MedPath

Prediction of Hemodynamic Reactivity During General Anesthesia Using Analgesia/Nociception Index (ANI)

Completed
Conditions
Anesthesia
Registration Number
NCT01839513
Lead Sponsor
Hôpital Edouard Herriot
Brief Summary

The aim of this study is to evaluate the performance of Analgesia/Nociception Index for the prediction of hemodynamic reactivity in adult patients undergoing ear-nose-throat or lower limb orthopedic surgery on desflurane/remifentanil general anesthesia.

Detailed Description

Measurement of analgesia/nociception index at different time points during procedure and assessment of analgesia/nociception index to predict hemodynamic reactivity by building receiver observer's characteristic curve.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Age 18-75 years
  • Ear-nose-throat or lower limb surgery
  • General anesthesia using desflurane and remifentanil
Exclusion Criteria
  • Age <18 yrs or >75 yrs
  • Arrythmia
  • Preoperative use of B-blockers
  • Administration of anticholinergic drugs or neuromuscular blockade reversal in the 20 previous minutes
  • Psychiatric diseases
  • Autonomic nervous system disorders (epilepsy)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change in heart rate and/or systolic blood pressure by more than 20% within 5 minutesBefore induction of anesthesia, 1 min after incision, at steady-state anesthesia during procedure (an expected average of 30 min) and at arousal from general anesthesia in the end of procedure (an expected average of 60 min)
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Hôpital Édouard Herriot, HCL

🇫🇷

Lyon, Rhône, France

© Copyright 2025. All Rights Reserved by MedPath