Intensive Care Unit Syndrome, Pain, Stress Related Disorder
Conditions
Keywords
Analgesia Nociception Index, Intensive Care Unit, Pain Monitoring
Brief summary
The aim of this study is to examine the usability of ANI in patients who will be treated in intensive care unit.
Detailed description
The aim of this study is to examine the usability of Analgesia Nociception Index in patients who will be treated in intensive care unit ( a- Cardiovascular b- surgical c- internal diseases), mechanically ventilated and lacking communication. The investigators will examine whether the positive inotropic/vasoconstrictor agents will have any effect on Analgesia Nociception Index.
Interventions
Monitorization of Analgesia Nociception Index in Intensive Care Patients
Sponsors
İstanbul Yeni Yüzyıl Üniversitesi
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Intensive Care Cardiovascular Patients Group 1 - Patients aged from 18 to 80 years, scheduled for elective isolated coronary bypass graft (CABG) for 2-4 vessel disease, without any perioperative complications, and who were postoperatively monitored via the analgesia nociception index in the cardiovascular intensive care will be included. * Intensive Care Internal Diseases Group 2 - Patients aged from 18 to 80 years, intubated or tracheostomized, In mechanical ventilation with Pressure-Controlled Ventilation mode, under perfusion neuromuscular blocker, Normothermic, non-cooperative and/or sedated and neuromuscular blocker * Intensive Care Patients (Obese) Group 3 - Post Bariatric surgery, over 40 BMI
Exclusion criteria
* Intensive Care Cardiovascular Patients Group 1 Patients who required emergency surgery, had significant preoperative chronic pain, had autonomic nervous system anomalies and patients with rhythm will be excluded from the study. * Intensive Care Internal Diseases Group 2 Ramsey sedation scale under 5, cooperative, with spontaneous breathing effort and extremity movement, non sinusal cardiac rhythm * Intensive Care Patients (Obese) Group 3 - patients under 40 BMI
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Analgesia Nociception Index for pain monitorization | 3 Months | The duration between two R waves within heart rate variations (filtering the variations in respiratory cycles). A numeric measure of parasympathetic tonus will be obtained. This variation is between (pΣ) 0 and 100. |
Contacts
Primary ContactAli Sefik Koprulu, MD
Backup ContactErsi Kalfoglou, PhD
Outcome results
None listed