Ventilator Lung; Newborn Clinical Trial
Official title:
Official Title Evaluation of the Value of Newborn Infant Parasympathetic Evaluation (NIPE) in Sedated/Ventilated Patients in Pediatric Intensive Care Unit
The main objective is to assess correlation between Newborn Infant Parasympathetic Index values and external evaluation by Comfort Behaviour Scale during painful medical cares in sedated intubated children admitted in pediatric intensive care unit.
The assessment of pain in patient hospitalized in intensive care remains a challenge,
especially for patients which are unable to communicate their pain intensity. Self-reported
scales are widely used for children's pain assessment but cannot be used in sedated or
non-communicable patients. The gold standard for pain evaluation in sedated-ventilated
patient in pediatric intensive care unit is the Comfort Behaviour Scale (CBS). However, this
method remains subjective, depending on training and ability to use this clinical tool by the
examiner. The Newborn Infant Parasympathetic Evaluation (NIPE) is a non-invasive system based
on the analysis variability in high frequency (> 0.15 Hz) which reflects the parasympathetic
activity related to respiratory fluctuations of heart rate. With a numerical index ranging
from 0 to 100, NIPE values, measured continuously, has been developed to evaluate the degree
of pain intensity. In this study, the hypothese is the NIPE could be used as an indicator of
pain in sedated/intubated children under 3 years-old hospitalized in Pediatric intensive care
unit.
This study did not change the procedure of care before or after and had no impact on care.
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