Evaluation of Perfusion Index as an Objective Measure for Postoperative Pain Assessment in Pediatric Patients Undergoing Adenotonsillectomy. An Observational Study.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 3
- 主要终点
- Correlation between postoperative (Children's Hospital of Eastern Ontario Scale ) CHEOPS score and postoperative perfusion index.
研究概览
简要总结
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 3 Years 至 7 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •ASA physical status I-II
- •Age 3 to 7 years
- •Children undergoing adenotonsillectomy.
排除标准
- •Parents' refusal.
- •Children with behavioral changes
- •Children with physical developmental delay
- •Children on treatment with sedative or anticonvulsant.
结局指标
主要结局
Correlation between postoperative (Children's Hospital of Eastern Ontario Scale ) CHEOPS score and postoperative perfusion index.
时间窗: the time span between arrival to PACU and for at least two hours postoperative
次要结局
- 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)
研究者
Abeer Ahmed, MD
Assistant Professor of Anesthesia, SICU & pain management. Kasralainy Faculty of medicine
Cairo University