Perfusion Index in Assessment of Postoperative Pain in Children.
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: perfusion index.
- Who it may be relevant to
- Registry conditions: Postoperative Pain. Basic parameters: 1 Day — 3 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Using Perfusion Index in Assessment of Postoperative Pain in Children Undergoing Hypospadias Repair Surgery: an Observational Follow up Study.
Overview
The aim of this study will be to examine the validity of perfusion index in predicting pain and evaluation of its severity in the postoperative period.
Detailed description
\* Hypospadias repair is a common surgery that is accompanied with significant postoperative pain. The largest group of children usually undergo this type of surgery are infants and pre-verbal children who cannot verbally report pain, and their treatment depends typically on behavioral and observational tools. Although these tools are valid and reliable measures in assessment of pediatric pain, they are still hindered by their subjectivity, which consequently could result in inadequate pain treatment that in early childhood may lead to negative behavioral and neurophysiological sequalae.
That is why recent studies have focused on developing more objective measures to evaluate pain especially when self-report is not possible.
\* Changes in perfusion index(PI) caused by sympathetic stimulation refers to possible correlation between pain and PI which forms the basis of our study proposing that the PI is a non-invasive easy method that can be used in evaluating pain in infants
Interventions
- Device perfusion index
measurement of perfusion index
Primary outcome measures
- Detection of the validity of Perfusion index in predicting Postoperative pain assessed by FLACC score [Time frame: The baseline preoperative Perfusion index., The FLACC score along with the corresponding Perfusion index readings, will be recorded postoperatively: upon arrival to the PACU and every 30 minutes for 2 hours, then at 6, 12, 18, 24 hours.]
Eligibility criteria
Inclusion criteria
- patients aged <3 years
- Sex:- both male and female.
- ASA I-II
- Informed written consent obtained from parents or guardians of all patients.
- Undergoing hypospadias repair surgery
Exclusion criteria
- Patients outside the selective age range
- Parents or guardians refusing to enroll their child in the study.
- ASA III or VI
- Children with behavioral changes or physical developmental delay
- Children treated with sedatives or anticonvulsants.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Other
Study locations
Egypt · 1 center
- Noha yahia Mohammed — Asyut
Identifiers
NCT: NCT06245239 · AIP0294591