Assessment of the Interest of ANI in the Non-communicating Patient in Palliative Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Variation of the ANI between before the care and during the care
研究概览
简要总结
Comfort evaluation is one of the major challenges in the palliative care setting, particularly when it comes to non-communicative patients. ANI monitoring is a non-invasive and painless technique which evaluates the parasympathetic tone activity through heart rate variability. It has proven reliable for pain assessment during general anesthesia (GA) or for sedated critically ill patients. The parasympathetic activity seems to be a good reflect of the patient's comfort, implicating stress and anxiety.
So, the ANI could be an interesting tool to assess the comfort of non-communicating end-of-life patients.
That is why the goal of our study is to assess the interest of ANI to assess the comfort of non-communicating patients hospitalized in palliative care during a painful care by comparing the ANI measure to the CPOT scale realised by the nurses in a blind manner.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Hospitalized in palliative care Non-communicating patients (Glasgow ≤ 10)
排除标准
- •Non sinusal heart rate
- •Respiratory rate < 9/min
- •Treated by inotropes
- •Pace-maker
- •Patient in agonal phase
- •Opposition from the guardian
结局指标
主要结局
Variation of the ANI between before the care and during the care
时间窗: From 10 minutes before the care to 10 minutes after the care
次要结局
- Variation of the ANI between during the care and after the care(From 10 minutes before the care to 10 minutes after the care)
- Coefficient of correlation between the variation of the ANI and the variation of the CPOT scale between each periods.(From 10 minutes before the care to 10 minutes after the care)
- Coefficient of correlation between the minANI and the CPOT scale for each periods(From 10 minutes before the care to 10 minutes after the care)
- Coefficient of correlations between ANImin and CPOT values before, during, and after the painful care session(From 10 minutes before the care to 10 minutes after the care)
- The discriminatory power of the ANI to separate the non-comfortable and the comfortable population defined by a ≤ 2 threshold on the CPOT scale(From 10 minutes before the care to 10 minutes after the care)