Analgesia Nociception Index for Pain Monitoring in Intensive Care Units

İstanbul Yeni Yüzyıl Üniversitesi

Status: Not yet enrolling

Conditions: Stress Related Disorder; Intensive Care Unit Syndrome; Pain

Treatments: Device: Analgesia Nociception Index (ANI)

Study type: Observational

Funder types: Other

Identifiers

NCT05313789

20180413.2018/04-2

Details and patient eligibility

About

The aim of this study is to examine the usability of ANI in patients who will be treated in intensive care unit.

Full 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.

Enrollment: 180 estimated patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

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

Trial design

180 participants in 3 patient groups

Intensive Care Patients (Cardiovascular)

Description:

Intensive care unit patients, mechanically ventilated and lacking communication. Will examine whether the positive inotropic/vasoconstrictor agents will have any effect on Analgesia Nociception Index.

Treatment:

Device: Analgesia Nociception Index (ANI)

Intensive Care Patients (Internal diseases)

Description:

Intensive care unit patients, both mechanically ventilated and lacking communication and mechanically ventilated and conscious. Will examine whether the positive inotropic/vasoconstrictor agents will have any effect on Analgesia Nociception Index.

Treatment:

Device: Analgesia Nociception Index (ANI)

Intensive Care Patients (Obese)

Description:

Intensive care unit patients. Will examine whether the positive inotropic/vasoconstrictor agents will have any effect on Analgesia Nociception Index.

Treatment:

Device: Analgesia Nociception Index (ANI)