Perfusion Index as an Objective Measure for Postoperative Pain Assessment in Pediatric Patients.

NCT ID: NCT03854604

Last Updated: 2020-09-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

50 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-03-20

Study Completion Date

2019-09-20

Brief Summary

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It has been demonstrated that infants and children experience pain in a similar manner to adults, however it used to be undertreated when compared to adult.

Perfusion Index (PI) derived from pulse plethysmography waveform, represents a ratio of pulsatile signal (during arterial inflow) to non-pulsatile signal. PI can represent the peripheral perfusion dynamics due to change of peripheral vasomotor tone. Low PI values suggest peripheral vasoconstriction and high PI values suggest peripheral vasodilation.

The sympathetic nervous system is inherently involved in the pathophysiological responses evoked by painful stimulation.

In the current study, investigators hypothesise that the PI could be a good objective tool for assessment of postoperative pain in children undergoing adenotonsillectomy.

Detailed Description

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Conditions

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Postoperative Pain

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Interventions

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postoperative pain assessment

evaluation of the efficacy of PI as an objective measure for postoperative pain assessment in pediatric population undergoing adenotonsillectomy.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. ASA physical status I-II
2. Age 3 to 7 years
3. Children undergoing adenotonsillectomy.

Exclusion Criteria

1. Parents' refusal.
2. Children with behavioral changes
3. Children with physical developmental delay
4. Children on treatment with sedative or anticonvulsant.
Minimum Eligible Age

3 Years

Maximum Eligible Age

7 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Abeer Ahmed, MD

Assistant Professor of Anesthesia, SICU & pain management. Kasralainy Faculty of medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Abeer Ahmed

Cairo, , Egypt

Site Status

Kasr Alainy Faculty of Medicine - Cairo university

Cairo, , Egypt

Site Status

Anesthesia department - Faculty of medicine- Cairo University

Cairo, , Egypt

Site Status

Countries

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Egypt

References

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Ahmed A, Lotfy A, Elkholy J, Abdelhamid B, Ollaek M. Perfusion index as an objective measure of postoperative pain in children undergoing adenotonsillectomy: a cohort study. J Clin Monit Comput. 2022 Jun;36(3):795-801. doi: 10.1007/s10877-021-00710-3. Epub 2021 Apr 23.

Reference Type DERIVED
PMID: 33891250 (View on PubMed)

Other Identifiers

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N-110-2018

Identifier Type: -

Identifier Source: org_study_id

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