Postoperative Pain
Conditions
Brief summary
It has been demonstrated that infants and children experience pain in a similar manner to adults, however it used to be undertreated when compared to adult. Perfusion Index (PI) derived from pulse plethysmography waveform, represents a ratio of pulsatile signal (during arterial inflow) to non-pulsatile signal. PI can represent the peripheral perfusion dynamics due to change of peripheral vasomotor tone. Low PI values suggest peripheral vasoconstriction and high PI values suggest peripheral vasodilation. The sympathetic nervous system is inherently involved in the pathophysiological responses evoked by painful stimulation. In the current study, investigators hypothesise that the PI could be a good objective tool for assessment of postoperative pain in children undergoing adenotonsillectomy.
Interventions
OTHERpostoperative pain assessment
evaluation of the efficacy of PI as an objective measure for postoperative pain assessment in pediatric population undergoing adenotonsillectomy.
Sponsors
Cairo University
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
3 Years to 7 Years
Healthy volunteers
No
Inclusion criteria
1. ASA physical status I-II 2. Age 3 to 7 years 3. Children undergoing adenotonsillectomy.
Exclusion criteria
1. Parents' refusal. 2. Children with behavioral changes 3. Children with physical developmental delay 4. Children on treatment with sedative or anticonvulsant.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Correlation between postoperative (Children's Hospital of Eastern Ontario Scale ) CHEOPS score and postoperative perfusion index. | the time span between arrival to PACU and for at least two hours postoperative |
Secondary
| Measure | Time frame |
|---|---|
| validity of perfusion index to predict postoperative pain and the need of rescue analgesia | he time span between arrival to PACU and for at least two hours postoperative |
Countries
Egypt
Outcome results
None listed