Effect of Magnesium Sulfate Bolus on Intraoperative Neuromonitoring

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18-80
SponsorLoma Linda University

About this trial

Magnesium Sulfate(MgSo4) is increasingly being used as part of the multimodal pain regimen in the perioperative period. The intraoperative neurophysiological monitoring (IONM) is utilized in complex spine and cranial surgeries to assess the functional integrity of the neural pathways. The effect of Magnesium sulfate on IONM has not been studied.

This is a prospective, double blind, randomized placebo controlled trial to study the effect of Magnesium sulfate bolus on the amplitude and latency of somatosensory(SSEPs) and motor evoked potentials(MEPs) in patients undergoing surgery requiring IONM.

Eligibility criteria

Qualifiers

Patients aged 18 to 80 years

Belonging to American Society of Anesthesiologists physical status (ASA) I, II

Undergoing elective spine or cranial surgery where intraoperative neuromonitoring including short latency somatosensory evoked potentials (SSEP or SEP) and transcranial electrical muscle motor evoked potentials recording from muscles (TceMEP or TcMEP or mMEP or MEP) is planned.

Disqualifiers

Magnesium use within the last 2 days, either intravenous or oral supplements.

Patients with known electrolyte imbalances (Sodium <135 or >145 mmol/L OR Potassium < 3.5 or > 5.0 mmol/L, Magnesium >1.2 mmol/L.

Severe cardiac or cardiac conduction disorders.

Severe pulmonary disease.

Trial design

Treatments tested in this trial

  • Magnesium sulfate
  • Normal Saline

Treatment groups

50 Participants
are divided into 2 treatment groups

Sponsors and collaborators