Development, Validation, and Comparison of a Novel Nociception/Anti-Nociception Monitor against Two Commercial Monitors in General Anesthesia

Clara M. Ionescu, Dana Copot*, Erhan Yumuk, Robin De Keyser, Cristina Muresan, Isabela Roxana Birs, Ghada Ben Othman, Hamed Farbakhsh, Amani R. Ynineb, Martine Neckebroek

*Bu çalışma için yazışmadan sorumlu yazar

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1 Atıf (Scopus)

Özet

In this paper, we present the development and the validation of a novel index of nociception/anti-nociception (N/AN) based on skin impedance measurement in time and frequency domain with our prototype AnspecPro device. The primary objective of the study was to compare the Anspec-PRO device with two other commercial devices (Medasense, Medstorm). This comparison was designed to be conducted under the same conditions for the three devices. This was carried out during total intravenous anesthesia (TIVA) by investigating its outcomes related to noxious stimulus. In a carefully designed clinical protocol during general anesthesia from induction until emergence, we extract data for estimating individualized causal dynamic models between drug infusion and their monitored effect variables. Specifically, these are Propofol hypnotic drug to Bispectral index of hypnosis level and Remifentanil opioid drug to each of the three aforementioned devices. When compared, statistical analysis of the regions before and during the standardized stimulus shows consistent difference between regions for all devices and for all indices. These results suggest that the proposed methodology for data extraction and processing for AnspecPro delivers the same information as the two commercial devices.

Orijinal dilİngilizce
Makale numarası2031
DergiSensors
Hacim24
Basın numarası7
DOI'lar
Yayın durumuYayınlandı - Nis 2024

Bibliyografik not

Publisher Copyright:
© 2024 by the authors.

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