Pain Clinical Trial
Official title:
Validation of a Nociception Monitor in Healthy Volunteers
Anesthesiology daily practice consists in management of sedation, immobility and analgesia.
The monitoring of this last component remains largely based on indirect signs with poor
sensitivity and specificity such as heart rate and blood pressure. Accordingly, there is an
increased demand for more accurate analgesia monitors. Several parameters have been studied
in the recent years such as spectral entropy, skin conductance, pupillometry or heart rate
variability (HRV). The HRV is influenced by the balance of sympathetic and parasympathetic
tones, and is therefore influenced by pain and analgesia.
MDoloris Medical Systems SAS, located in Lille, France, had developed a monitor called
PhysioDoloris (TM) that uses an analysis of the HRV to generate a clinically useable index,
the Analgesia-Nociception Index (ANI). The ANI varies from 0 to 100, a lower number
indicating less parasympathetic tone. It has been shown in previous studies under general
anesthesia to decrease at the moment of surgical incision and pneumoperitoneum inflation and
to increase with opioids administration.
The purpose of this study is to show a correlation between the variation of the ANI with pain
scores in awake healthy volunteers who are subjected to standardized painful stimuli of
increasing intensity. The investigators hypothesize that an increasing pain score will
correlate with decreasing ANI values.
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