The ANI monitor is a medical device allowing to measure the response of the autonomic nervous system to a painful stimulus. In the pediatric population under general anesthesia, the ANI score can detect failure of locoregional anesthesia; ANI decreases after painful stimulation during surgery, more markedly with smaller doses of Remifentanil. To date, measurement of ANI in sedated children in pediatric intensive care has not been performed or validated as a method of assessing pain and discomfort.
Study Type
OBSERVATIONAL
Enrollment
50
Hop Jeanne de Flandre Chu Lille
Lille, France
Analgesia Nociception Index (ANI) minimum
Time frame: at 10 minutes before the painful care
ANI minimum
Time frame: at 30 minutes (average lenght of painful care)
ANI minimum
Time frame: at 10 minutes after the painful care
Variation of ANI minimum between before and after a painful care
Time frame: From 10 minutes before the care to 10 minutes after the care
the correlation between ANI minimum and the COMFORT B behavioral scale.
The COMFORT BEHAVIOURAL (COMFORT-B) SCALE consists of six items: alertness, calmness, respiratory response, body movements, facial tension and muscle tone. Each item goes from 1 to 5, assessing the different intensities. The sum of the six ratings leads to a final score ranging from a minimum of 6 to a maximum of 30. A patient is considered to be under-sedated in case of COMFORT-B scores of 23 or higher, over-sedated in case of COMFORT-B scores of 10 or lower.
Time frame: From 10 minutes before the care to 10 minutes after the care
the ability of ANI minimum to distingush painful from non painful patient
Time frame: From 10 minutes before the care to 10 minutes after the care
Area under the ROC curve of ANI min calculated over all measurements
Time frame: From 10 minutes before the care to 10 minutes after the care
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