Using Perfusion Index in Assessment of Postoperative Pain in Children Undergoing Hypospadias Repair Surgery: an Observational Follow up Study.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 65
- 试验地点
- 1
- 主要终点
- Detection of the validity of Perfusion index in predicting Postoperative pain assessed by FLACC score
研究概览
简要总结
The aim of this study will be to examine the validity of perfusion index in predicting pain and evaluation of its severity in the postoperative period.
详细描述
* Hypospadias repair is a common surgery that is accompanied with significant postoperative pain. The largest group of children usually undergo this type of surgery are infants and pre-verbal children who cannot verbally report pain, and their treatment depends typically on behavioral and observational tools. Although these tools are valid and reliable measures in assessment of pediatric pain, they are still hindered by their subjectivity, which consequently could result in inadequate pain treatment that in early childhood may lead to negative behavioral and neurophysiological sequalae.
That is why recent studies have focused on developing more objective measures to evaluate pain especially when self-report is not possible.
* Changes in perfusion index(PI) caused by sympathetic stimulation refers to possible correlation between pain and PI which forms the basis of our study proposing that the PI is a non-invasive easy method that can be used in evaluating pain in infants
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
- 1 Day 至 3 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients aged <3 years
- •Sex:- both male and female.
- •Informed written consent obtained from parents or guardians of all patients.
- •Undergoing hypospadias repair surgery
排除标准
- •Patients outside the selective age range
- •Parents or guardians refusing to enroll their child in the study.
- •ASA III or VI
- •Children with behavioral changes or physical developmental delay
- •Children treated with sedatives or anticonvulsants.
结局指标
主要结局
Detection of the validity of Perfusion index in predicting Postoperative pain assessed by FLACC score
时间窗: The baseline preoperative Perfusion index., The FLACC score along with the corresponding Perfusion index readings, will be recorded postoperatively: upon arrival to the PACU and every 30 minutes for 2 hours, then at 6, 12, 18, 24 hours.
The FLACC score along with the corresponding Perfusion index readings
次要结局
未报告次要终点
研究者
Noha Yahia Mohammd El-hagagy
lecturer of anesthesia and intensive care, faculty of medicine, Assiut University
Assiut University