Evaluation of Surgical Pleth Index and Analgesia Nociception Index as surrogate pain measures in conscious postoperative patients: an observational study
| Autor: | Byung Moon Choi, Gyu-Jeong Noh, Yu-Ri Jung, Joo-Hyun Lee, Yong Hun Lee, Ji-Yeon Bang |
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| Rok vydání: | 2019 |
| Předmět: |
Nociception
medicine.medical_specialty Remifentanil Health Informatics Anesthesia General Critical Care and Intensive Care Medicine Sevoflurane Pacu 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Anesthesiology medicine Humans General anaesthesia Prospective Studies Elective surgery Pain Postoperative biology business.industry 030208 emergency & critical care medicine biology.organism_classification body regions Anesthesiology and Pain Medicine Anesthesia Analgesia Propofol business medicine.drug |
| Zdroj: | Journal of Clinical Monitoring and Computing. 34:1087-1093 |
| ISSN: | 1573-2614 1387-1307 |
| Popis: | We evaluated the performance of the Surgical Plethysmographic Index (SPI) and the Analgesia Nociception Index (ANI) as surrogate pain measures and determined their respective cut-off values for detecting pain in conscious postoperative patients. In total, 192 patients after elective surgery were enrolled. Baseline SPI and ANI data were acquired for 10 min in the operating room prior to surgery when the patients rated their pain as 0 on the numerical rating scale (NRS). Upon arrival in the post-anaesthesia care unit (PACU) after surgery, SPI and ANI data were recorded for 10 min. The means of the recorded data at OR and PACU were defined as the values representing baseline and postoperative pain, respectively. SPI and ANI data obtained from 189 patients were analysed, who were anesthetized with propofol (n = 149) or sevoflurane (n = 40). Remifentanil was continuously infused intraoperatively in all patients. The values of SPI and ANI were significantly different in conscious patients without (NRS = 0) and with pain (NRS > 0). The areas under the receiver operating curves for SPI and ANI were 0.73 (P |
| Databáze: | OpenAIRE |
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