Utility of Perfusion index as a tool for assessment of Acute postoperative pain in elective oncosurgery: A PROSPECTIVE OBSERVATIONAL STUDY
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 84
- 试验地点
- 1
- 主要终点
- To establish correlation between NRS score and PI or delta PI in PACU patients undergoing surface surgeries at a tertiary cancer care hospital.
研究概览
简要总结
Pain after cancer surgeries procedures can be severe. Pain management is based on a subjective criterion, and works best when patient is able to understand and communicate his level of pain. The adequacy of analgesic administered is also decided according to improvement in the subjective parameters which may vary from person to person. These variations are difficult to standardise. Hence objective criteria to guide pain management may be of certain help as an adjunct to the subjective criterion. Perfusion index is a parameter obtained non-invasively by a pulse oximeter probe. (Probe attached to a finger that gives a reading of level of oxygen on monitor) Perfusion index may be used as a objective criteria for pain assessment.
If you agree to participate in the study, the following which will be monitored ( HR, blood pressure ,oxygen saturation and perfusion index) during your stay in the recovery room, post surgery, as per standard of care, will be recorded for study purpose. All the above parameters will be noted half hourly for 2 hours in recovery room. Pain scores (NRS) will be noted hourly. Whenever patient has moderate to severe pain rescue pain killer (injection tramadol) will be given. The parameters (HR, BP, Perfusion index, oxygen saturation, and temperature) will be noted prior to administration of pain killer and 30 minutes after the administration of pain killer. The change in perfusion index as well as its correlation with pain scores will be noted
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 80.00 Year(s)（—）
- 性别
- All
入选标准
- •1.Adults : Age 18–80 years 2.ASA 1 and 2 3.Patients posted for surface surgeries which include ,breast surgery ( without reconstruction) , orthopedic surgeries ,head and neck surgeries awake , non intubated patient.
排除标准
- •1.Severe cardiac disease (ischemic/valvular/failure related) which limit the functional activities of the patient, (above NYHA class 1) 2.History of chronic kidney disease, or current deranged renal functions, 3.History of liver disease, or current deranged liver functions, 4.Patients on preoperative opioids, both strong and weak opioids like Tramadol, codeine.
- •5.Patients with a history of a neurological, psychiatric, disorder, who were taking psychotropic drugs 6.Patients with allergy to any drug used in the study.
- •7.Postoperative unstable hemodynamic status, or on ventilator support 8.Patient who have received intraoperativeregionalanalgesia (Epidural/regional blocks) 9.Patients on anti hypertensive(NTG ) / Dexmedetomidine infusion 10.Patients with blood loss more than 1 litre.
- •11.Postoperative temperature less than 35 degree Celsius or 95 F 12.Surgeries which lasted for more than 3 hours.
结局指标
主要结局
To establish correlation between NRS score and PI or delta PI in PACU patients undergoing surface surgeries at a tertiary cancer care hospital.
时间窗: The PI will be recorded every 30 mins after admission to recovery room at the time of the first request for analgesia At the time of the first request for analgesia NRS for pain intensity will be recorded
To analyse the trend of perfusion index with pain score
时间窗: The PI will be recorded every 30 mins after admission to recovery room at the time of the first request for analgesia At the time of the first request for analgesia NRS for pain intensity will be recorded
次要结局
- - To analyse the trend of perfusion index with pain score(Thirty minutes after postoperative analgesia, second measurements of the above-mentioned parameters will be taken simultaneously. (NRS for pain intensity, PI, HR, MAP, peripheral oxygen saturation, & axillary temperature.))