All

What are you looking for?

All
Projects
Results
Organizations

Quick search

  • Projects supported by TA ČR
  • Excellent projects
  • Projects with the highest public support
  • Current projects

Smart search

  • That is how I find a specific +word
  • That is how I leave the -word out of the results
  • “That is how I can find the whole phrase”

Surgical Pleth Index And Analgesia Nociception Index for intraoperative analgesia in patients undergoing neurosurgical spinal procedures, a comparative randomized study

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00179906%3A_____%2F19%3A10398843" target="_blank" >RIV/00179906:_____/19:10398843 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11150/19:10398843

  • Result on the web

    <a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=hkC0-UUPa8" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=hkC0-UUPa8</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.23736/S0375-9393.19.13765-0" target="_blank" >10.23736/S0375-9393.19.13765-0</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Surgical Pleth Index And Analgesia Nociception Index for intraoperative analgesia in patients undergoing neurosurgical spinal procedures, a comparative randomized study

  • Original language description

    BACKGROUND: The Surgical Plethysmographic Index (SPI) and the Analgesia Nociception Index (ANI) have been suggested for the non-invasive intraoperative monitoring of nociception/anti-nociception balance. We aimed to compare patterns of intraoperative use of opioids, postoperative cortisol levels and postoperative pain scores after intraoperative analgesia guided either by ANI, SPI or anaesthesiologist&apos;s judgment. MATERIAL AND METHODS: Seventy two adult ASA I - III patients scheduled for elective neurosurgical spinal procedures were randomized into the ANI group, SPI group and control group. Anaesthesia and intraoperative use of opioids (sufentanil boluses based on body weight) were managed according to a strict protocol. The use of sufentanil was targeted to keep ANI value 50 - 70 in the ANI group, SPI value below individual postinduction baseline value plus 10 points in the SPI group. In the control group, the use of opioids was left at anaesthesiologist&apos;s discretion. RESULTS: Additional sufentanil boluses were administered earlier in the ANI and SPI groups in comparison to the control group (3rd dose after 51.8 +- 22.1 vs 52.7 +- 14.8 vs 84.5 +- 24.8 min respectively, p = 0.001; 4th dose after 61.3 +- 30.1 vs 57.2 +- 14.1 vs 120.0 +- 26.2 min, p = 0.003, and 5th dose after 78.8 +- 33.7 vs 74.0 +- 11.6 vs 146.7 +- 23.2 min respectively, p = 0.009). There were no differences in postoperative cortisol levels, time to spontaneous breathing at the end of anaesthesia and postoperative pain scores. CONCLUSIONS: Both ANI and SPI guidance significantly modified intraoperative opiod use, but no modification of postoperative cortisol levels and postoperative pain was observed.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30223 - Anaesthesiology

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2019

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Minerva Anestesiologica

  • ISSN

    0375-9393

  • e-ISSN

  • Volume of the periodical

    85

  • Issue of the periodical within the volume

    12

  • Country of publishing house

    IT - ITALY

  • Number of pages

    8

  • Pages from-to

    1265-1272

  • UT code for WoS article

    000503499600005

  • EID of the result in the Scopus database

    2-s2.0-85076179619