European journal of anaesthesiology
-
Randomized Controlled Trial
Monitoring heart rate variability to assess experimentally induced pain using the analgesia nociception index: A randomised volunteer study.
Pain assessment using a numerical rating scale (NRS) is considered good clinical practice, but objective assessment in noncommunicating patients is still a challenge. A potential solution is to monitor changes in heart rate variability transformed into the analgesia nociception index (ANI), that offers a noninvasive means of pain quantification. ⋯ ANI did not allow a differentiation of painful, nonpainful or sham stimuli in alert volunteers. Therefore, ANI does not exclusively detect nociception, but may be modified by stress and emotion. Thus, we conclude that ANI is not a specific, robust measure for assessment of pain intensity.
-
Letter Case Reports
Falsely reduced bispectral index during light anaesthesia in the elderly.
-
Letter Case Reports
Delayed diagnosis of anaphylaxis secondary to ondansetron: A case report.