Effect of pain on autonomic nervous system indices derived from photoplethysmography in healthy volunteers K. Hamunen, V. Kontinen, E. Hakala, P. Talke,

Slides:

Advertisements

Similar presentations

Volume 2, Issue 6, Pages (December 2001)

Advertisements

Effect of high-dose preoperative methylprednisolone on recovery after total hip arthroplasty: a randomized, double-blind, placebo-controlled trial T.H.

F. Chung, R. Subramanyam, P. Liao, E. Sasaki, C. Shapiro, Y. Sun

Randomized controlled trial comparing the McGrath videolaryngoscope with the C-MAC videolaryngoscope in intubating adult patients with potential difficult.

C. Dubost, A. Le Gouez, P. J. Zetlaoui, D. Benhamou, F. J. Mercier, T

Presynaptic inhibition of the release of multiple major central nervous system neurotransmitter types by the inhaled anaesthetic isoflurane R.I. Westphalen,

R. Kaw, F. Chung, V. Pasupuleti, J. Mehta, P.C. Gay, A.V. Hernandez

Johan Zelano, Eva Kumlien Seizure - European Journal of Epilepsy

Lidocaine use in ultrasound-guided femoral nerve block: what is the minimum effective anaesthetic concentration (MEAC90)?† A.M. Taha, A.M. Abd-Elmaksoud

Effect of adductor canal block on pain in patients with severe pain after total knee arthroplasty: a randomized study with individual patient analysis

Somatosensory function and pain in extremely preterm young adults from the UK EPICure cohort: sex-dependent differences and impact of neonatal surgery

Autonomic nervous system state: the effect of general anaesthesia and bilateral tonsillectomy after unilateral infiltration of lidocaine† M.P.J. Paloheimo,

N.M. Gibbs, S.V. Gibbs British Journal of Anaesthesia

A different use of visual analytic techniques in anaesthetics

Expression of the nociceptin precursor and nociceptin receptor is modulated in cancer and septic patients U.M. Stamer, M. Book, C. Comos, L. Zhang, F.

Thoracic epidural analgesia or patient-controlled local analgesia for radical retropubic prostatectomy: a randomized, double-blind study F. Fant, K.

R.S. Bondok, A.M. Abd El-Hady British Journal of Anaesthesia

T. Ledowski, J. Burke, J. Hruby British Journal of Anaesthesia

Does motor block related to long-acting brachial plexus block cause patient dissatisfaction after minor wrist and hand surgery? A randomized observer-blinded.

Prediction of persistent post-surgery pain by preoperative cold pain sensitivity: biomarker development with machine-learning-derived analysis J. Lötsch,

Influence of ketamine and morphine on descending pain modulation in chronic pain patients: a randomized placebo-controlled cross-over proof-of-concept.

Raised serum cardiac troponin I concentrations predict hospital mortality in intensive care unit patients† T. Reynolds, M. Cecconi, P. Collinson, A.

Measuring quality of recovery-15 after day case surgery

C.C. Jørgensen, H. Kehlet British Journal of Anaesthesia

Pain relief and quality-of-life improvement after spinal cord stimulation in painful diabetic polyneuropathy: a pilot study† W.A. Pluijms, R. Slangen,

Intrathecal sufentanil and morphine for post-thoracotomy pain relief†

Continuous and minimally invasive cardiac output monitoring by long time interval analysis of a radial arterial pressure waveform: assessment using a.

Sumatriptan improves postoperative quality of recovery and reduces postcraniotomy headache after cranial nerve decompression L. Venkatraghavan, L. Li,

Does regional anaesthesia improve outcome?

Do team processes really have an effect on clinical performance

J. Lillesø, N.A. Hammer, J.L. Pedersen, H. Kehlet

Comparison of motor-evoked potentials monitoring in response to transcranial electrical stimulation in subjects undergoing neurosurgery with partial vs.

Saliva cyclic GMP increases during anaesthesia

Left ventricular volume and ejection fraction assessment with transoesophageal echocardiography: 2D vs 3D imaging B. Cowie, R. Kluger, M. Kalpokas British.

V. Uppal, G. Fletcher, J. Kinsella British Journal of Anaesthesia

Ultrasound-assisted spinal anaesthesia in a patient with Wildervanck syndrome and congenital abnormalities of the lumbar spine T. Schisler, H. Huttunen,

Patient choice compared with no choice of intrathecal morphine dose for caesarean analgesia: a randomized clinical trial B. Carvalho, F. Mirza, P. Flood

N.A. Manering, T. Reuter, H. Ihmsen, D.C. Yeomans, A. Tzabazis

Distraction and interruption in anaesthetic practice

Do old pharmacokinetic parameter estimates predict new data?

Titration of electroconvulsive therapy: the use of rocuronium and sugammadex with adjunctive laryngeal mask T.K.F. Chow British Journal of Anaesthesia

Visual metaphors on anaesthesia monitors do not improve anaesthetists' performance in the operating theatre K. van Amsterdam, F. Cnossen, A. Ballast,

Spinal analgesia for laparoscopic colonic resection using an enhanced recovery after surgery programme: better analgesia, but no benefits on postoperative.

R. M. Adapa, V Mani, L. J. Murray, B. A. Degnan, A Ercole, B Cadman, C

Chronic pain in adults after thoracotomy in childhood or youth

C. Price, J. Lee, A.M. Taylor, A.P. Baranowski

Measurement of surgical stress in anaesthetized children

Pain assessment in conscious healthy volunteers: a crossover study evaluating the analgesia/nociception index Q. Yan, H.Y. An, Y. Feng British Journal.

Neuromuscular monitoring in intensive care patients: milliamperage requirements for supramaximal stimulation† N.J.N. Harper, R. Greer, D. Conway British.

Corrigendum British Journal of Anaesthesia

Sustained effect of spinal cord stimulation on pain and quality of life in painful diabetic peripheral neuropathy R. Slangen, W.A. Pluijms, C.G. Faber,

Pregabalin has an opioid-sparing effect in elderly patients after cardiac surgery: a randomized placebo-controlled trial A. Pesonen, R. Suojaranta-Ylinen,

Teamwork, communication, and anaesthetic assistance in Scotland

Stress response during weaning after cardiac surgery

J Lee, S Gupta, C Price, A.P. Baranowski

Chronic widespread pain, including fibromyalgia: a pathway for care developed by the British Pain Society J. Lee, B. Ellis, C. Price, A.P. Baranowski

Combined paravertebral and intrathecal vs thoracic epidural analgesia for post- thoracotomy pain relief S. Dango, S. Harris, K. Offner, E. Hennings, H.-J.

Postoperative analgesic effect of intravenous (i. v

A.J. Ross, N. Kodate, J.E. Anderson, L. Thomas, P. Jaye

ICU fire evacuation preparedness in London: a cross-sectional study

Cross-tolerance between spinal neostigmine and morphine in the rat

Use of a high-fidelity simulator to develop testing of the technical performance of novice anaesthetists† F.C. Forrest, M.A. Taylor, K. Postlethwaite,

Modern anaesthesia training: is it good enough?

Fibrinogen plasma concentration before delivery is not associated with postpartum haemorrhage: a prospective observational study O. Karlsson, A. Jeppsson,

Effects of magnesium sulphate on intraoperative neuromuscular blocking agent requirements and postoperative analgesia in children with cerebral palsy

S.J. Olday, R. Walpole, J.Y.Y. Wang British Journal of Anaesthesia

Sublingual oxybutynin reduces postoperative pain related to indwelling bladder catheter after radical retropubic prostatectomy† P. Tauzin-Fin, M. Sesay,

C.M. Chalmers, A.M. Bal British Journal of Anaesthesia

Epinephrine and clonidine do not improve intrathecal sufentanil analgesia after total hip replacement† R. Fournier, E. Van Gessel, A. Weber, Z. Gamulin

Monitoring level of sedation with bispectral EEG analysis: comparison between hypothermic and normothermic cardiopulmonary bypass† D. Schmidlin, P. Hager,

Presentation transcript:

Effect of pain on autonomic nervous system indices derived from photoplethysmography in healthy volunteers K. Hamunen, V. Kontinen, E. Hakala, P. Talke, M. Paloheimo, E. Kalso British Journal of Anaesthesia Volume 108, Issue 5, Pages 838-844 (May 2012) DOI: 10.1093/bja/aes001 Copyright © 2012 The Author(s) Terms and Conditions

Fig 1 (a) Box plot showing pain intensity and unpleasantness produced by 43°C and 48°C heat stimuli, and CPT in 29 volunteers. The end of the boxes presents the 25th and 75th percentiles, with a line at the median and error bars define 10th and 90th percentiles. The pain intensity and unpleasantness for all three stimuli were significantly different from each other (P<0.001). For the CPT, the NRS value at the time of withdrawal of the hand from water is shown. (b) Pain intensity during CPT and the unpleasantness of the test in 29 volunteers. The subjects immersed their right hand and wrist into +3°C water for as long as they could tolerate it but no longer than 90 s. Dotted lines represent individual subjects and the continuous line indicates the mean value. British Journal of Anaesthesia 2012 108, 838-844DOI: (10.1093/bja/aes001) Copyright © 2012 The Author(s) Terms and Conditions

Fig 2 Changes in the PPGA after 43°C and 48°C heat stimuli, and CPT in 29 volunteers. British Journal of Anaesthesia 2012 108, 838-844DOI: (10.1093/bja/aes001) Copyright © 2012 The Author(s) Terms and Conditions

Fig 3 Changes in HR and ANSSi during three thermal stimuli (43°C and 48°C, CPT) in one subject. British Journal of Anaesthesia 2012 108, 838-844DOI: (10.1093/bja/aes001) Copyright © 2012 The Author(s) Terms and Conditions

Fig 4 Changes in HR, PPGA, SPI, and ANSSi during CPT in 29 healthy volunteers. Dotted lines indicate the individual subjects and the continuous line shows the mean values. British Journal of Anaesthesia 2012 108, 838-844DOI: (10.1093/bja/aes001) Copyright © 2012 The Author(s) Terms and Conditions

Fig 5 ANSSi and pain intensity (VAS/NRS) before and after thermal stimuli in 29 healthy volunteers. The difference between ANSSi at 43°C and 48°C was not statistically significant. ANSSi was significantly greater after CPT than after the 48°C heat stimulus (P<0.001). British Journal of Anaesthesia 2012 108, 838-844DOI: (10.1093/bja/aes001) Copyright © 2012 The Author(s) Terms and Conditions