Prediction of Postoperative Pain and Opioid Consumption Using Intraoperative Surgical Pleth Index After Surgical Incision: An Observational Study

Journal of Pain Research
Kangha JungByung Jun Kim

Abstract

We evaluated whether the surgical pleth index (SPI) following surgical incision was related to postoperative pain and opioid consumption. This prospective observational study was performed in 50 patients undergoing laparotomy under sevoflurane-based general anesthesia. We recorded the highest SPI during surgical incision. The postoperative pain with a numerical rating scale (NRS) and opioid consumption during postoperative 24 h were compared in patients who showed SPI over 50 (Group H) or 20-50 (Group L). The relationship between postoperative opioid consumption and SPI values (pre-incision, post-incision SPI value, change of SPI value, and post-incision SPI minus pre-incision SPI) was evaluated using receiver-operating characteristic analysis. The mean of the highest SPI value during surgical incision was 56 (SD, 12; range, 26-85). Twenty-nine (63%) patients were included in Group H and 17 (37%) patients in Group L. There was a significant difference in NRS during recovery room stay and on postoperative 24 h in two groups (5 [5, 6] vs 7 [6, 8], p=0.007 and 3.5 [3, 5] vs 5 [5,6], p=0.006, Group L vs Group H). Group H used higher fentanyl via patient control analgesia during postoperative 24 h (573 (253) µg vs 817 (305) µg, p=0....Continue Reading

References

Apr 9, 2009·Current Opinion in Anaesthesiology·Michal Granot
Jun 28, 2011·Lancet·Christopher L Wu, Srinivasa N Raja
Dec 21, 2013·Anesthesiology·Hans J GerbershagenWinfried Meissner
Aug 8, 2015·Journal of Anesthesia·Duk-Kyung KimJi Won Choi
Sep 17, 2015·Acta Anaesthesiologica Scandinavica·A Km PerssonJ Åkeson
Oct 29, 2015·European Journal of Anaesthesiology·Narinder Rawal
Oct 25, 2016·European Journal of Pain : EJP·M Sobol-KwapinskaB Stelcer
Jun 4, 2016·The Clinical Journal of Pain·Anna K M PerssonJonas Åkeson
Aug 21, 2016·British Journal of Anaesthesia·T LedowskiJ Hruby
Jun 2, 2018·Anaesthesia Critical Care & Pain Medicine·L BaptesteL Bouvet
Oct 1, 2018·Pain Practice : the Official Journal of World Institute of Pain·Anna K M Persson, Jonas Åkeson
May 3, 2019·British Journal of Anaesthesia·Thomas Ledowski
Jun 13, 2019·Annals of Surgery·Quentin BacaMartin S Angst
Jun 19, 2019·Journal of Clinical Monitoring and Computing·MiHye ParkGaab Soo Kim

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Methods Mentioned

BETA
PCA
cesarean section

Clinical Trials Mentioned

NCT03761433

Software Mentioned

SAS
SPSS
5 Collect

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