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Does inflammation help explain why older adults need less anesthesia?

Opening soon · University of Chile

What this means

This is a planned study that has not started enrolling people yet. It will test whether immune cells and inflammation are linked to how much anesthesia older patients need.

Plain-English summary written by an AI model from the registry listing.

Status
Opening soon
Who can join
Ages 18 and over · Planned study of older and younger adults having major abdominal surgery; no participants yet
Where
1 site

Contacts and how to join ↗

The science

Registered title
Macrophage/Monocyte Driven Inflammation and Anesthetic Sensitivity in Aging
Phase
Not applicable
Study type
observational
Conditions
Aging, Inflammation, Blood-Brain Barrier Permeability, Anesthesia Brain Monitor, Anesthesia Depth Monitoring, Inflammation Biomarkers, Inflammaging, Monocyte
Sponsor
University of Chile
Ages
18 Years to no maximum
Dates
First posted Jan 28, 2026 · updated Jan 28, 2026

Registry summary

The goal of this observational study is to determine whether macrophage/monocyte mediated inflammatory signaling contributes to reduced anesthetic requirements in older adults undergoing major abdominal surgery. The main questions it aims to answer are:

  • Is there a difference in anesthetic dosing requirements (minimum effective dose) between young and older patients undergoing major abdominal surgery?
  • How do electroencephalographic (EEG) signatures under anesthesia correlate with age and systemic inflammatory markers?
  • Is there an association between age, levels of circulating inflammatory cytokines, and monocyte/macrophage phenotypes with anesthetic requirements?

If there is a comparison group: Researchers will compare older adult patients undergoing major abdominal surgery to younger adult patients undergoing major abdominal surgery to see if macrophage/monocyte-mediated inflammatory signaling influences anesthetic sensitivity and the risk of postoperative neurocognitive complications in the older population.

Participants will:

  • Receive general anesthesia for major abdominal surgery, with continuous recording of anesthetic dose requirements.
  • Undergo electroencephalographic (EEG) monitoring during the anesthetic period.
  • Provide blood samples for the measurement of circulating inflammatory cytokines and the assessment of monocyte phenotypes.
  • Provide peritoneal tissue samples (collected during surgery) to evaluate tissue macrophage populations.
  • Provide cerebrospinal fluid (CSF) samples to assess biomarkers of blood-brain barrier permeability.

Sites (1)

  • Hospital Clínico Universidad de Chile, Santiago, Santiago Metropolitan, Chile
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