Pain Clinical Trial
Official title:
Relationship Between the ANI Score During Standardized Painful Stimulation and the Nociceptive Response to Laryngoscopy Intubation
The objective : to investigate a correlation between ANI following a standardized nociceptive
stimulus and hemodynamic or somatic reactions during orotracheal intubation.
Piloted study. ANI and hemodynamic and somatic parameters response associated tetanus
stimulation followed by orotracheal intubation were collected.
Background: The Analgesia Nociception Index reflects the balance between analgesia and
nociception and allows early detection of a defect in analgesia. Orotracheal intubation is
responsible for a sometimes deleterious hemodynamic reaction. The Analgesia Nociception Index
could allow an individual adjustment of the investigator's anesthetic inductions during this
period.
Objective: The objective of this study is to investigate if there is a correlation between
variations in the ANI following a standardized nociceptive stimulus and the occurrence of
hemodynamic or somatic reactions during orotracheal intubation without muscle relaxation.
Materials and Methods: Prospective, interventional, analytical, monocentric, piloted study
carried out in the operating theatre after obtaining patient's informed consent between
January 2014 and November 2014. Under steady state total intravenous anaesthesia with
propofol and remifentanil at constant dosage (entropy between 40 and 60) tetanus stimulation
of the ulnar nerve was performed followed by orotracheal intubation. The variation of ANI and
hemodynamic parameters as well as the somatic response associated with both maneuvers were
collected.
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