The Nociception Level During General Anesthesia
The Nociception Level During Anesthesia in Patients Undergoing Video-assisted Thoracoscopic Surgery
1 other identifier
observational
40
1 country
1
Brief Summary
We are conducting a study to evaluate two investigational devices that may help us better monitor discomfort or pain in anesthetized patients during minimally invasive lung surgery. We want to collect information on how people respond to pain related to their surgery. Currently, we use blood pressure (BP) and heart rate (HR) to check the response to pain. In this study, we will also use two devices called the Medasense PMD-100 and PhysioDoloris monitors to look at measurements of pain. We will compare the measurements from the study devices to the measurements of heart rate and blood pressure. We hope to enroll about 40 subjects in this study at the University of Washington Medical Center.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Oct 2013
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2013
CompletedFirst Submitted
Initial submission to the registry
October 25, 2013
CompletedFirst Posted
Study publicly available on registry
November 7, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2014
CompletedAugust 13, 2014
August 1, 2014
1.2 years
October 25, 2013
August 12, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Nociception Level (NoL) index
The primary objective of this study is to measure the NoL index in patients having minimally invasive lung surgery and compare it to Analgesia Nociception index (ANI), HR and BP as indicators of pain
5 minutes prior to intubation until 5 minutes after the incision for patients undergoing minimally invasive lung surgery under general anesthesia
Secondary Outcomes (1)
Analgesia nociception index (ANI)
5 minutes prior to intubation until 5 minutes after the incision for patients undergoing minimally invasive lung surgery under general anesthesia
Eligibility Criteria
Patients undergoing elective Video-Assisted Thoracoscopic Surgery at University of Washington Medical Center
You may qualify if:
- Patients who clinically consent to elective VATS procedure under general anesthesia,
- Ages between 18 and 80 years,
- Able to provide informed consent,
- English speaking
You may not qualify if:
- violation of protocol (e.g., administration of medication that does not comply with the study protocol or inability to measure NoL or ANI index)
- subject has change of mind
- surgery has to be repeated.
- subject refusal
- non-English speaking
- previous chronic or neuropathic pain
- previous chronic use of opioids
- history of psychiatric disorder
- previous ipsilateral thoracotomy or VATS
- morbidly obese with body mass index \> 40
- chronically treated with beta-blockers
- unable to provide informed consent (we will not enroll subjects that require LAR consent)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Washington Medical Center
Seattle, Washington, 98195, United States
Related Publications (3)
Ben-Israel N, Kliger M, Zuckerman G, Katz Y, Edry R. Monitoring the nociception level: a multi-parameter approach. J Clin Monit Comput. 2013 Dec;27(6):659-68. doi: 10.1007/s10877-013-9487-9. Epub 2013 Jul 9.
PMID: 23835792BACKGROUNDLogier R, Jeanne M, De Jonckheere J, Dassonneville A, Delecroix M, Tavernier B. PhysioDoloris: a monitoring device for analgesia / nociception balance evaluation using heart rate variability analysis. Annu Int Conf IEEE Eng Med Biol Soc. 2010;2010:1194-7. doi: 10.1109/IEMBS.2010.5625971.
PMID: 21095676BACKGROUNDBollag L, Jelacic S, Delgado Upegui C, Wu C, Richebe P. The nociception level index (NOL) response to intubation and incision in patients undergoing video-assisted thoracoscopic surgery (VATS) with and without thoracic epidural analgesia. A pilot study. F1000Res. 2018 Jun 22;7:875. doi: 10.12688/f1000research.15279.1. eCollection 2018.
PMID: 30026938DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Srdjan Jelacic, MD
University of Washington
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Acting Assistant Professor
Study Record Dates
First Submitted
October 25, 2013
First Posted
November 7, 2013
Study Start
October 1, 2013
Primary Completion
December 1, 2014
Study Completion
December 1, 2014
Last Updated
August 13, 2014
Record last verified: 2014-08