Postoperative Pain
Conditions
Brief summary
The aim of this study will be to examine the validity of perfusion index in predicting pain and evaluation of its severity in the postoperative period.
Detailed description
\* Hypospadias repair is a common surgery that is accompanied with significant postoperative pain. The largest group of children usually undergo this type of surgery are infants and pre-verbal children who cannot verbally report pain, and their treatment depends typically on behavioral and observational tools. Although these tools are valid and reliable measures in assessment of pediatric pain, they are still hindered by their subjectivity, which consequently could result in inadequate pain treatment that in early childhood may lead to negative behavioral and neurophysiological sequalae. That is why recent studies have focused on developing more objective measures to evaluate pain especially when self-report is not possible. \* Changes in perfusion index(PI) caused by sympathetic stimulation refers to possible correlation between pain and PI which forms the basis of our study proposing that the PI is a non-invasive easy method that can be used in evaluating pain in infants
Interventions
DEVICEperfusion index
measurement of perfusion index
Sponsors
Assiut University
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
1 Days to 3 Years
Healthy volunteers
No
Inclusion criteria
1. patients aged \<3 years 2. Sex:- both male and female. 3. ASA I-II 4. Informed written consent obtained from parents or guardians of all patients. 5. Undergoing hypospadias repair surgery
Exclusion criteria
1. Patients outside the selective age range 2. Parents or guardians refusing to enroll their child in the study. 3. ASA III or VI 4. Children with behavioral changes or physical developmental delay 5. Children treated with sedatives or anticonvulsants.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Detection of the validity of Perfusion index in predicting Postoperative pain assessed by FLACC score | The baseline preoperative Perfusion index., The FLACC score along with the corresponding Perfusion index readings, will be recorded postoperatively: upon arrival to the PACU and every 30 minutes for 2 hours, then at 6, 12, 18, 24 hours. | The FLACC score along with the corresponding Perfusion index readings |
Countries
Egypt
Contacts
Primary ContactNoha yahia Mohammed, MD
Backup ContactZeinab Mustafa Sayed, MD
Outcome results
None listed