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Propofol vs Propofol-Ketamine ONSD Observational Study

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Summary

NIH registered an observational study (NCT07542015) comparing propofol-based anesthesia to propofol-ketamine anesthesia on optic nerve sheath diameter in patients undergoing elective endovascular treatment of unruptured intracranial aneurysms. The study aims to evaluate intraoperative hemodynamic parameters, cerebral oxygenation, and anesthetic requirements between the two techniques.

“ONSD, measured using ultrasonography, is a non-invasive surrogate marker of intracranial pressure.”

NIH , verbatim from source
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What changed

This is a clinical trial registration entry for an observational study comparing two anesthesia techniques. The study will measure optic nerve sheath diameter as a surrogate marker of intracranial pressure using ultrasonography, alongside hemodynamic parameters and cerebral oxygenation. No regulatory obligations are imposed; this is an informational record for healthcare providers and clinical investigators about an ongoing registered study.

Affected parties: Clinical investigators conducting anesthesia research in neurointerventional settings should note the study parameters and compare against their own protocols. The focus on ONSD as a non-invasive ICP monitoring tool may be relevant to institutions performing similar endovascular procedures.

Archived snapshot

Apr 21, 2026

GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.

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Comparison of Propofol and Propofol-Ketamine Anesthesia on Optic Nerve Sheath Diameter in Endovascular Cerebral Aneurysm Procedures

Observational NCT07542015 Kind: OBSERVATIONAL Apr 21, 2026

Abstract

This study aimed to compare the effects of propofol-based anesthesia and propofol-ketamine anesthesia on optic nerve sheath diameter (ONSD) in patients undergoing elective endovascular treatment of unruptured intracranial aneurysms. ONSD, measured using ultrasonography, is a non-invasive surrogate marker of intracranial pressure. In addition, intraoperative hemodynamic parameters, cerebral oxygenation, and anesthetic requirements were evaluated to assess the safety and physiological impact of the two anesthesia techniques.

Conditions: Unruptured Intracranial Aneurysm, Cerebral Aneurysm Unruptured, Cerebral Aneurysms

Interventions: Propofol (Astra-Zeneca), Propofol and Ketamine Mixture (Ketofol)

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Classification

Agency
NIH
Instrument
Notice
Branch
Executive
Legal weight
Non-binding
Stage
Final
Change scope
Minor

Who this affects

Applies to
Clinical investigators Healthcare providers
Industry sector
6211 Healthcare Providers
Activity scope
Clinical trial registration Anesthesia research Neurointerventional procedures
Geographic scope
United States US

Taxonomy

Primary area
Healthcare
Operational domain
Clinical Operations
Topics
Pharmaceuticals

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