Assessment of procedural pain in children using analgesia nociception index: a pilot study

Avez-Couturier, Justine; De Jonckheere, Julien; Jeanne, Mathieu; Vallee, Louis; Cuisset, Jean-Marie; Logier, Regis

Document type :

Article dans une revue scientifique: Article original

DOI :

10.1097/AJP.0000000000000360

PMID :

26889618

Permalink :

http://hdl.handle.net/20.500.12210/16025

Title :

Assessment of procedural pain in children using analgesia nociception index: a pilot study

Author(s) :

Avez-Couturier, Justine [Auteur]
De Jonckheere, Julien [Auteur]

Centre d'Investigation Clinique - Innovation Technologique de Lille - CIC 1403 - CIC 9301 [CIC Lille]
Jeanne, Mathieu [Auteur]
Vallee, Louis [Auteur]
Cuisset, Jean-Marie [Auteur]
Logier, Regis [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]

Journal title :

The Clinical journal of pain

Abbreviated title :

Clin. J. Pain

Volume number :

Pages :

1100-1104

Publication date :

2016-12-01

ISSN :

0749-8047

English keyword(s) :

child pain
analgesia nociception index
pain assessment
procedural pain

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

The Analgesia Nociception Index (ANI), based on heart rate (HR) variability analysis, is known to decrease after a painful stimulus during surgery under general anesthesia in adults. It is measured continuously and ...
Show more >The Analgesia Nociception Index (ANI), based on heart rate (HR) variability analysis, is known to decrease after a painful stimulus during surgery under general anesthesia in adults. It is measured continuously and noninvasively. We studied ANI response to procedural pain in a pediatric population and ANI measurement's feasibility in this context, across age. A prospective, noninterventional pilot study was performed. All children (between 6 mo and under 18 y) undergoing muscle biopsy conducted under analgesia and light sedation were included. Medical staff was blind to the ANI monitor. HR and ANI were recorded and analyzed during 2 periods: T1 before incision and T2 after incision. Pain was assessed by the FLACC scale at T2. We observed ANI and HR variations after incision. ANI, HR, and FLACC were compared between children younger or older than 6 years. Enrollment or technical issues were reported. A total of 26 children were included (median age, 6 y; ranging from 6 mo to 16 y; 16 male). ANI decreased from T1 to T2. HR, ANI, or FLACC values were not different in children younger or older than 6 years. No parents or children refused to take part in the study. No technical issues was reported. In this pilot study, ANI measurement seems relevant in pediatric procedural pain, across age. Further studies are needed to confirm these results.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
CNRS
Inserm
Université de Lille

Collections :

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2019-11-27T13:04:05Z
2021-05-14T08:58:50Z

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