Electrodermal Activity Monitoring During Painful Stimulation in Sedated Adult Intensive Care Unit Patients: a Pilot Study

Acta Medica (Hradec Králové)
Theodoros AslanidisAthanasios Chatzisotiriou

Abstract

Introduction-Aim: Newer methods, such as infrared digital pupillometry and electrodermal activity (EDA) measurement have been suggested as good alternatives for analgesia monitoring in critically ill patients. This study analyzed EDA changes due to pain stimulus in sedated adult critical care patients Methods: Skin conductance variability, selected hemodynamic and respiratory parameters, Bispectral index (BIS) and ambient noise level, were monitored during 4 hour routine daytime in an adult ICU. 4h-Measurements were divided into 2 groups, based upon the sedation level of the patients: Group A - Ramsay Sedation Score 2-4 and Group B - Ramsay Sedation Score of 5-6. Selected recordings before and after pain stimulus were performed. The stimulus chosen was the pressure applied to nail bed for 10 sec, which was performed routinely during neurological examination. Patients' demographics, laboratory exams and severity scores were recorded. Pain status evaluation before every event was also performed by 2 independent observers via Critical Care Pain Observation Tool (CPOT) and Adult Non Verbal Pain Score (ANVPS) Results: In both groups the rate of EDA changes was greater than other monitoring parameters: more in Group A than in Group B...Continue Reading

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Mar 7, 2018·Medical Sciences : Open Access Journal·Theodoros AslanidisAthanasios Chatzisotiriou
Apr 19, 2018·Folia medica·Theodoros AslanidisAthanasios Chatzisotiriou

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Citations

Jul 30, 2020·American Journal of Physiology. Regulatory, Integrative and Comparative Physiology·Hugo F Posada-QuinteroKi H Chon
Dec 23, 2020·Journal of Palliative Medicine·Toluwalase A AjayiSteven Steinhubl
Jun 17, 2021·American Journal of Physiology. Regulatory, Integrative and Comparative Physiology·Hugo F Posada-QuinteroKi H Chon

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