Prediction of reactivity during tracheal ...
Type de document :
Article dans une revue scientifique: Article original
PMID :
URL permanente :
Titre :
Prediction of reactivity during tracheal intubation by pre-laryngoscopy tetanus-induced ANI variation
Auteur(s) :
Jozefowicz, E. [Auteur]
Sabourdin, N. [Auteur]
Groupe de Recherche Clinique en Anesthésie Réanimation médecine PEriopératoire [GRC 29 - ARPE]
Fontaine, V. [Auteur]
Lambelin, V. [Auteur]
Lejeune, V. [Auteur]
Menu, H. [Auteur]
Bourai, Mohamed [Auteur]
Tavernier, Benoit [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Sabourdin, N. [Auteur]
Groupe de Recherche Clinique en Anesthésie Réanimation médecine PEriopératoire [GRC 29 - ARPE]
Fontaine, V. [Auteur]
Lambelin, V. [Auteur]
Lejeune, V. [Auteur]
Menu, H. [Auteur]
Bourai, Mohamed [Auteur]
Tavernier, Benoit [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Titre de la revue :
Journal of Clinical Monitoring and Computing
Nom court de la revue :
J Clin Monit Comput
Numéro :
36
Pagination :
p. 93–101
Date de publication :
2022
ISSN :
1573-2614
Mot(s)-clé(s) en anglais :
Analgesia Nociception Index
Monitoring
Nociception
Tracheal intubation
Monitoring
Nociception
Tracheal intubation
Discipline(s) HAL :
Sciences du Vivant [q-bio]
Résumé en anglais : [en]
The ANI is a nociception monitor based on the high frequency parts of heart rate variability. Tracheal intubation may induce potentially deleterious hemodynamic disturbances or motor reactions if analgesia is inadequate. ...
Lire la suite >The ANI is a nociception monitor based on the high frequency parts of heart rate variability. Tracheal intubation may induce potentially deleterious hemodynamic disturbances or motor reactions if analgesia is inadequate. We investigated whether ANI modification generated by a standardized moderate short tetanic stimulation performed before laryngoscopy could predict hemodynamic or somatic reactions to subsequent intubation. We designed a prospective, interventional, monocentric, pilot study. Regional ethics board approved the study, written informed consent was obtained from each participant. Before laryngoscopy, under steady-state total intravenous anaesthesia with propofol and remifentanil, the ulnar nerve was stimulated with a 5 s tetanus (70 mA, 50 Hz). After another steady-state period, orotracheal intubation was performed. ANI variation, hemodynamic parameters and somatic reactions associated with tetanus and intubation were collected. To assess the predictability of hemodynamic or somatic reaction during laryngoscopy by tetanus-induced ANI variation, we calculated the area under the corresponding Receiver Operating Characteristic curve (AUCROC) and the 95% confidence intervals. Thirty-five patients were analyzed. ANI decreased by 21 ± 17 after tetanus. Regarding the ability of tetanus-induced ANI variation to predict hemodynamic or somatic reactions during subsequent intubation, the AUCROCs [95% CI] were 0.61 [0.41–0.81] and 0.52 [0.31–0.72] respectively. ANI varied after a short moderate tetanic stimulation performed before laryngoscopy but this variation was not predictive of a hemodynamic or somatic reaction during intubation.Lire moins >
Lire la suite >The ANI is a nociception monitor based on the high frequency parts of heart rate variability. Tracheal intubation may induce potentially deleterious hemodynamic disturbances or motor reactions if analgesia is inadequate. We investigated whether ANI modification generated by a standardized moderate short tetanic stimulation performed before laryngoscopy could predict hemodynamic or somatic reactions to subsequent intubation. We designed a prospective, interventional, monocentric, pilot study. Regional ethics board approved the study, written informed consent was obtained from each participant. Before laryngoscopy, under steady-state total intravenous anaesthesia with propofol and remifentanil, the ulnar nerve was stimulated with a 5 s tetanus (70 mA, 50 Hz). After another steady-state period, orotracheal intubation was performed. ANI variation, hemodynamic parameters and somatic reactions associated with tetanus and intubation were collected. To assess the predictability of hemodynamic or somatic reaction during laryngoscopy by tetanus-induced ANI variation, we calculated the area under the corresponding Receiver Operating Characteristic curve (AUCROC) and the 95% confidence intervals. Thirty-five patients were analyzed. ANI decreased by 21 ± 17 after tetanus. Regarding the ability of tetanus-induced ANI variation to predict hemodynamic or somatic reactions during subsequent intubation, the AUCROCs [95% CI] were 0.61 [0.41–0.81] and 0.52 [0.31–0.72] respectively. ANI varied after a short moderate tetanic stimulation performed before laryngoscopy but this variation was not predictive of a hemodynamic or somatic reaction during intubation.Lire moins >
Langue :
Anglais
Audience :
Internationale
Vulgarisation :
Non
Établissement(s) :
Université de Lille
CHU Lille
CHU Lille
Date de dépôt :
2023-11-15T07:27:37Z
2024-02-27T09:53:07Z
2024-02-27T09:53:07Z