Bertolizio Gianluca, Garbin Marta, Ingelmo Pablo M
Department of Pediatric Anesthesiology, Montreal Children's Hospital, Montreal, QC H4A 3J1, Canada.
Department of Anesthesia, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC H4A 3J1, Canada.
J Pers Med. 2023 Jan 30;13(2):260. doi: 10.3390/jpm13020260.
The association between intraoperative nociception and increased patient's morbidity is well established. However, hemodynamic parameters, such as heart rate and blood pressure, may result in an inadequate monitor of nociception during surgery. Over the last two decades, different devices have been marketed to "reliably" detect intraoperative nociception. Since the direct measure of nociception is impractical during surgery, these monitors measures nociception surrogates such as sympathetic and parasympathetic nervous systems responses (heart rate variability, pupillometry, skin conductance), electroencephalographic changes, and muscular reflex arc. Each monitor carries its own advantages and disadvantages. The manuscript aims to give an overview of the most up-to-date information available in the literature on current nociceptor monitors available in clinical practice, with particular focus on their applications in pediatrics.
术中伤害感受与患者发病率增加之间的关联已得到充分证实。然而，诸如心率和血压等血流动力学参数可能导致手术期间对伤害感受的监测不足。在过去二十年中，不同的设备已投放市场以“可靠地”检测术中伤害感受。由于在手术期间直接测量伤害感受不切实际，这些监测仪测量伤害感受替代指标，如交感和副交感神经系统反应（心率变异性、瞳孔测量、皮肤电导）、脑电图变化和肌肉反射弧。每种监测仪都有其自身的优缺点。本文旨在概述临床实践中现有伤害感受器监测仪的文献中最最新的信息，并特别关注其在儿科中的应用。
