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Analgesia Nociception Index (ANI) has been proposed for the evaluation of the nociception-antinociception balance in the perioperative period. In pediatric patients with Moyamoay disease, where the management of analgesia may be rendered difficult by pharmacological changes, we hypothesised that the monitoring of analgesia with ANI would reduce intraoperative opioid consumption during EDAS surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ANI (Analgesia/Nociception Index) monitoring | Experimental |
| |
| Standard monitoring | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ANI (Analgesia/Nociception Index) monitoring | Device | Intraoperative analgesia was provided by injection of sufentanil, which was performed according to ANI monitor. |
|
| Measure | Description | Time Frame |
|---|---|---|
| the mean hourly intraoperative sufentanil requirement | from induction of anesthesia to end of operation, about 5 hours |
| Measure | Description | Time Frame |
|---|---|---|
| the amount of non-opioids analgesic requirements | from induction of anesthesia to end of operation, about 5 hours | |
| the amount of vasoactive agents requirements | from induction of anesthesia to end of operation, about 5 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Eun-hee Kim | Contact | +82-2-2072-3664 | beloveun@snu.ac.kr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul national university hospital | Recruiting | Seoul | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38832435 | Derived | Park JB, Kang P, Ji SH, Jang YE, Lee JH, Kim JT, Kim HS, Kim EH. Effects of goal-directed analgesia using the analgesia nociception index in children undergoing surgery for moyamoya disease: A randomised controlled trial. Eur J Anaesthesiol. 2024 Sep 1;41(9):649-656. doi: 10.1097/EJA.0000000000002013. Epub 2024 Jun 3. |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000698 | Analgesia |
| D017409 | Sufentanil |
| ID | Term |
|---|---|
| D000760 | Anesthesia and Analgesia |
| D005283 | Fentanyl |
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
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| standard monitoring | Device | Intraoperative analgesia was provided by injection of sufentanil, which was performed according to the clinician's assessment. |
|
| Sufentanil | Drug | Sufentanil |
|
| D006571 |
| Heterocyclic Compounds |