Excessive variations in the plethysmographic waveform during controlled ventilation; an important pain indicator.. | ||
| Fayoum University Medical Journal | ||
| Volume 14, Issue 3, March 2025, Pages 108-119 PDF (620.46 K) | ||
| Document Type: Full Length research Papers | ||
| DOI: 10.21608/fumj.2025.313198.1381 | ||
| Authors | ||
| Emadeldin Mohamed Elhosary* 1; Mohamed Ahmed Hamed2; Safaa Gaber Ragab3; Omar Sayed Farghaly4 | ||
| 1Anathesia department Faculty of medicine Fayoum University | ||
| 2Anesthesia Department, Faculty of Medicine, Fayoum University, Fayoum, Egypt | ||
| 3Associate professor Anesthesiology and pain medicine Faculty of Medicine, Fayoum University | ||
| 4Lecturer of Anesthesiology Faculty of Medicine, Fayoum University | ||
| Abstract | ||
| Abstract Background: Despite advancements in anesthetics and operations, pain intensity following surgery has not significantly decreased over the past two decades, as shown by the surgical pleth index (SPI). Objectives: To assess the efficacy of SPI as a predictor for immediate pain following the operation and the number of opioids required within the first two days after surgery, by measuring surgical pleth index prior to the patient wakes up from general anesthesia. Materials and methods: We conducted a thorough search on Google Scholar, PubMed, Embase, & Cochrane Library. The investigation utilized both text terms and medical subject headings, such as anesthesia, monitoring during surgery, pain after surgery, nociception, & pulse wave analysis. In addition, we conducted a thorough investigation on ClinicalTrials.gov and examined the references cited in selected materials and reviews to discover any more pertinent observational research. Results and Conclusion: Prior to arousal, the values of action of the SNS, as assessed using the Skin Conductance Response, could serve as a predictor for both following surgery pain levels in the recovery room & the number of opioids consumed by patients who have undergone operation. This thorough investigation can be utilized to measure pain after surgery on an individual basis, with the need for additional research on different anesthetic procedures. It also highlights the practicality of using the SPI to anticipate postoperative pain following operation. Key words: anesthesia; nociception; monitoring intraoperative; pulse wave analysis; postoperative pain. | ||
| Keywords | ||
| Key words: anesthesia; nociception; monitoring intraoperative; pulse wave analysis; postoperative pain | ||
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