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Evaluation of pain in severe head injury patients admitted to Neurointensive Care

Not Applicable
Conditions
Health Condition 1: S06- Intracranial injury
Registration Number
CTRI/2022/02/040072
Lead Sponsor
ational Institute of Mental Health and Neurosciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1. Age >18 and < 65 years

2. Severe TBI patients requiring MV > 24 h

Exclusion Criteria

1. Patients with cardiac arrhythmias/ severe cardiac disease

2. Patients with neuromuscular disorders

3. Patients with spinal shock

4. Patients on beta-blockers / antiarrhythmic drugs / anticholinergic drugs

5. Patients with major cognitive impairment (malignant stroke, post-cardiac arrest)

6. Patients with GCS 3

7. Pregnancy

8. Refusal to consent

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Assessment of pain by ANI and its comparison with the Critical Pain Observation Tool-Neuro in severe TBI patientsTimepoint: Pain assessment will be done once a day, pre and post stimulus, on day 2 and day 4 of ICU admission
Secondary Outcome Measures
NameTimeMethod
1. Correlate nociceptive levels (ANI) with the level of consciousness (using Patient State Index/BIS/Entropy). <br/ ><br>2. Correlate nociceptive levels (ANI) with the level of autonomic dysfunction (using Heart Rate variability). <br/ ><br>Timepoint: Correlation will be done using data collected on day 2 and day 4 of ICU admission
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