nach oben

Journal of Clinical Monitoring and Computing

Erschienen in:

17.03.2021 | Letter to the Editor

Analgesia Nociception Index (ANI) and ephedrine: a dangerous liasion

verfasst von: Rita Graça, Francisco A. Lobo

Erschienen in: Journal of Clinical Monitoring and Computing | Ausgabe 4/2021

Einloggen, um Zugang zu erhalten

Abstract

The Analgesia Nociception Index is a dimensionless scale derived from the heart rate variability; by analyzing the heart rate variability oscillations, it reflects the activity of the sympathetic and parasympathetic nervous systems and ultimately helps to evaluate the Nociception–Antinociception balance during anesthesia and surgery. Drugs like ephedrine affect the heart rate variability inducing artifacts in the ANI readings which should be taken into account in the clinical practice and in clinical research.

Susano MJ, Vide S, Ferreira DA, et al. Effects of varying remifentanil concentrations on Analgesia Nociception Index under propofol: an observational stufy. J Clin Monit Comput. 2021;35(1):199–205. https://doi.org/10.1007/s10877-020-00457-3.CrossRefPubMed

Logier R, Jeanne M, De Jonckeere J, et al. PhysioDoloris: a monitoring device for analgesia/nociception balance evaluation using heart rate variability analysis. Conf Proc IEEE Eng Med Biol Soc. 2010;2010:1194–7. https://doi.org/10.1109/IEMBS.2010.56259712010.5625971.CrossRef

Heart Rate Variability. Standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology the North American Society of Pacing Electrophysiology. Circulation. 1996;93:1043–65.CrossRef

Elghozi JL, Girard A, Laude D. Effects of drugs on the autonomic control of short-term heart rate variability. Auton Neurosci. 2001;90(1–2):116–21. https://doi.org/10.1016/S1566-0702(01)00276-4.CrossRefPubMed

Statler AK, Maani CV, Kohli A. Ephedrine. In: StatPearls. Treasure Island: StatPearls Publishing; 2020. p. 20.

ANI Monitor V2 Product Brochure. https://mdoloris.com/wp-content/uploads/MDQUAEN74.ANIV2-v.03-EN-Product-Brochure-Web-Version.pdf. Accessed 14 Jan 2012 on the M’Doloris

Barvais L, Engelman E, Eba JM, et al. Effect site concentrations of remifentanil and pupil response to noxious stimulation. Br J Anaesth. 2003;91(3):347–52. https://doi.org/10.1093/bja/aeg178.CrossRefPubMed

Funcke S, Sauerlaender S, Pinnschmidt HO, ET AL. Validation of innovative techniques for monitoring nociception during general anesthesia: a clinical study using tetanic and intracutaneous electrical stimulation. Anesthesiology. 2017;127(2):272–83. https://doi.org/10.1097/ALN0000000000001670.CrossRefPubMed

Boselli E, Logier R, Bouvet L, et al. Prediction of hemodynamic reactivity using dynamic variations of Analgesia/Nociception Index (∆ANI). J Clin Monit Comput. 2015;30(6):977–84. https://doi.org/10.1007/s10877-015-9802-8.CrossRefPubMed

10.

Meijer FS, Niesters M, van Velzen M, et al. Does nociception monitor–guided anesthesia affect opioid consumption? A systematic review of randomized controlled trials. J Clin Monit Comput. 2020;34:629–41. https://doi.org/10.1097/ALN.0000000000002634.CrossRefPubMed

Titel: Analgesia Nociception Index (ANI) and ephedrine: a dangerous liasion
verfasst von: Rita Graça
Francisco A. Lobo
Publikationsdatum: 17.03.2021
Verlag: Springer Netherlands
Erschienen in: Journal of Clinical Monitoring and Computing / Ausgabe 4/2021
Print ISSN: 1387-1307
Elektronische ISSN: 1573-2614
DOI: https://doi.org/10.1007/s10877-021-00682-4

Neu im Fachgebiet AINS

24.04.2024 | DGIM 2024 | Kongressbericht | Nachrichten

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

hier abonnieren

Springer Medizin

Analgesia Nociception Index (ANI) and ephedrine: a dangerous liasion

Abstract

Neu im Fachgebiet AINS

Magen-Darm-Blutungen werden präklinisch oft falsch eingeschätzt

Sepsis-Verdacht: Eine Stunde, fünf essenzielle Maßnahmen

Hinter dieser Appendizitis steckte ein Erreger

Ärztliche Empathie hilft gegen Rückenschmerzen

Update AINS

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2021

Cautionary findings for motor evoked potential monitoring in intracranial aneurysm surgery after a single administration of rocuronium to facilitate tracheal intubation

Non-invasive assessment of respiratory muscle activity during pressure support ventilation: accuracy of end-inspiration occlusion and least square fitting methods

Transpulmonary thermodilution during extracorporeal organ support (ECOS): is it worth it?A brief commentary on the effects of the extracorporeal circuit on TPTD-derived parameters

Fetal heart rate variability analysis for neonatal acidosis prediction

Is jugular bulb oximetry monitoring associated with outcome in out of hospital cardiac arrest patients?

Comparing the effect of positioning on cerebral autoregulation during radical prostatectomy: a prospective observational study

Neu im Fachgebiet AINS

Magen-Darm-Blutungen werden präklinisch oft falsch eingeschätzt

Sepsis-Verdacht: Eine Stunde, fünf essenzielle Maßnahmen

Hinter dieser Appendizitis steckte ein Erreger

Ärztliche Empathie hilft gegen Rückenschmerzen

Update AINS