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NCT Number: NCT07145697

The Electroencephalographic Mechanisms of Anesthesia and Human Consciousness

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.

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Key information

Age range

3 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

General hospital of southern theater command, PLA

Guangzhou, Guangdong, 510000, China

Location status: Recruiting

Location contact

Jing He

CONTACT

[email protected]

88653504

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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.

Exclusion criteria

  • 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.

Treatment and study plan

Dexmedetomidine

Drug

Escalating concentrations until loss of responsiveness

Primary outcomes

  1. Stereo-electroencephalography

    Time frame: 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.

Secondary outcomes

  1. Functional connectivity

    Time frame: through test completion, an average of 3 hours

    permutation mutual information (PMI); stereo-electroencephalography assessment parameter

  2. The complexity

    Time frame: through test completion, an average of 3 hours

    examined by permutation entropy (PE); stereo-electroencephalography assessment parameter

  3. Phase-amplitude coupling (PAC)

    Time frame: through test completion, an average of3 hours.

    PAC is used to illuminate cross-frequency coordination in neurophysiological activity of electroencephalogram. stereo-electroencephalography assessment parameter

  4. Directional connectivity

    Time frame: through test completion, an average of 3 hours

    symbolic conditional mutual information (SCMI) and directionality index (DI); stereo-electroencephalography assessment parameter

Sponsors and collaborators

Lead sponsor

Guangzhou General Hospital of Guangzhou Military Command

Other

Registry information

Important dates

Study start
2025
Primary completion
2026
Study completion
2027
First posted
Aug 28, 2025
Registry last updated
Aug 28, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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