Surgical pleth index: Prediction of postoperative pain and influence of arousal

Thomas Ledowski; J. Burke; J. Hruby

doi:10.1093/bja/aew226

Surgical pleth index: Prediction of postoperative pain and influence of arousal

Thomas Ledowski, J. Burke, J. Hruby

Research output: Contribution to journal › Article › peer-review

69 Citations (Scopus)

Abstract

© The Author 2016. Published by Oxford University Press on behalf of the British Journal of Anaesthesia.Background There are conflicting reports concerning the outcome after anaesthesia guided by the surgical pleth index (SPI; GE Healthcare, Helsinki, Finland). One potential explanation may be the lack of evidence for the selection of SPI cut-off values. The aim of this trial was to investigate the correlation between SPI, arousal, and postoperative pain and to define a cut-off value for SPI to predict moderate-to-severe pain. Methods After obtaining ethical approval and written informed consent, 70 patients undergoing non-emergency surgery were enrolled. Data relating to SPI, heart rate, mean arterial pressure, and state entropy were recorded every 10 s for the last 10 min of surgery (state entropy 30, appears to predict pain with a high positive predictive value and may therefore be suggested for future studies of SPI-guided anaesthesia.

Original language	English
Pages (from-to)	371-374
Number of pages	4
Journal	British Journal of Anaesthesia
Volume	117
Issue number	3
DOIs	https://doi.org/10.1093/bja/aew226
Publication status	Published - 1 Sept 2016

Access to Document

10.1093/bja/aew226

Cite this

@article{7f1d35e1bdf04801be177fcb51022c9d,

title = "Surgical pleth index: Prediction of postoperative pain and influence of arousal",

abstract = "{\textcopyright} The Author 2016. Published by Oxford University Press on behalf of the British Journal of Anaesthesia.Background There are conflicting reports concerning the outcome after anaesthesia guided by the surgical pleth index (SPI; GE Healthcare, Helsinki, Finland). One potential explanation may be the lack of evidence for the selection of SPI cut-off values. The aim of this trial was to investigate the correlation between SPI, arousal, and postoperative pain and to define a cut-off value for SPI to predict moderate-to-severe pain. Methods After obtaining ethical approval and written informed consent, 70 patients undergoing non-emergency surgery were enrolled. Data relating to SPI, heart rate, mean arterial pressure, and state entropy were recorded every 10 s for the last 10 min of surgery (state entropy 30, appears to predict pain with a high positive predictive value and may therefore be suggested for future studies of SPI-guided anaesthesia.",

author = "Thomas Ledowski and J. Burke and J. Hruby",

year = "2016",

month = sep,

day = "1",

doi = "10.1093/bja/aew226",

language = "English",

volume = "117",

pages = "371--374",

journal = "British Journal of Anaesthesia",

issn = "0007-0912",

publisher = "Oxford University Press",

number = "3",

}

TY - JOUR

T1 - Surgical pleth index: Prediction of postoperative pain and influence of arousal

AU - Ledowski, Thomas

AU - Burke, J.

AU - Hruby, J.

PY - 2016/9/1

Y1 - 2016/9/1

N2 - © The Author 2016. Published by Oxford University Press on behalf of the British Journal of Anaesthesia.Background There are conflicting reports concerning the outcome after anaesthesia guided by the surgical pleth index (SPI; GE Healthcare, Helsinki, Finland). One potential explanation may be the lack of evidence for the selection of SPI cut-off values. The aim of this trial was to investigate the correlation between SPI, arousal, and postoperative pain and to define a cut-off value for SPI to predict moderate-to-severe pain. Methods After obtaining ethical approval and written informed consent, 70 patients undergoing non-emergency surgery were enrolled. Data relating to SPI, heart rate, mean arterial pressure, and state entropy were recorded every 10 s for the last 10 min of surgery (state entropy 30, appears to predict pain with a high positive predictive value and may therefore be suggested for future studies of SPI-guided anaesthesia.

AB - © The Author 2016. Published by Oxford University Press on behalf of the British Journal of Anaesthesia.Background There are conflicting reports concerning the outcome after anaesthesia guided by the surgical pleth index (SPI; GE Healthcare, Helsinki, Finland). One potential explanation may be the lack of evidence for the selection of SPI cut-off values. The aim of this trial was to investigate the correlation between SPI, arousal, and postoperative pain and to define a cut-off value for SPI to predict moderate-to-severe pain. Methods After obtaining ethical approval and written informed consent, 70 patients undergoing non-emergency surgery were enrolled. Data relating to SPI, heart rate, mean arterial pressure, and state entropy were recorded every 10 s for the last 10 min of surgery (state entropy 30, appears to predict pain with a high positive predictive value and may therefore be suggested for future studies of SPI-guided anaesthesia.

U2 - 10.1093/bja/aew226

DO - 10.1093/bja/aew226

M3 - Article

C2 - 27543532

SN - 0007-0912

VL - 117

SP - 371

EP - 374

JO - British Journal of Anaesthesia

JF - British Journal of Anaesthesia

IS - 3

ER -

Surgical pleth index: Prediction of postoperative pain and influence of arousal

Abstract

Access to Document

Fingerprint

Cite this