Tags

Type your tag names separated by a space and hit enter

Prediction of postoperative pain and analgesic requirements using surgical pleth index: a observational study.

Abstract

The aim of this study was to evaluate the performance of surgical pleth index (SPI) measured before arousal from general anaesthesia for prediction of immediate postoperative pain and postoperative opioid requirement during postoperative 48 h. After obtaining ethical approval and written informed consent, we enrolled 51 patients undergoing liver resection under isoflurane based general anaesthesia using laryngeal mask airway in this prospective observational study. Data relating to SPI values were recorded every 30 s for the last 3 min of surgery (bispectral index < 60 at all times). Postoperative pain intensity was assessed using a 0-10 numerical rating scale (NRS) every 10 min in the recovery room. The relationships between SPI with postoperative pain score and opioid requirement were analysed. A receiver-operating characteristic curve (ROC) was used to evaluate the performance of SPI to predict NRS ≥ 5. SPI value was significantly associated with the highest pain score in the recovery room (r = 0.63, p < 0.001). An SPI value of 60, which showed the highest sensitivity and specificity, was defined post hoc as the cut-off for moderate-severe pain (NRS ≥ 5). When compared the patients who showed SPI value over 60 or not, there was significant difference in the amount of fentanyl consumption during postoperative 48 h (1093 ± 406 µg vs. 766 ± 369 µg, p = 0.014; SPI ≥ 60 vs. SPI < 60). SPI measured before arousal after inhalation anaesthesia was associated with immediate postoperative pain and postoperative opioid consumption.

Links

  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Ilwon-Ro, Gangnam-Gu, Seoul, 06351, South Korea.

    ,

    Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Ilwon-Ro, Gangnam-Gu, Seoul, 06351, South Korea.

    Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Ilwon-Ro, Gangnam-Gu, Seoul, 06351, South Korea. gskim@skku.edu.

    Source

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    31209663

    Citation

    Park, MiHye, et al. "Prediction of Postoperative Pain and Analgesic Requirements Using Surgical Pleth Index: a Observational Study." Journal of Clinical Monitoring and Computing, 2019.
    Park M, Kim BJ, Kim GS. Prediction of postoperative pain and analgesic requirements using surgical pleth index: a observational study. J Clin Monit Comput. 2019.
    Park, M., Kim, B. J., & Kim, G. S. (2019). Prediction of postoperative pain and analgesic requirements using surgical pleth index: a observational study. Journal of Clinical Monitoring and Computing, doi:10.1007/s10877-019-00338-4.
    Park M, Kim BJ, Kim GS. Prediction of Postoperative Pain and Analgesic Requirements Using Surgical Pleth Index: a Observational Study. J Clin Monit Comput. 2019 Jun 17; PubMed PMID: 31209663.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Prediction of postoperative pain and analgesic requirements using surgical pleth index: a observational study. AU - Park,MiHye, AU - Kim,Byung Jun, AU - Kim,Gaab Soo, Y1 - 2019/06/17/ PY - 2019/03/03/received PY - 2019/06/12/accepted PY - 2019/6/19/entrez KW - Intraoperative monitoring KW - Nociception KW - Pain measurement KW - Postoperative pain JF - Journal of clinical monitoring and computing JO - J Clin Monit Comput N2 - The aim of this study was to evaluate the performance of surgical pleth index (SPI) measured before arousal from general anaesthesia for prediction of immediate postoperative pain and postoperative opioid requirement during postoperative 48 h. After obtaining ethical approval and written informed consent, we enrolled 51 patients undergoing liver resection under isoflurane based general anaesthesia using laryngeal mask airway in this prospective observational study. Data relating to SPI values were recorded every 30 s for the last 3 min of surgery (bispectral index < 60 at all times). Postoperative pain intensity was assessed using a 0-10 numerical rating scale (NRS) every 10 min in the recovery room. The relationships between SPI with postoperative pain score and opioid requirement were analysed. A receiver-operating characteristic curve (ROC) was used to evaluate the performance of SPI to predict NRS ≥ 5. SPI value was significantly associated with the highest pain score in the recovery room (r = 0.63, p < 0.001). An SPI value of 60, which showed the highest sensitivity and specificity, was defined post hoc as the cut-off for moderate-severe pain (NRS ≥ 5). When compared the patients who showed SPI value over 60 or not, there was significant difference in the amount of fentanyl consumption during postoperative 48 h (1093 ± 406 µg vs. 766 ± 369 µg, p = 0.014; SPI ≥ 60 vs. SPI < 60). SPI measured before arousal after inhalation anaesthesia was associated with immediate postoperative pain and postoperative opioid consumption. SN - 1573-2614 UR - https://www.unboundmedicine.com/medline/citation/31209663/Prediction_of_postoperative_pain_and_analgesic_requirements_using_surgical_pleth_index:_a_observational_study L2 - https://doi.org/10.1007/s10877-019-00338-4 DB - PRIME DP - Unbound Medicine ER -