首页> 外文期刊>The Open Anesthesiology Journal >Pulse-oximetry Derived Perfusion Index as a Predictor of the Efficacy of Rescue Analgesia After Major Abdominal Surgeries
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Pulse-oximetry Derived Perfusion Index as a Predictor of the Efficacy of Rescue Analgesia After Major Abdominal Surgeries

机译:脉搏血氧血液衍生灌注指数作为抢救镇痛后主要腹部手术后的疗效的预测因子

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Study Objective: The use of an easy to apply reliable tool is essential to assess pain in patients in intensive care units. This study aimed primarily to evaluate perfusion index usefulness as an objective indicator of pain. Methods and Measurements: Data were collected from 40 non-intubated adult patients admitted to the surgical intensive care unit postoperatively. The Masimo pulse co-oximetry perfusion index (PI) probe was attached to the patient. At the time of the first request for analgesia (T1), the Behavioural pain scale non-intubated scoring system (BPS-NI) was recorded with the PI and patients' haemodynamics following which rescue analgesia was given. Thirty minutes thereafter (T2), second measurements for the mentioned parameters were taken. Main Results: There was a statistically significant reduction in the BPS-NI score, blood pressure and heart rate after analgesic administration (P-values, <0.001, 0.039 and 0.001, respectively), together with a significant increase in the PI (P-value, 0.004). This means that the PI increases with adequate relief from pain, as indicated by a decrease in BPS-NI score and haemodynamics, but the correlation was not statistically significant between their changes. Conclusion: There was no statistically significant correlation between the PI and the pain score or other clinical indicators of pain either before or after the administration of analgesic.
机译:研究目标:使用易于应用的可靠工具对于评估重症监护单位的患者疼痛至关重要。本研究主要旨在评估灌注指数的有用性作为疼痛的客观指标。方法和测量结果:从术后40例未加管成人患者收集数据。将Masimo脉冲共血氧灌注指数(PI)探针连接到患者身上。在第一次对镇痛请求(T1)的时间时,通过PI和患者的血管动力学记录了行为疼痛规模未加热的评分系统(BPS-NI),该血液正动性在给出抢救镇痛后。此后30分钟(T2),所提到参数的第二次测量。主要结果:镇痛给药后BPS-NI评分,血压和心率均显着降低(P值,<0.001,0.039和0.001),在一起,PI显着增加(P-价值,0.004)。这意味着PI随着疼痛的充分缓解而增加,如BPS-NI得分和血液力学的降低,但它们在其变化之间没有统计学意义。结论:在镇痛药中之前或之后,PI与疼痛评分与疼痛评分或其他临床指标之间没有统计学上显着的相关性。

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