Assessment of the Validity of the ANI in Children Over 2 Years of Age and Prepubescent Ventilated and Sedated in Pediatric Intensive Care.
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Analgesia Nociception Index (ANI) minimum
Study Overview
Brief Summary
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 Design
- Study Type
- Observational
- Observational Model
- Case Only
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 2 Years to 12 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Prebubescent chilren (up to 2 years old) Admited in PICU Sedated, ventilated
Exclusion Criteria
- •Non sinusal rythm
- •Pace-macker
Outcomes
Primary Outcomes
Analgesia Nociception Index (ANI) minimum
Time Frame: at 10 minutes before the painful care
ANI minimum
Time Frame: at 10 minutes after the painful care
Secondary Outcomes
- the correlation between ANI minimum and the COMFORT B behavioral scale.(From 10 minutes before the care to 10 minutes after the care)
- the ability of ANI minimum to distingush painful from non painful patient(From 10 minutes before the care to 10 minutes after the care)
- Variation of ANI minimum between before and after a painful care(From 10 minutes before the care to 10 minutes after the care)
- Area under the ROC curve of ANI min calculated over all measurements(From 10 minutes before the care to 10 minutes after the care)
