Assessment of postoperative pain intensity by using photoplethysmography
详细信息 查看全文
- 作者：Peng Ling (1)
Yu Siyuan (1) (4)
Wei Wei (1)
Gong Quan (2)
Gao Bo (1) (3) - 关键词：Photoplethysmography ; Pain intensity ; Vital sign
- 刊名：Journal of Anesthesia
- 出版年：2014
- 出版时间：December 2014
- 年：2014
- 卷：28
- 期：6
- 页码：846-853
- 全文大小：2,123 KB
- 参考文献：1. Rigg JR, Jamrozik K, Myles PS, Silbert BS, Peyton PJ, Parsons RW, Collins KS, MASTER Anaethesia Trial Study Group. Epidural anaesthesia and analgesia and outcome of major surgery: a randomised trial. Lancet. 2002;359:1276-2. CrossRef
2. Kehlet H, Holte K. Effect of postoperative analgesia on surgical outcome. Br J Anaesth. 2001;87:62-2. CrossRef
3. Powell ES, Cook D, Pearce AC, Davies P, Bowler GM, Naidu B, Gao F, UKPOS Investigators. A prospective, multicentre, observational cohort study of analgesia and outcome after pneumonectomy. Br J Anaesth. 2011;106:364-0. CrossRef
4. Lynch M. Pain: the fifth vital sign. Comprehensive assessment leads to proper treatment. Adv Nurse Pract. 2001;9:28-6.
5. Chanques G, Viel E, Constantin JM, Junq B, de Lattre S, Carr J, Cissé M, Lefrant JY, Jaber S. The measurement of pain in intensive care unit: comparison of 5 self-report intensity scales. Pain. 2010;151:711-1. CrossRef
6. Bosenberg A, Thomas J, Lopez T, Kokinsky E, Larsson LE. Validation of a six-graded faces scale for evaluation of postoperative pain in children. Paediatr Anaesth. 2003;13:708-3. CrossRef
7. Rodriguez CS, McMillan S, Yarandi H. Pain measurement in older adults with head and neck cancer and communication impairments. Cancer Nurs. 2004;27:425-3. CrossRef
8. Guignard B. Monitoring analgesia. Best Pract Res Clin Anaesthesiol. 2006;20:161-0. CrossRef
9. Lord B, Woollard M. The reliability of vital signs in estimating pain severity among adult patients treated by paramedics. Emerg Med J. 2011;28:147-0. CrossRef
10. Marco CA, Plewa MC, Buderer N, Hymel G, Cooper J. Self-reported pain scores in the emergency department: lack of association with vital signs. Acad Emerg Med. 2006;13:974-. CrossRef
11. Ledowski T, Bromilow J, Wu J, Paech MJ, Storm H, Schug SA. The assessment of postoperative pain by monitoring skin conductance: results of a prospective study. Anaesthesia. 2007;62:989-3. CrossRef
12. Ledowski T, Ang B, Schmarbeck T, Rhodes J. Monitoring of sympathetic tone to assess postoperative pain: skin conductance vs surgical stress index. Anaesthesia. 2009;64:727-1. CrossRef
13. Ledowski T, Pascoe E, Ang B, Schmarbeck T, Clarke MW, Fuller C, Kapoor V. Monitoring of intra-operative nociception: skin conductance and surgical stress index versus stress hormone plasma levels. Anaesthesia. 2010;65:1001-. CrossRef
14. Shamir M, Eidelman LA, Floman Y, Kaplan L, Pizov R. Pulse oximetry plethysmographic waveform during changes in blood volume. Br J Anaesth. 1999;82:178-1. CrossRef
15. Scully CG, Selvaraj N, Romberg FW, Wardhan R, Ryan J, Florian JP, Silverman DG, Shelley KH, Chon KH. Using time–frequency analysis of the photoplethysmographic waveform to detect the withdrawal of 900?mL of blood. Anesth Analg. 2012;115:74-1. CrossRef
16. Lee QY, Redmond SJ, Chan G, Middleton PM, Steel E, Malouf P, Critoph C, Flynn G, O’Lone E, Lovell NH. Estimation of cardiac output and systemic vascular resistance using a multivariate regression model with features selected from the finger photoplethysmogram and routine cardiovascular measurements. Biomed Eng Online. 2013;12:19. Siyuan (1) (4)
Wei Wei (1)
Gong Quan (2)
Gao Bo (1) (3)
1. Department of Anesthesiology, West China Hospital, Sichuan University, No.37 Guo Xue Xiang, Chengdu, Sichuan, 610041, People’s Republic of China
4. Department of Anesthesiology, Children’s Hospital of Chongqing Medical University, Chongqing, People’s Republic of China
2. Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, People’s Republic of China
3. Department of Physics, Sichuan University, Chengdu, People’s Republic of China - ISSN：1438-8359
文摘
Purpose Timely assessment of acute postoperative pain is very important for pain management. No objective and reliable method to assess postoperative pain intensity exists till now. The aim of the study was to investigate the feasibility of photoplethysmography (PPG) signals in postoperative pain assessment. Methods Thirty patients scheduled for elective abdominal surgery under general anesthesia were examined. Finger PPG signals and visual analogue scale (VAS) score were acquired before and 5, 10, 20, and 30?min after sufentanil administration when the patients were awake and transferred to the post-anesthesia care unit (PACU). During each pain rating, the patient's blood pressure, heart rate, and pulse oxygen saturation were recorded. The amplitude of alternating current (AC) and direct current (DC) extracted from finger PPG signals were analyzed, and the ratio of AC and DC (AC/DC) was calculated. Receiver operating characteristic (ROC) curves were built to assess the performance of AC and AC/DC to detect patients with VAS >4 in the PACU. Results After administration of sufentanil, VAS scores decreased significantly (p?r?=??.477; p?r?=??.738; p?r?=?0.280; p? Conclusion The finger PPG signal can be used in acute postoperative pain assessment. Both AC/DC and AC had significant correlations with the pain rating levels, while blood pressure and heart rate were unreliable in pain assessment.