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Anesthesia, GeneralBBNCT06002568

Effect of Binaural Beats for Maintenance of General Anesthesia

A study testing Silent and Binaural beats in people with Anesthesia, General, run by Seoul National University Hospital at 1 site in South Korea.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The goal of this clinical trial is to learn about the effects of binaural beats on maintenance of general anesthesia in patients undergoing thyroidectomy without intraoperative neuromonitoring. Read more about this study

Who is it for?
Ages 20 to 60 yearsHealthy volunteers can take part
Conditions the study is for
Anesthesia, General
What is being tested?
Silent and Binaural beats
Type of treatment
Surgery or procedure
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
122 participants
Where
1 siteSouth Korea
Study dates
Aug 2023to 31 Jul 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Patients who are scheduled for thyroidectomy without neuromonitoring
  • Patients aged 20-60 who require general anesthesia over 2 hours
  • Patients who are able to provide written consent to participate in the clinical trial, to understand the procedure of this clinical trial, and to fill out the questionnaire appropriately
  • Patients with ASA physical status classification 1-2

Who cannot join

  • Patients with hearing loss or using hearing aids
  • Patients who received narcotic analgesics or sedative drugs within 1 week
  • Patients with alcohol or drug dependence
  • Patients with drug hypersensitivity to sevoflurane
  • Patients with family history or past history of malignant hyperthermia
  • Patients with neuromuscular disease of myasthenia gravis
Show all 9Show fewer
  • Patients with arrhythmia, cardiovascular disease, and decreased heart function
  • Patients with kidney failure
  • Patients who are judged to be inappropriate for this clinical trial according to the opinions of investigators

Trial locations and contacts

1 site in 1 country.

Jeong-Hwa Seo, MD., PhD. contact

+82-10-55020551

eongpa@empas.com

South Korea1 site
  • Seoul National University Hospital

    Seoul

Other trials in South Korea

About this study

Official title: ) The Effect of Intraoperative Binaural Beats on the Quantity of Inhaled Anesthetic Gas Required for the Maintenance of General Anesthesia: a Randomized, Placebo Controlled Trial

The goal of this clinical trial is to learn about the effects of binaural beats on maintenance of general anesthesia in patients undergoing thyroidectomy without intraoperative neuromonitoring.

The main question it aims to answer is:

Read more
  • 1) Does applying binaural beats during surgery reduce the gas anesthetics (especially sevoflurane) requirement to maintaining adequate anesthetic depth during general anesthesia?
  • 2) Does applying binaural beats during surgery affect intraoperative hemodynamic stability or post operative nausea and vomiting?

Participants will wear headsets with a sound generator which contains music files (binaural beat file in the intervention group (BB) ; silent file in control group (C)) according to the randomization. Researchers will compare the BB and C group to see if intraoperative binaural beats reduce the requirements of sevoflurane for maintaining adequate anesthetic depth.

Read the detailed description

This study will look at thyroidectomy patients without neuromonitoring. Before entering the operating room, patients will be randomized according to the randomization table, with the test group receiving a sound generating device with a binaural sound file and the control group receiving a sound generating device with a silent file. After entering the operating room, electrocardiogram, pulse oxymetry, non-invasive blood pressure monitor, and sensor for depth of anesthesia will be attached. At the beginning of anesthesia induction, the headset will be placed on the patient and a sound generator will be connected to the headset to play the file. The induction of anesthesia will be done with administration of fentanyl and propofol in both groups, and after confirming that the patient is unresponsive to voice, rocuronium and sevoflurane will be administrated to the patient. During the operation, the inhaled anesthetic concentration will be adjusted to maintain a patient state index (PSI) between 25 and 50. Fentanyl can be titrated up to 100 mcg to account for the hemodynamic response to intraoperative pain, and neuromuscular blocking agents are titrated to maintain a train of four (TOF) count of 1-3. The headset is continuously applied to the patient during surgery, and blood pressure, pulse oximetry, PSI, end tidal sevoflurane and end tidal minimal alveolar concentration will be monitored during the operation. At the time of the final suture of the skin, the sound generator will be removed from the headset. Save the raw EEG data from the Sedline® sensor for further analytical evaluation.

Being tested
Silent, Binaural beats
Keywords
Sevoflurane, Brain waves, Binaural Beats

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SilentProcedure or surgery

    Apply wave file created in silence.

  • Binaural beatsProcedure or surgery

    Apply wave file which is intended to generate binaural beats by applying waves of different frequency (1Hz difference) in each ear.

Study groups in NCT06002568
Study groupRoleWhat they receive
ControlPlacebo comparatorIn the control group, a silent state (a wave file made without sound) is applied via the sound generator and a headset, at the starting of general anesthesia induction. The sound generator volume is set to 60 dB. The sound generator and the headset is assigned after the randomization, and is blinded to the patient and the investigator. This sound is applied during the operation, and at the time of the final skin suture, the sound generator and the headset will be removed from the patient.
Receives: Procedure: Silent
Binaural BeatExperimentalIn the experimental group, the binaural beat which is produced by the beat of 1Hz difference is applied via the sound generator and a headset, at the starting of general anesthesia induction. The sound generator volume is set to 60 dB. The sound generator and the headset is assigned after the randomization, and is blinded to the patient and the investigator. This sound is applied during the operation, and at the time of the final skin suture, the sound generator and the headset will be removed from the patient.
Receives: Procedure: Binaural beats

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Average end tidal sevoflurane concentration

    Average end tidal sevoflurane concentrations required for maintenance of general anesthesia from surgical incision to skin closure

    Measured: From the starting of surgery to the final suture of skin

Secondary outcomes (15)
  1. End tidal minimal alveolar concentration - Maximum

    Maximal value of end tidal minimal alveolar concentration during maintenance of general anesthesia

    Measured: From the starting of surgery to the final suture of skin

  2. End tidal minimal alveolar concentration - Minimum

    Minimal value of end tidal minimal alveolar concentration during maintenance of general anesthesia

    Measured: From the starting of surgery to the final suture of skin

  3. Anxiety

    Anxiety is evaluated using visual analogue score(0-100mm ruler without a scale), after entering the operating room

    Measured: Right after arriving the operating room

  4. Anxiety

    Anxiety is evaluated using visual analogue score(0-100mm ruler without a scale), just before leaving the post anesthesia care unit

    Measured: Just before leaving the post anesthesia care unit

  5. Vital sign

    Noninvasive blood pressure (systolic \& diastolic \& mean, mmHg)

    Measured: From the starting to the end of general anesthesia

  6. Vital sign

    Heart rate (bpm)

    Measured: From the starting to the end of general anesthesia

  7. Vital sign

    Saturation by pulse oximeter (%)

    Measured: From the starting to the end of general anesthesia

  8. Brain wave

    Patient state index (PSI) by Sedline device

    Measured: From the starting of surgery to the final suture of skin

  9. Brain wave

    brainwaves (raw data) which are collected in the Sedline device - alpha, beta, theta, delta, gamma brain wave

    Measured: From the starting of surgery to the final suture of skin

  10. Post operative nausea vomiting

    The incidence of post operative nausea vomiting, in the post anesthesia care unit

    Measured: During the patients stay in post anesthesia care unit

  11. Post operative nausea vomiting

    The incidence of post operative nausea vomiting, in the ward within 24 hours

    Measured: Since the patient leaves the post anesthesia care unit, until post operative 24 hours

  12. Post operative pain

    Pain is evaluate in Numerical rating scales score (0-10, 0 for no pain and 10 for for worst pain imaginable), in the post anesthesia care unit

    Measured: While the patient stay in post anesthesia care unit

  13. Post operative pain

    Pain is evaluate in Numerical rating scales score (0-10, 0 for no pain and 10 for for worst pain imaginable), 24 hours after operation

    Measured: 24 hours after operation

  14. Delirium

    The incidence of delirium in the ward within 24 hours after operation

    Measured: Since the patient leaves the post anesthesia care unit, until post operative 24 hours

  15. Delirium

    The incidence of delirium in the ward within 48 hours after operation

    Measured: Since the patient leaves the post anesthesia care unit, until post operative 48 hours

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Aug 2023
  2. Study startAug 2023 (estimated)
  3. Primary completion29 Jul 2025 (estimated)
  4. Study completion31 Jul 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
A prospective randomized, placebo-controlled trial
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
122 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06002568
Sponsor's protocol ID
2306-028-1437
Acronym
BB
Status last verified
Jul 2023
First submitted
25 Jul 2023
Last updated
21 Aug 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • American Society of Anesthesiologists Task Force on Intraoperative Awareness. Practice advisory for intraoperative awareness and brain function monitoring: a report by the american society of anesthesiologists task force on intraoperative awareness. Anesthesiology. 2006 Apr;104(4):847-64. doi: 10.1097/00000542-200604000-00031. No abstract available.

    PubMed 16571982
  • Torri G. Inhalation anesthetics: a review. Minerva Anestesiol. 2010 Mar;76(3):215-28.

    PubMed 20203550
  • Saller T, Hubig L, Seibold H, Schroeder Z, Wang B, Groene P, Perneczky R, von Dossow V, Hinske LC. Association between post-operative delirium and use of volatile anesthetics in the elderly: A real-world big data approach. J Clin Anesth. 2022 Dec;83:110957. doi: 10.1016/j.jclinane.2022.110957. Epub 2022 Sep 6.

    PubMed 36084424
  • Vutskits L, Xie Z. Lasting impact of general anaesthesia on the brain: mechanisms and relevance. Nat Rev Neurosci. 2016 Oct 18;17(11):705-717. doi: 10.1038/nrn.2016.128.

    PubMed 27752068
  • Ji D, Karlik J. Neurotoxic Impact of Individual Anesthetic Agents on the Developing Brain. Children (Basel). 2022 Nov 19;9(11):1779. doi: 10.3390/children9111779.

    PubMed 36421228
  • Wilder RT, Flick RP, Sprung J, Katusic SK, Barbaresi WJ, Mickelson C, Gleich SJ, Schroeder DR, Weaver AL, Warner DO. Early exposure to anesthesia and learning disabilities in a population-based birth cohort. Anesthesiology. 2009 Apr;110(4):796-804. doi: 10.1097/01.anes.0000344728.34332.5d.

    PubMed 19293700
  • Block RI, Thomas JJ, Bayman EO, Choi JY, Kimble KK, Todd MM. Are anesthesia and surgery during infancy associated with altered academic performance during childhood? Anesthesiology. 2012 Sep;117(3):494-503. doi: 10.1097/ALN.0b013e3182644684.

    PubMed 22801049
  • Fu VX, Sleurink KJ, Janssen JC, Wijnhoven BPL, Jeekel J, Klimek M. Perception of auditory stimuli during general anesthesia and its effects on patient outcomes: a systematic review and meta-analysis. Can J Anaesth. 2021 Aug;68(8):1231-1253. doi: 10.1007/s12630-021-02015-0. Epub 2021 May 19.

    PubMed 34013463
  • Padmanabhan R, Hildreth AJ, Laws D. A prospective, randomised, controlled study examining binaural beat audio and pre-operative anxiety in patients undergoing general anaesthesia for day case surgery. Anaesthesia. 2005 Sep;60(9):874-7. doi: 10.1111/j.1365-2044.2005.04287.x.

    PubMed 16115248
  • Wiwatwongwana D, Vichitvejpaisal P, Thaikruea L, Klaphajone J, Tantong A, Wiwatwongwana A; Medscape. The effect of music with and without binaural beat audio on operative anxiety in patients undergoing cataract surgery: a randomized controlled trial. Eye (Lond). 2016 Nov;30(11):1407-1414. doi: 10.1038/eye.2016.160. Epub 2016 Oct 14.

    PubMed 27740618
  • Bae J, Yoo S, Kim H, Kim Y, Kim JT, Lim YJ, Kim HS. Effect of real-time binaural music on sedation with dexmedetomidine during spinal anesthesia: A triple-arm, assessor-blind, randomized controlled trial. J Clin Anesth. 2023 Feb;84:110997. doi: 10.1016/j.jclinane.2022.110997. Epub 2022 Nov 10.

    PubMed 36371942
  • Schmid W, Marhofer P, Opfermann P, Zadrazil M, Kimberger O, Triffterer L, Marhofer D, Klug W. Brainwave entrainment to minimise sedative drug doses in paediatric surgery: a randomised controlled trial. Br J Anaesth. 2020 Sep;125(3):330-335. doi: 10.1016/j.bja.2020.05.050. Epub 2020 Jul 8.

    PubMed 32653082
  • Facco E, Stellini E, Bacci C, Manani G, Pavan C, Cavallin F, Zanette G. Validation of visual analogue scale for anxiety (VAS-A) in preanesthesia evaluation. Minerva Anestesiol. 2013 Dec;79(12):1389-95. Epub 2013 Jul 9.

    PubMed 23860442
  • Long MHY, Lim EHL, Balanza GA, Allen JC Jr, Purdon PL, Bong CL. Sevoflurane requirements during electroencephalogram (EEG)-guided vs standard anesthesia Care in Children: A randomized controlled trial. J Clin Anesth. 2022 Oct;81:110913. doi: 10.1016/j.jclinane.2022.110913. Epub 2022 Jun 27.

    PubMed 35772250

Questions about this trial

What is this clinical trial studying?

A study testing Silent and Binaural beats in people with Anesthesia, General, run by Seoul National University Hospital at 1 site in South Korea.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 21 Aug 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Jeong-Hwa Seo, MD., PhD. (+82-10-55020551, eongpa@empas.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Average end tidal sevoflurane concentration (time frame: From the starting of surgery to the final suture of skin). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06002568, which also lists 14 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Aug 2023.

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