Sato |
saiseikai yokohamashi tobu hospit al
department of anesthesiology
3-6-1 shimosueyoshi turumi-ku yo kohama-shi kanagawa-ken
045-576-3000
tomoyukisatoh@seagreen.ocn.ne.jp
saiseikai yokohamashi tobu hospital
saiseikai yokohamashi tobu hospit
al
Self funding
NO
2016 | Year | 08 | Month | 21 | Day |
Unpublished
Terminated
2016 | Year | 08 | Month | 20 | Day |
2016 | Year | 08 | Month | 20 | Day |
2016 | Year | 08 | Month | 21 | Day |
2019 | Year | 08 | Month | 31 | Day |
2019 | Year | 09 | Month | 15 | Day |
2019 | Year | 09 | Month | 30 | Day |
2019 | Year | 10 | Month | 31 | Day |
2016 | Year | 08 | Month | 21 | Day |
2021 | Year | 03 | Month | 13 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000027301
Research Plan | |
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Registered date | File name |
2017/10/05 | mECT倫理提出11.20..docx |
Research case data specifications | |
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Registered date | File name |
2017/10/05 | 登録票mECT.xlsx |
Research case data | |
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Registered date | File name |
2017/10/05 | 症例報告書 m-ECT11.4..xlsx |
Value
https://center6.umin.ac.jp/ice/27301