Brain Sciences, Journal Year: 2024, Volume and Issue: 14(3), P. 249 - 249
Published: March 4, 2024
Hypnosis, a time-honored therapeutic approach, has gained widespread recognition for its effectiveness in addressing range of psychological and somatic disorders. While primary effects are mediated by central top–down mechanisms, hypnosis also exerts peripheral influence modulating the autonomic nervous system (ANS). Psychophysiological measures, such as heart rate (HR) variability (HRV), electrodermal activity (EDA), respiratory (RR), analgesia nociceptive index (ANI), serve reliable indicators ANS activity. Studies have consistently demonstrated hypnosis’ ability to significantly impact functions, lowering sympathetic enhancing parasympathetic tone. This effect is particularly pronounced during relaxation procedures influenced mediating factors like hypnotizability task conditions. Despite methodological limitations, this review highlights potential enhanced modulation through hypnosis, including connections (CNS), optimize outcomes patients with psychosomatic disorders associated dysfunction.
Language: Английский
Citations
7Analgesia Nociception Index Monitoring in Management of Perioperative Analgesia in Total Knee Arthroplasty Surgeries with Femoral Nerve Block
Medicina, Journal Year: 2025, Volume and Issue: 61(2), P. 213 - 213
Published: Jan. 25, 2025
Background and Objectives: The aim of our study is to determine the effects analgesia nociception index (ANI) monitoring on intraoperative opioid consumption, postoperative analgesia, recovery unit length stay in patients with a preoperative femoral nerve block (FNB) undergoing total knee arthroplasty (TKA) surgery under general anesthesia. Materials Methods: Seventy-four American Society Anesthesiologists Physical Status (ASA-PS) I-III scheduled for TKA anesthesia were included this study. After FNB, divided into two groups (control group (n = 35)–ANI 35)). standard induction both groups, maintenance was conducted using sevoflurane remifentanil infusion bispectral (BIS) between 40 60. In control group, dose adjusted conventional methods, ANI values 50–70. duration operation, surgery, extubation time, tourniquet pressure, amount consumed intraoperatively recorded. Results: Intraoperative consumption lower compared (p 0.001). time reach Modified Aldrete Scale score (MAS) ≥ 9 shorter < NRS scores 4, 8, 12, 24 h postoperatively 0.006, p 0.05). There weak significant inverse relationship last measured before (r: −0.070–0.079, p: 0.698–0.661). No difference observed other data. Conclusions: FNB anesthesia, decreased opioids pain shortened unit. We suggest that management may be helpful determining needed by patient individualized management.
Language: Английский
Citations
0Why neurophysiological monitoring should be included to assess patient comfort during continuous sedation until death
Current Opinion in Behavioral Sciences, Journal Year: 2025, Volume and Issue: 62, P. 101485 - 101485
Published: March 3, 2025
Language: Английский
Citations
0Novel Serratus Posterior Superior Intercostal Plane Block Provided Satisfactory Analgesia in Two Pediatric Patients: Case Report
A&A Practice, Journal Year: 2025, Volume and Issue: 19(4), P. e01949 - e01949
Published: April 1, 2025
The serratus posterior superior intercostal plane block (SPSIPB) is a recently introduced fascial providing hemithoracic analgesia at C3–T10 dermatomes. In adults, it has been shown to provide effective in cardiovascular surgeries and the potential for postoperative clavicular procedures. This case report highlights perioperative analgesic efficacy of SPSIPB two pediatric cases: 7-year-old undergoing discrete subaortic stenosis surgery 9-year-old Sprengel deformity correction. To best our knowledge, these are first reported applications SPSIPB, both demonstrating without complications.
Language: Английский
Citations
0Balancing autonomic nervous system activity through hypnosis clinical implications for pain therapy
Published: April 25, 2025
Hypnosis, a clinically valuable therapeutic modality, is increasingly recognized for its efficacy in treating spectrum of psychological and somatic disorders, including pain. Its influence extends beyond central nervous system processes to encompass the autonomic (ANS), thereby affecting peripheral physiological responses. Objective psychophysiological measures, heart rate (HR), variability (HRV), electrodermal activity (EDA), Analgesia Nociceptive Index (ANI), provide quantifiable evidence ANS modulation. Studies consistently demonstrate that hypnosis promotes shift towards parasympathetic dominance, characterized by reduced sympathetic enhanced tone, particularly during relaxation protocols. This effect subject individual differences hypnotizability specific task conditions. While acknowledging methodological considerations, this mini review highlights promising role targeted modulation through optimizing interventions pain disorders associated with dysregulation.
Language: Английский
Citations
0The Performance of Using the Parasympathetic Tone Activity (PTA) Index to Assess Intraoperative Nociception in Cats
Veterinary Sciences, Journal Year: 2024, Volume and Issue: 11(3), P. 121 - 121
Published: March 6, 2024
The monitoring of nociception/antinociception poses a significant challenge during anesthesia, making the incorporation new tools like Parasympathetic Tone Activity (PTA) monitor an added value in feline anesthesia.
Language: Английский
Citations
2Predicting the optimal concentration of remifentanil for skull pin fixation with hemodynamic and analgesia nociception index monitoring
Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)
Published: March 18, 2024
Abstract Inadequate antinociception during skull pin fixation may cause hemodynamic instability in intracranial surgery. The optimal concentration of remifentanil to provide adequate and stable hemodynamics under analgesia nociception index monitoring is unknown. This study assess the 90% effective for monitoring. Twenty-six patients were enrolled surgery, anesthesia was induced maintained total intravenous using target-controlled infusion propofol bispectral Skull performed at different effect-site concentrations required Dixon's up-and-down method with a step size 0.5 ng/ml 40–60. defined when either ANI < 30 or > 20% changes from baseline (e.g. heart rate 100 beats/min, blood pressure 180/100 mmHg) considered as failure. It success simultaneously. Seven pairs failure/success used probit analysis. stability 4.7 ng/ml.
Language: Английский
Citations
2Can a Sacrococcygeal Epidural of 0.25% Bupivacaine Prevent the Activation of the Sympathetic Nervous System during Feline Ovariectomy?
Animals, Journal Year: 2024, Volume and Issue: 14(12), P. 1732 - 1732
Published: June 8, 2024
The ovariectomy (OVE) procedure can trigger somatosensory and visceral peritoneal nociception. Sacrococcygeal epidural (ScE) anesthesia may complement or replace systemic analgesia used for feline OVE, reducing opioid consumption their related undesirable adverse effects consequently completely blocking the sympathetic nervous system activation during this procedure. present study aimed to evaluate of resulting from adding an ScE injection bupivacaine 0.25% (0.3 mL kg−1) in OVE identify whether translates hemodynamic variables stability. A Parasympathetic Tone Activity (PTA) monitor was applied given that it performs analysis heart rate variability (HRV) detecting changes parasympathetic tone, making a good tool study. Two groups animals were evaluated five perioperative times, namely, control group (CG) (n = 18) with alone sacrococcygeal (ScEG) 20) combined analgesia. Thirty-eight female cats selected. All assigned CG ScEG premedicated dexmedetomidine (20 μg kg−1 IM) methadone (0.2 mg IM). General induced propofol IV ad effectum maintained isoflurane 100% oxygen. Heart rate, non-invasive systolic median blood pressure, respiratory instantaneous tone activity recorded. Compared (CG), reduced rise common but did not prevent activation.
Language: Английский
Citations
0Nociception Monitoring
Published: Jan. 1, 2024
Language: Английский
Citations
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