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临床试验/NCT00438035
NCT00438035已完成不适用

Evaluation of Postoperative Pain by Spectral Analysis of ECG R-R Intervals

University Hospital, Bordeaux2 个研究点 分布在 1 个国家目标入组 106 人开始时间: 2007年2月1日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
106
试验地点
2
主要终点
Spectral ECG

研究概览

简要总结

Postoperative pain stimulates the autonomic nervous system, induces the production of pro-inflammatory substances, reduces patient mobility and impairs vital functions. The ECG spectral analysis (ECGs) is a non-invasive marker of the autonomic nervous system state. To our knowledge, the correlation between the sympathovagal activity quantified by a non invasive method and the postoperative pain, has not been studied before.

详细描述

  • Principal Objective : 1)To quantify postoperative pain by the ECGs technique. 2) To compare the ECGs parameters with the visual analog pain scale (VAS) results.
  • Secondary Objective : To determine the influence of preoperative chronic pain and pathophysiological profiles on the correlation between postoperative ECGs and VAS.
  • Study design : An observational, prospective, single arm, single center study.
  • Inclusion criteria : ¨Patients over 18 years old scheduled for surgery under general anesthesia. Patients capable of using the visual analog pain scale.
  • Exclusion criteria : Pregnancy or breast feeding, impossibility to obtain an informed consent, incapacity to follow all the study schedule. Patient not protected by social security, patient likely to present hypovolemia or severe hemodynamic instability. Patient with a dysautonomia characterized by orthostatic hypotension, patients with cardiac disarrhythmias, likely to interfere with the ECG and/or the spectral analysis of ECG.
  • Study plan: Patients will sign their informed consent during the V0 visit (preoperative). During V0, HF and LF (ECGs parameters) will be measured as well as the VAS-estimated pain. These results, medical history, concomitant diseases and medications will be reported in a case report form (CRF). The second and last visit, V1, takes place 1 hour after the patient wakes up, in the postoperative period. ECGs and VAS evaluation will be achieved in the same manner as the V0 visit. The only difference is that the measurements will be repeated to obtain a total of 5 data couples over 2 hours. These Intrapatient estimations will be used to improve statistical ECGs vs VAS correlation analysis.
  • Number of subjects : 100

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Diagnostic
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients over 18 years old scheduled for surgery under general anesthesia.
  • Patient able to use the visual analog pain scale

排除标准

  • Pregnancy or breast feeding
  • Impossibility to obtain an informed consent
  • Incapacity to follow all the study schedule
  • Patient not protected by social security
  • Patient likely to present hypovolemia or severe hemodynamic instability
  • Patient with a dysautonomia characterized by orthostatic hypotension
  • Patient with cardiac disarrhythmias, likely to interfere with the ECG and/or the spectral analysis of ECG

结局指标

主要结局

Spectral ECG

时间窗: Preoperative and postoperative time

次要结局

未报告次要终点

研究者

发起方
University Hospital, Bordeaux
申办方类型
Other

研究点 (2)

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