Objective Monitoring of Pain Using High Frequency Heart Rate Variability—A Narrative Review DOI Creative Commons
Bill Hum,

Yusef Shibly,

Alexa Christophides

et al.

Digital Medicine and Healthcare Technology, Journal Year: 2024, Volume and Issue: 3

Published: Oct. 24, 2024

Managing pain when a patient cannot communicate, during anesthesia or critical illness, is challenge many clinicians face. Numerous subjective methods of evaluating have been developed to address this, for instance, the visual analog and numerical rating scale. Intraoperatively, objective monitoring in anesthetized patients assessed through hemodynamic parameters; however, these parameters may not always accurately reflect perception. The high-frequency heart rate variability index (HFVI), also known as analgesia nociception (ANI), commercially available device by MDoloris that objectively assesses based on electrocardiogram, sympathetic tone, parasympathetic tone. monitor displays value from 0–100, where <50 indicates >50 anti-nociception. Given its potential pain, numerous studies utilized this clinical non-clinical settings. As such, we conducted literature review using various search terms PubMed selected HFVI our inclusion criteria review. In review, discuss mechanisms which monitors assess along with results provide comprehensive summary interested considering use novel monitoring.

Language: Английский

Objective Monitoring of Pain Using High Frequency Heart Rate Variability—A Narrative Review DOI Creative Commons
Bill Hum,

Yusef Shibly,

Alexa Christophides

et al.

Digital Medicine and Healthcare Technology, Journal Year: 2024, Volume and Issue: 3

Published: Oct. 24, 2024

Managing pain when a patient cannot communicate, during anesthesia or critical illness, is challenge many clinicians face. Numerous subjective methods of evaluating have been developed to address this, for instance, the visual analog and numerical rating scale. Intraoperatively, objective monitoring in anesthetized patients assessed through hemodynamic parameters; however, these parameters may not always accurately reflect perception. The high-frequency heart rate variability index (HFVI), also known as analgesia nociception (ANI), commercially available device by MDoloris that objectively assesses based on electrocardiogram, sympathetic tone, parasympathetic tone. monitor displays value from 0–100, where <50 indicates >50 anti-nociception. Given its potential pain, numerous studies utilized this clinical non-clinical settings. As such, we conducted literature review using various search terms PubMed selected HFVI our inclusion criteria review. In review, discuss mechanisms which monitors assess along with results provide comprehensive summary interested considering use novel monitoring.

Language: Английский

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