Digital Medicine and Healthcare Technology,
Год журнала:
2024,
Номер
3
Опубликована: Окт. 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.
Annals of critical care,
Год журнала:
2024,
Номер
2, С. 159 - 171
Опубликована: Апрель 27, 2024
INTRODUCTION:
Сatheter
ablation
(CA)
is
a
painful
procedure
requiring
an
assessment
of
the
balance
between
nociception
associated
with
surgical
trauma
and
anesthesia
induced
antinociception.
OBJECTIVE:
To
evaluate
effectiveness
monitoring
system
“ANI
Monitor”
for
intensive
care
in
patients
sinus
rhythm
short-term
(<
1
min)
atrial
arrhythmia
(STIAA).
MATERIALS
AND
METHODS:
The
study
group
our
trial
consisted
94
CA
ANI
Monitor.
control
patients,
selected
using
“copy-pair”
method,
standard
(hemodynamic)
monitoring.
A
Numerical
Rating
Scale
(NRS)
was
used
intensity
pain.
At
stage
femoral
vein
catheterization
all
regional
performed,
at
stage,
procedural
sedation
and/or
analgesia
(PSA)
titrated
administration
propofol
fentanyl
(under
Monitor).
Statistical
data
processing
carried
out
Statistica
10.0
SPSS
programs.
RESULTS:
under
PSA,
negative
correlation
found
NRS
ANIm
STIAA
(r
=
−0.37).
threshold
56.0
sensitivity
specificity
detecting
˃
3
were
60
100
%,
respectively,
corresponding
to
ROC
curve
AUC
0.81.
Significant
changes
hemodynamic
reactivity
not
registered.
It
revealed
reduction
(0.04
±
0.02
0.05
0.03
µg/kg/min,
p
<
0.001)
CONCLUSIONS:
Monitor
during
more
effective
harmful
nociceptive
stimuli
compared
use
could
create
conditions
opioid-sparing
anesthesia.
Research Square (Research Square),
Год журнала:
2024,
Номер
unknown
Опубликована: Май 22, 2024
AbstractPurpose:
The
High
Frequency
Variability
Index
(HFVI)
is
purported
to
assess
the
balance
between
nociception
and
analgesia
in
patients
under
general
anesthesia.
This
prospective
observational
study
investigated
whether
intraoperative
HFVI
correlates
with
postoperative
pain
performed
nerve
block
anesthesia
video/robotic-assisted
thoracoscopic
surgery
(VATS/RATS).
Methods:
We
maximum
at
rest
morphine
consumption
are
associated
just
before
extubation,
mean
during
anesthesia,
difference
5
min
after
start
of
surgery,
block.
Results:
Data
obtained
from
48
were
analyzed.
found
no
significant
association
extubation
Numerical
Rating
Scale
(NRS)
score.
Receiver
operating
characteristic
curve
analysis
revealed
that
moderate
(NRS
>
3)
or
severe
7)
could
not
be
predicted
by
extubation.
In
addition,
there
associations
any
time
points.
Conclusions:
present
demonstrated
it
difficult
predict
degree
undergoing
VATS/RATS
combined
peripheral
block,
using
multiple
points
Turkish Journal of Anaesthesiology and Reanimation,
Год журнала:
2024,
Номер
unknown, С. 125 - 133
Опубликована: Сен. 18, 2024
Heart
rate
variability
biofeedback
(HRVBF)
is
a
non-invasive
therapeutic
technique
that
aims
to
regulate
in
heart
rate.
This
intervention
has
promise
mitigating
perioperative
stress,
critical
factor
for
surgical
patient
outcomes.
comprehensive
review
aimed
explore
the
current
evidence
on
role
of
HRV
improving
outcomes,
reducing
enhancing
recovery,
and
optimizing
anaesthesia
management.
A
PubMed
Google
Scholar
databases
was
conducted
identify
articles
focused
HRVBF
relation
period.
Studies
were
selected
using
appropriate
keywords
English
(MeSH).
Ample
potential
applications
clinical
have
been
identified
proven
feasible.
It
an
easy
method
anaesthesiologists
at
its
disposal
with
utility
as
tool
optimization
comorbidities,
analgesia
supplementation
predicting
catastrophic
complications.
Although
enhance
management
improve
several
limitations
challenges
must
be
addressed
maximize
utility.
Overcoming
these
obstacles
through
research
technological
advancements
will
crucial
realizing
full
benefits
care.
Digital Medicine and Healthcare Technology,
Год журнала:
2024,
Номер
3
Опубликована: Окт. 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.
