Surgical Pleth Index and Analgesia Nociception Index for intraoperative analgesia in patients undergoing neurosurgical spinal procedures: a comparative randomized study

Dostalova, Vlasta; Schreiberova, Jitka; Bartos, Michael; Kukrálová, Lucie; Dostál, Pavel

doi:10.23736/s0375-9393.19.13765-0

Cited by 24 publications

(24 citation statements)

References 19 publications

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“…Tanto o monitoramento SPI quanto o ANI parecem ser suficientemente confiáveis para servir como uma ferramenta para automatização parcial da analgesia intra-operatória. 29 O outro, de Funcke S et al, é um ensaio clínico com 29 pacientes sob sedação com propofol e doses crescentes de remifentanil. O Índice de Analgesia Nocicepção (ANI), o Índice de Pleth cirúrgico (SPI) e o diâmetro da pupila usados a fim de detectar os estímulos dolorosos foram mais elevados quando comparados com a frequência cardíaca, pressão arterial média e índice bispectral, mostrando maior sensibilidade e especificidade desses.…”

Section: Discussionunclassified

Monitores De Nocicepção Intraoperatórios

Botelho¹,

Kroll²,

Alcoforado³

et al. 2021

Blucher Medical Proceedings

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Analisar os tipos de monitoração nociceptiva intraoperatória a fim de avaliar o melhor método.METODOLOGIA: Revisão narrativa realizada a partir de busca na base de dados PubMed utilizando os descritores "(nociception monitoring) AND (intraoperative)" aplicando o filtro "últimos 5 anos". Foram encontrados inicialmente 89 artigos dos quais, após a aplicação dos critérios de exclusão -revisões, relatos de caso, artigos que não abordavam o tema-foram selecionados 24 artigos para o presente estudo.

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Section: Discussionunclassified

Monitores De Nocicepção Intraoperatórios

Botelho¹,

Kroll²,

Alcoforado³

et al. 2021

Blucher Medical Proceedings

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“…Table 2 summarizes a series of studies regarding the impact of monitoring techniques on the nociception-antinociception balance and on the clinical outcome of patients. Numerous studies have shown that opioid overdose during anesthesia is responsible for a series of adverse effects, such as increased recovery times and opioid induced hyperalgesia, and they also lead to hypotension, having a major impact on perioperative hemodynamic stability [66][67][68][69][70][71]. Won et al, have reported that using SPI monitoring during general anesthesia reduces opioid consumption, improves hemodynamic stability, and reduced postoperative recovery times [71].…”

Section: Figurementioning

confidence: 99%

Multiparametric Monitoring of Hypnosis and Nociception-Antinociception Balance During General Anesthesia - A New Era in Patient Safety Standards and Healthcare Management

Rogobete

Bedreag

Păpurică

et al. 2021

Preprint

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With the development of general anesthesia techniques and anesthetic substances, brought new horizons for the expansion and improvement of surgical techniques. Nevertheless, more complex surgical procedures brought a higher complexity and longer duration for general anesthesia that led to a series of adverse events such as hemodynamic instability, under- or overdosage of anesthetic drugs, as well as an increased number of post-anesthetic events. In order to adapt the anesthesia according to the particularities of each patient, the multimodal monitoring of these patients is highly recommended. Classically, general anesthesia monitoring consists of the analysis of vital functions and gas exchange. Multimodal monitoring refers to the concomitant monitoring of the degree of hypnosis and the nociceptive-antinociceptive balance. By titrating anesthetic drugs according to these parameters, clinical benefits can be obtained, such as hemodynamic stabilization, reduction of awakening times, and the reduction of post-operative complications. Another important aspect is the impact on the status of inflammation and the redox balance. By minimizing inflammatory and oxidative impact one can achieve a faster recovery that will lead to both increased patient satisfaction and an increase in patient safety. The purpose of this literature review is to present the most modern multimodal monitoring techniques, respectively to discuss the particularities of each technique.

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“…Another parameter used for the evaluation of the nociception-antinociception balance is the Analgesia Nociception Index (ANI) [68]. The technology is based on the assessment in heart rate variability.…”

Section: Monitoring Techniques For the Nociception-antinociception Bamentioning

confidence: 99%

“…They had three study groups: the group where doses of opioids were titrated based on ANI values, the SPI group and the control group. They have shown statistically significant differences regarding the decrease in opioid consumption and shorter recovery times after anesthesia [68]. Table 2 summarizes a series of studies regarding the impact of monitoring techniques on the nociception-antinociception balance and on the clinical outcome of patients.…”

Section: Monitoring Techniques For the Nociception-antinociception Bamentioning

confidence: 99%

Multiparametric Monitoring of Hypnosis and Nociception-Antinociception Balance During General Anesthesia - A New Era in Patient Safety Standards and Healthcare Management

Rogobete¹,

Bedreag²,

Păpurică³

et al. 2020

Preprint

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Worldwide, an increasing number of patients undergo complex surgeries. With the development of general anesthesia techniques and anesthetic substances, the most complex surgical techniques could be developed. In order to adapt the anesthesia according to the particularities of each patient, it is recommended the multimodal monitoring of these patients. Classically, general anesthesia monitoring consists of the analysis of vital functions and gas exchange. Multimodal monitoring refers to the concomitant monitoring of the degree of hypnosis and the nociceptive-antinociceptive balance. By titrating anesthetic drugs according to these parameters, clinical benefits can be obtained, such as hemodynamic stabilization, reduction of awakening times, reduction of post-operative complications. Also, there is an important impact on the status of inflammation and the redox balance. The purpose of this literature review is to present the most modern multimodal monitoring techniques, respectively to discuss the particularities of each technique.

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Surgical Pleth Index and Analgesia Nociception Index for intraoperative analgesia in patients undergoing neurosurgical spinal procedures: a comparative randomized study

Cited by 24 publications

References 19 publications

Monitores De Nocicepção Intraoperatórios

Monitores De Nocicepção Intraoperatórios

Multiparametric Monitoring of Hypnosis and Nociception-Antinociception Balance During General Anesthesia - A New Era in Patient Safety Standards and Healthcare Management

Multiparametric Monitoring of Hypnosis and Nociception-Antinociception Balance During General Anesthesia - A New Era in Patient Safety Standards and Healthcare Management

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