Perfusion Index in the Follow-up of Postoperative Pain

NCT06535581 | Completed

• 1 other identifier: E-76988455-050
• Study Type: observational
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

Background: The effect of the perfusion index (PI) as an indicator of postoperative pain was investigated. To this end, the presence of the perfusion index in predicting the need for analgesia and its effect in hypertensive patients were investigated. Researher aimed to investigate the change in perfusion index in the prediction of postoperative pain after laparotomic abdominal surgery. As a secondary aim, the results of the relative change in perfusion index in the presence of hypertensive disease were analysed. Methods: A total of 100 patients with ASA 1-3 with or without hypertension who were scheduled to undergo open abdominal surgery between 1 April 2023 and 30 November 2023 were included in the study. The relative variability of visual analogue scale (VAS) and PI in patients receiving postoperative analgesia was examined. The degree of prediction of postoperative pain by these variables after rescue analgesia was investigated. Hypertensive patients were analysed along with other patient groups.

Conditions

Perfusion; Complications

Keywords

perfusion index; postoperative pain; anaesthesia

Outcome Measures

Primary Outcomes (2)

• PI value

  The correlation between the relative change in PI value and the relative change in VAS value after anesthesia induction and postoperative pain management was investigated.

  minutes 90

• hypertension patient

  The relative change in PI value and the relative change in VAS value were compared in hypertensive patients and non-hypertensive patients.

  minutes 90

Secondary Outcomes (1)

• complication

  minutes 90

Study Arms (2)

Group 1

hypertension patients

Procedure: surgery patient

group 2

non hypertension patients

Procedure: surgery patient

Interventions

surgery patient PROCEDURE

patients with hypertension (group 2) and without (group 1) hypertension. The predictive ability of postoperative pain as a tool for measuring and assessing pain was examined by analysing the relative change in the Perfuston index.

Group 1; group 2

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

laparotomy abdominal surgery under general anesthesia.

You may qualify if:

• American Society of Anesthesiologists physical statuses ranging from 1 to 3, who were scheduled to undergo laparotomy abdominal surgery under general anesthesia.

You may not qualify if:

• Patients with difficult cooperation and heart failure

Sponsors & Collaborators

• Amasya University: lead

Study Sites (1)

Amasya University Training and Research Hospital

Amasya, 05100, Turkey (Türkiye)

Location

Related Publications (3)

• Bihani P, Pandey A, Jha M, Paliwal N, Jaju R, Solanki R. Comparing Perfusion Index and Visual Analogue Scores for Postoperative Pain Assessment Following Upper Limb Surgeries Under Supraclavicular Brachial Plexus Block: An Observational Study. Cureus. 2024 Mar 4;16(3):e55529. doi: 10.7759/cureus.55529. eCollection 2024 Mar.

  PMID: 38576659 BACKGROUND

• Kamel AAF, Medhat MM, Salem DAE, Naby SMA. Effect of perioperative magnesium sulfate and labetalol infusion on peripheral perfusion and postoperative pain in nasal surgery: a randomized controlled trial. Patient Saf Surg. 2022 Aug 19;16(1):27. doi: 10.1186/s13037-022-00336-7.

  PMID: 35986325 BACKGROUND

• Elshal MM, Hasanin AM, Mostafa M, Gamal RM. Plethysmographic Peripheral Perfusion Index: Could It Be a New Vital Sign? Front Med (Lausanne). 2021 Oct 1;8:651909. doi: 10.3389/fmed.2021.651909. eCollection 2021.

  PMID: 34660615 BACKGROUND

MeSH Terms

Conditions

Pain, Postoperative

Interventions

Medical Errors

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms

Intervention Hierarchy (Ancestors)

Health Services; Health Care Facilities Workforce and Services

Study Officials

• harun duran, md

  Amasya University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: M.D.

Study Record Dates

• First Submitted: July 26, 2024
• First Posted: August 2, 2024
• Study Start: April 5, 2023
• Primary Completion: November 1, 2023
• Study Completion: June 1, 2024
• Last Updated: August 2, 2024

Record last verified: 2024-07

Locations

TU (1)