Pain assessment by pupil dilation reflex in response to noxious stimulation in anaesthetized adults
| العنوان: | Pain assessment by pupil dilation reflex in response to noxious stimulation in anaesthetized adults |
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| المؤلفون: | N. Peeters, Marcel Vercauteren, Davina Wildemeersch, Guy Hans, Vera Saldien |
| المصدر: | Acta anaesthesiologica scandinavica Acta Anaesthesiologica Scandinavica |
| بيانات النشر: | Wiley, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | General Anaesthesia, assessment, Sedation, Analgesic, Remifentanil, 03 medical and health sciences, 0302 clinical medicine, 030202 anesthesiology, Noxious stimulus, medicine, Pupillary response, business.industry, analgesia, reflex, General Medicine, monitoring, Anesthesiology and Pain Medicine, Anesthesia, Reflex, Original Article, Human medicine, medicine.symptom, Propofol, business, 030217 neurology & neurosurgery, Pupillometry, medicine.drug |
| الوصف: | Background In response to noxious stimulation, pupillary dilation reflex (PDR) occurs even in anaesthetized patients. The aim of the study was to evaluate the ability of pupillometry with an automated increasing stimulus intensity to monitor intraoperative opioid administration. Methods Thirty‐four patients undergoing elective surgery were enrolled. Induction by propofol anaesthesia was increased progressively until the sedation depth criteria (SeD) were attained. Subsequently, a first dynamic pupil measurement was performed by applying standardized nociceptive stimulation (SNS). A second PDR evaluation was performed when remifentanil reached a target effect‐site concentration. Automated infrared pupillometry was used to determine PDR during nociceptive stimulations generating a unique pupillary pain index (PPI). Vital signs were measured. Results After opioid administration, anaesthetized patients required a higher stimulation intensity (57.43 mA vs 32.29 mA, P |
| وصف الملف: | |
| تدمد: | 0001-5172 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::96d54968110f51563eb548119727ca57Test https://doi.org/10.1111/aas.13129Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....96d54968110f51563eb548119727ca57 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 00015172 |
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