Quantitative intraoperative monitoring of analgesia

Tarasova N.Yu.; Shmigel'skiĭ A.V.; Lubnin A.Yu.; Kulikov A.S.

doi:https://doi.org/10.17116/anaesthesiology202003127

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Abstract:

The major components of anesthesia are unconsciousness, analgesia and muscle relaxation. Several devices for quantitative intraoperative assessment of analgesia have been proposed over the last decade. The most common methods are those based on analysis of autonomic response to nociceptive stimulation. There are methods observing heart rate variability, pulse wave amplitude, skin conduction, as well as pupillometry. These methods are characterized by certain limitations and not yet widely used in clinical practice. However, intraoperative analgesia assessment has become a promising area of research.

Keywords:

pain

analgesia

nociception

autonomic nervous system

intraoperative monitoring

general anesthesia

opioid analgesics

Authors:

Tarasova N.Yu.

Burdenko Neurosurgery Research Institute, Moscow, Russian Federation

Shmigel'skiĭ A.V.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Lubnin A.Yu.

Moscow Regional Research Institute of Obstetrics and Gynecology, Ministry of Health of the Moscow Region, Moscow, Russia, N.N. Burdenko Research Institute of Neurosurgery, Moscow, Russia, Department of Obstetrics and Gynecology, M.F. Vladimirsky Moscow Regional Research Clinical Institute, Moscow, Russia

RSCI AuthorID: 370609
Scopus AuthorID: 57192157123
ORCID: 0000-0003-2595-5877

Kulikov A.S.

Burdenko National Medical Research Center for Neurosurgery, Moscow, Russia

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