J Clin Monit Comput - The effects of low-dose ketamine on the analgesia nociception index (ANI) measured with the novel PhysioDoloris? analgesia monitor: a pilot study.

Tópicos

{ blood(1257) pressur(1144) flow(957) }
{ measur(2081) correl(1212) valu(896) }
{ treatment(1704) effect(941) patient(846) }
{ time(1939) patient(1703) rate(768) }
{ analysi(2126) use(1163) compon(1037) }
{ monitor(1329) mobil(1314) devic(1160) }
{ signal(2180) analysi(812) frequenc(800) }
{ data(3008) multipl(1320) sourc(1022) }
{ use(2086) technolog(871) perceiv(783) }
{ control(1307) perform(991) simul(935) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ group(2977) signific(1463) compar(1072) }
{ use(1733) differ(960) four(931) }
{ survey(1388) particip(1329) question(1065) }
{ model(3404) distribut(989) bayesian(671) }
{ network(2748) neural(1063) input(814) }
{ extract(1171) text(1153) clinic(932) }
{ general(901) number(790) one(736) }
{ howev(809) still(633) remain(590) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ record(1888) medic(1808) patient(1693) }
{ patient(2837) hospit(1953) medic(668) }
{ first(2504) two(1366) second(1323) }
{ activ(1138) subject(705) human(624) }
{ patient(1821) servic(1111) care(1106) }
{ can(981) present(881) function(850) }
{ structur(1116) can(940) graph(676) }
{ drug(1928) target(777) effect(648) }
{ estim(2440) model(1874) function(577) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ research(1085) discuss(1038) issu(1018) }
{ system(1050) medic(1026) inform(1018) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ spatial(1525) area(1432) region(1030) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ medic(1828) order(1363) alert(1069) }
{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ intervent(3218) particip(2042) group(1664) }
{ health(1844) social(1437) communiti(874) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

The PhysioDoloris? analgesia monitor assesses nociception effects on the autonomic nervous system by analyzing changes in heart rate variability (HRV). This non-invasive device analyses ECG signals and determines the analgesia nociception index (ANI), allowing for quantitative assessment of the analgesia/nociception balance in anesthetized patients. Ketamine, an analgesic adjuvant with sympathomimetic properties, has been shown to improve perioperative pain management. The purpose of this pilot study was to evaluate whether low-dose ketamine, due to its intrinsic effect on the sino-atrial node, affects HRV and, therefore, interferes with ANI measurements. This pilot study included 20 women undergoing abdominal hysterectomies. Anesthesia and analgesia were maintained with sevoflurane and fentanyl respectively, in a standardized manner. Five minutes after intubation, 0.5 ?g kg(-1) of intravenous (i.v.) ketamine was administered. ANI, bispectral index (BIS), heart rate and blood pressure were recorded from the induction of anesthesia until 5 min after skin incision. There was not any significant decrease in mean (?SD) ANI values after intubation (2.11?20.11, p=0.35) or i.v. ketamine administration (1.31?15.26, p=0.28). The mean (?SD) reduction in ANI values after skin incision was statistically significant (13.65?15.44, p=0.01), which is consistent with increased nociception. A single i.v. bolus of 0.5 ?g kg(-1) ketamine did not influence the ANI values of 20 women under standardized general anesthesia conditions and absent noxious stimulation. These results suggest that the ANI derived from the PhysioDoloris? analgesia monitor is feasible under such clinical conditions.

Resumo Limpo

physiodolori analgesia monitor assess nocicept effect autonom nervous system analyz chang heart rate variabl hrv noninvas devic analys ecg signal determin analgesia nocicept index ani allow quantit assess analgesianocicept balanc anesthet patient ketamin analges adjuv sympathomimet properti shown improv periop pain manag purpos pilot studi evalu whether lowdos ketamin due intrins effect sinoatri node affect hrv therefor interfer ani measur pilot studi includ women undergo abdomin hysterectomi anesthesia analgesia maintain sevofluran fentanyl respect standard manner five minut intub g kg intraven iv ketamin administ ani bispectr index bis heart rate blood pressur record induct anesthesia min skin incis signific decreas mean sd ani valu intub p iv ketamin administr p mean sd reduct ani valu skin incis statist signific p consist increas nocicept singl iv bolus g kg ketamin influenc ani valu women standard general anesthesia condit absent noxious stimul result suggest ani deriv physiodolori analgesia monitor feasibl clinic condit

Resumos Similares

J Clin Monit Comput - Noninvasive continuous beat-to-beat radial artery pressure via TL-200 applanation tonometry. ( 0,866755501878695 )
J Clin Monit Comput - Pulse oximeter plethysmograph variation and its relationship to the arterial waveform in mechanically ventilated children. ( 0,861814376015539 )
Comput Math Methods Med - Influence of distal resistance and proximal stiffness on hemodynamics and RV afterload in progression and treatments of pulmonary hypertension: a computational study with validation using animal models. ( 0,850663039859236 )
J Clin Monit Comput - Cardiac output measured by uncalibrated arterial pressure waveform analysis by recently released software version 3.02 versus thermodilution in septic shock. ( 0,845392022990045 )
J Clin Monit Comput - Non-invasive cardiac output and oxygen delivery measurement in an infant with critical anemia. ( 0,842850322543864 )
J Clin Monit Comput - Noninvasive cardiac output monitoring during exercise testing: Nexfin pulse contour analysis compared to an inert gas rebreathing method and respired gas analysis. ( 0,839903853487578 )
Med Biol Eng Comput - Short and longer term repeatability of ballistocardiography in a sitting position with EMFi sensor. ( 0,821234016135281 )
J Clin Monit Comput - The relationship between the area of peripherally-derived pressure volume loops and systemic vascular resistance. ( 0,815066105069142 )
Med Biol Eng Comput - Determinants of vascular and cardiac baroreflex sensitivity values in a random population sample. ( 0,812111806580117 )
Med Biol Eng Comput - Assessment of dynamic cerebral autoregulation and cerebral carbon dioxide reactivity during normothermic cardiopulmonary bypass. ( 0,809243163368895 )
Med Biol Eng Comput - Assessment of respiratory flow and efforts using upper-body acceleration. ( 0,803111309780738 )
J Clin Monit Comput - Respiratory parameters as a surrogate marker for duration of intubation: potential application of automated vital sign collection. ( 0,793691958477008 )
J Clin Monit Comput - Developing an algorithm for pulse oximetry derived respiratory rate (RR(oxi)): a healthy volunteer study. ( 0,791307485787114 )
J Clin Monit Comput - Heart sounds analysis via esophageal stethoscope system in beagles. ( 0,789535835444056 )
J Clin Monit Comput - The evaluation of a non-invasive respiratory volume monitor in surgical patients undergoing elective surgery with general anesthesia. ( 0,786535357129147 )
Comput Methods Programs Biomed - Retinal artery-vein caliber grading using color fundus imaging. ( 0,783619314967385 )
J Clin Monit Comput - A comparative study of pulse rate variability and heart rate variability in healthy subjects. ( 0,782333742174119 )
J Clin Monit Comput - Assessment of cerebral oxygenation using near infrared spectroscopy during isovolemic hemodilution in pediatric patients. ( 0,779544765779851 )
Comput Methods Programs Biomed - Measurements of the left atrium and pulmonary veins for analysis of reverse structural remodeling following cardiac ablation therapy. ( 0,776623342132782 )
J Clin Monit Comput - Continuous non-invasive monitoring improves blood pressure stability in upright position: randomized controlled trial. ( 0,776608698393874 )
J Clin Monit Comput - The mean prehospital machine; accurate prehospital non-invasive blood pressure measurement in the critically ill patient. ( 0,775485997160549 )
Med Biol Eng Comput - Estimation of mean arterial pressure from the oscillometric cuff pressure: comparison of different techniques. ( 0,772185019099725 )
J Clin Monit Comput - Pulse oximetry-derived respiratory rate in general care floor patients. ( 0,771960693121435 )
J Clin Monit Comput - The relative trending accuracy of noninvasive continuous hemoglobin monitoring during hemodialysis in critically ill patients. ( 0,766247321671876 )
J Clin Monit Comput - Arterial pressure waveform derived cardiac output FloTrac/Vigileo system (third generation software): comparison of two monitoring sites with the thermodilution cardiac output. ( 0,755961187385672 )
Comput Math Methods Med - Simulation of exercise-induced syncope in a heart model with severe aortic valve stenosis. ( 0,755431748135323 )
J Clin Monit Comput - Evaluation of mean systemic filling pressure from pulse contour cardiac output and central venous pressure. ( 0,752262386398737 )
J Clin Monit Comput - Changes in R-Wave amplitude in DII lead is less sensitive than pulse pressure variation to detect changes in stroke volume after fluid challenge in ICU patients postoperatively to cardiac surgery. ( 0,752192895590991 )
J Clin Monit Comput - Validation of continuous and noninvasive hemoglobin monitoring by pulse CO-oximetry in Japanese surgical patients. ( 0,750526669125263 )
J Clin Monit Comput - Reliability of a new 4th generation FloTrac algorithm to track cardiac output changes in patients receiving phenylephrine. ( 0,750250077763212 )
J Clin Monit Comput - The use of a noninvasive hemoglobin monitor for determining fluid distribution and elimination in pediatric patients undergoing minor surgery. ( 0,748085887652394 )
J Clin Monit Comput - Assessment of the effect of rapid crystalloid infusion on stroke volume variation and pleth variability index after a preoperative fast. ( 0,74733548940059 )
J Clin Monit Comput - Radial-femoral concordance in time and frequency domain-based estimates of systemic arterial respiratory variation. ( 0,744968412561911 )
J Clin Monit Comput - Variations of the analgesia nociception index during general anaesthesia for laparoscopic abdominal surgery. ( 0,744013711290019 )
J Clin Monit Comput - Cardiac parameters in children recovered from acute illness as measured by electrical cardiometry and comparisons to the literature. ( 0,743959652331301 )
J Clin Monit Comput - Variations in the pre-ejection period induced by deep breathing do not predict the hemodynamic response to early haemorrhage in healthy volunteers. ( 0,743405812375045 )
Med Biol Eng Comput - Haemodynamic forces on in vitro thrombi: a numerical analysis. ( 0,742124088785501 )
Comput Math Methods Med - Mathematical analysis of non-Newtonian blood flow in stenosis narrow arteries. ( 0,738419660910527 )
Med Biol Eng Comput - A coupled flow-acoustic computational study of bruits from a modeled stenosed artery. ( 0,738224372369775 )
J Clin Monit Comput - Tako-tsubo cardiomyopathy and microcirculation. ( 0,73496223103406 )
Comput Math Methods Med - Computational fluid dynamics simulations of contrast agent bolus dispersion in a coronary bifurcation: impact on MRI-based quantification of myocardial perfusion. ( 0,733870686161402 )
Comput. Biol. Med. - Effect of CPAP therapy on daytime cardiovascular regulations in patients with obstructive sleep apnea. ( 0,731958266478408 )
J Clin Monit Comput - Hemodynamic volumetry using transpulmonary ultrasound dilution (TPUD) technology in a neonatal animal model. ( 0,731694685388369 )
J Clin Monit Comput - Continuous minimally invasive peri-operative monitoring of cardiac output by pulmonary capnotracking: comparison with thermodilution and transesophageal echocardiography. ( 0,728378254600976 )
J Clin Monit Comput - Capability of a new paediatric oesophageal Doppler monitor to detect changes in cardiac output during testing of external pacemakers after cardiac surgery. ( 0,723935744526308 )
J Clin Monit Comput - Reference values for volumetric capnography-derived non-invasive parameters in healthy individuals. ( 0,72327521273345 )
Med Biol Eng Comput - Characterization of skin dermis microcirculation in flow-mediated dilation using optical sensor with pressurization mechanism. ( 0,722587311790005 )
J Clin Monit Comput - SNAP II versus BIS VISTA monitor comparison during general anesthesia. ( 0,722412778604101 )
Comput Math Methods Med - Plasma volume expansion resulting from intravenous glucose tolerance test. ( 0,71993503850158 )
J Clin Monit Comput - Pulse-plethysmographic variables in hemodynamic assessment during mannitol infusion. ( 0,719413894482943 )
J Clin Monit Comput - Transthoracic electrical bioimpedence cardiac output: comparison with multigated equillibrium radionuclide cardiography. ( 0,717604083322254 )
J Clin Monit Comput - Continuous real time endotracheal tube cuff pressure waveform. ( 0,715706967766558 )
J Clin Monit Comput - Continuous measurement of cardiac output with the electrical velocimetry method in patients under spinal anesthesia for cesarean delivery. ( 0,715249144497488 )
Comput Math Methods Med - Evaluation of a model-based hemodynamic monitoring method in a porcine study of septic shock. ( 0,715089706601968 )
J Clin Monit Comput - Impact of central hypovolemia on photoplethysmographic waveform parameters in healthy volunteers. Part 1: time domain analysis. ( 0,713663676083319 )
Med Biol Eng Comput - Effect of respiration on Korotkoff sounds and oscillometric cuff pressure pulses during blood pressure measurement. ( 0,713250322797648 )
Med Biol Eng Comput - Arterial reservoir-excess pressure and ventricular work. ( 0,712798705620865 )
J Clin Monit Comput - An autocalibrating algorithm for non-invasive cardiac output determination based on the analysis of an arterial pressure waveform recorded with radial artery applanation tonometry: a proof of concept pilot analysis. ( 0,712351583494516 )
Comput Methods Programs Biomed - Assessment of ventricular contractility and ventricular-arterial coupling with a model-based sensor. ( 0,712309288612298 )
Comput Math Methods Med - Numerical study for blood flow in pulmonary arteries after repair of tetralogy of Fallot. ( 0,711992705408815 )
J Clin Monit Comput - Noninvasive continuous hemodynamic monitoring. ( 0,711880774249479 )
J Clin Monit Comput - Melodic algorithms for pulse oximetry to allow audible discrimination of abnormal systolic blood pressures. ( 0,710670125528451 )
Comput Methods Programs Biomed - Increased variation of the response index of nociception during noxious stimulation in patients during general anaesthesia. ( 0,710411021828293 )
J Clin Monit Comput - In-line pressure within a HOTLINE? Fluid Warmer, under various flow conditions. ( 0,710303394660349 )
Comput Methods Programs Biomed - In silico study of the haemodynamic effects induced by mechanical ventilation and biventricular pacemaker. ( 0,709328175841247 )
Comput Math Methods Med - The relationship between the 24h blood pressure variability and carotid intima-media thickness: a compared study. ( 0,709283659632912 )
J Clin Monit Comput - Impact of central hypovolemia on photoplethysmographic waveform parameters in healthy volunteers part 2: frequency domain analysis. ( 0,706532915473523 )
J Clin Monit Comput - The effects of cardiac output and pulmonary arterial hypertension on volumetric capnography derived-variables during normoxia and hypoxia. ( 0,706387171854207 )
J Clin Monit Comput - Decrease in pulmonary artery pressure after administration of thoracic epidural anesthesia in a patient with Marfan syndrome awaiting aortic valve replacement procedure. ( 0,704416227289431 )
J Clin Monit Comput - The pulmonary artery catheter. ( 0,70432037528471 )
J Clin Monit Comput - Transesophageal echocardiography and intraoperative phlebotomy during surgical repair of coarctation of aorta in a patient with atrial septal defect, moderately severe mitral regurgitation and severe pulmonary hypertension. ( 0,703940814128453 )
Med Biol Eng Comput - Model-based correction of the influence of body position on continuous segmental and hand-to-foot bioimpedance measurements. ( 0,703901676433937 )
J Clin Monit Comput - Fluid responsiveness is about stroke volume, and not pulse pressure Yogi: the power of Doppler fluid management and cardiovascular monitoring. ( 0,703474181734938 )
J Clin Monit Comput - Impact of skin incision on the pleth variability index. ( 0,701620376500815 )
J Clin Monit Comput - Arterial line for monitoring SpO2 in patients with ischemic peripheries. ( 0,700372693393168 )
BMC Med Inform Decis Mak - Home based telemedicine intervention for patients with uncontrolled hypertension--a real life non-randomized study. ( 0,699550517795405 )
J Clin Monit Comput - Respiratory and non-respiratory sinus arrhythmia: implications for heart rate variability. ( 0,697010286681331 )
Comput. Biol. Med. - Numerical investigation of blood flow in three-dimensional porcine left anterior descending artery with various stenoses. ( 0,696269009561656 )
J Clin Monit Comput - Non-invasive accurate measurement of arterial PCO2 in a pediatric animal model. ( 0,695855989057456 )
Comput Methods Programs Biomed - Impact of pulmonary vascular stiffness and vasodilator treatment in pediatric pulmonary hypertension: 21 patient-specific fluid-structure interaction studies. ( 0,693711924054381 )
J Clin Monit Comput - The changes of pulmonary blood flow in non-ventilated lung during one lung ventilation. ( 0,693677111990313 )
Comput. Biol. Med. - Biomechanical behaviors of curved artery with flexible wall: a numerical study using fluid-structure interaction method. ( 0,69196366175726 )
J Clin Monit Comput - Comparison of cardiac output determined by bioimpedance and bioreactance methods at rest and during exercise. ( 0,691835041958913 )
Comput. Biol. Med. - Development and evaluation of an algorithm for computer analysis of maternal heart rate during labor. ( 0,691625146613318 )
Med Biol Eng Comput - Dynamic cerebral autoregulation: different signal processing methods without influence on results and reproducibility. ( 0,690995527148365 )
Comput Math Methods Med - Transformation of physical DVHs to radiobiologically equivalent ones in hypofractionated radiotherapy analyzing dosimetric and clinical parameters: a practical approach for routine clinical practice in radiation oncology. ( 0,690521912904406 )
J Clin Monit Comput - Pulmonary artery pulsatility is the main cause of cardiogenic oscillations. ( 0,689468643151288 )
Med Biol Eng Comput - Non-invasive monitoring of central blood pressure by electrical impedance tomography: first experimental evidence. ( 0,687620030679509 )
Med Biol Eng Comput - Coronary-aortic interaction during ventricular isovolumic contraction. ( 0,687491690006076 )
Comput Methods Programs Biomed - Quantitative analysis of digital subtraction angiography using optical flow method on occlusive cerebrovascular disease. ( 0,685331872098658 )
J Clin Monit Comput - Combination of continuous pulse pressure variation monitoring and cardiac filling pressure to predict fluid responsiveness. ( 0,684740877005952 )
J Clin Monit Comput - Comparison of spectral entropy and BIS VISTA? monitor during general anesthesia for cardiac surgery. ( 0,683539509011157 )
J Clin Monit Comput - Comparison of two devices using near-infrared spectroscopy for the measurement of tissue oxygenation during a vascular occlusion test in healthy volunteers (INVOS? vs. InSpectra?). ( 0,683230704394035 )
J Clin Monit Comput - A comparison of response time to desaturation between tracheal oximetry and peripheral oximetry. ( 0,682791700349278 )
Comput. Biol. Med. - Modeling of heart sound morphology and analysis of the morphological variations induced by respiration. ( 0,682438655886917 )
Med Biol Eng Comput - Monitoring intracellular, interstitial, and intravascular volume changes during fluid management procedures. ( 0,680201995349309 )
Comput Methods Programs Biomed - Wave reflection quantification based on pressure waveforms alone--methods, comparison, and clinical covariates. ( 0,679319432098368 )
J Med Syst - Human cardiovascular model and applications. ( 0,677191968939621 )
J Clin Monit Comput - Additional hemodynamic measurements with an esophageal Doppler monitor: a preliminary report of compliance, force, kinetic energy, and afterload in the clinical setting. ( 0,676444756195282 )
Comput Math Methods Med - Impact of competitive flow on hemodynamics in coronary surgery: numerical study of ITA-LAD model. ( 0,675138833810593 )