Perfusion Index as an Objective Measure for Postoperative Pain Assessment in Pediatric Patients.

Completed

• Conditions: Postoperative Pain

• Registration Number: NCT03854604
• Lead Sponsor: Cairo University

Brief Summary

It has been demonstrated that infants and children experience pain in a similar manner to adults, however it used to be undertreated when compared to adult.

Perfusion Index (PI) derived from pulse plethysmography waveform, represents a ratio of pulsatile signal (during arterial inflow) to non-pulsatile signal. PI can represent the peripheral perfusion dynamics due to change of peripheral vasomotor tone. Low PI values suggest peripheral vasoconstriction and high PI values suggest peripheral vasodilation.

The sympathetic nervous system is inherently involved in the pathophysiological responses evoked by painful stimulation.

In the current study, investigators hypothesise that the PI could be a good objective tool for assessment of postoperative pain in children undergoing adenotonsillectomy.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2019-02-16
• Study First Submitted QC: 2019-02-23
• Study First Posted: 2019-02-26
• Study Start: 2019-03-20
• Primary Completion: 2019-06-20
• Study Completion: 2019-09-20
• Status Verified: 2020-08
• Last Update Submitted: 2020-08-30
• Last Update Posted: 2020-09-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

1. ASA physical status I-II
2. Age 3 to 7 years
3. Children undergoing adenotonsillectomy.

Exclusion Criteria

1. Parents' refusal.
2. Children with behavioral changes
3. Children with physical developmental delay
4. Children on treatment with sedative or anticonvulsant.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Correlation between postoperative (Children's Hospital of Eastern Ontario Scale ) CHEOPS score and postoperative perfusion index.	the time span between arrival to PACU and for at least two hours postoperative

Secondary Outcome Measures

Name	Time	Method
validity of perfusion index to predict postoperative pain and the need of rescue analgesia	he time span between arrival to PACU and for at least two hours postoperative

Trial Locations

Locations (3)

Abeer Ahmed; 🇪🇬 Cairo, Egypt

Kasr Alainy Faculty of Medicine - Cairo university; 🇪🇬 Cairo, Egypt

Anesthesia department - Faculty of medicine- Cairo University; 🇪🇬 Cairo, Egypt