Monitoring of skin conductance to assess postoperative pain intensity
Pain is known to alter the electrogalvanic properties of the skin. The aim of this pilot study was to investigate the influence of postoperative pain on skin conductance (SC) readings. After obtaining ethical approval and written informed consent, 25 postoperative patients were asked to quantify the...
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| Veröffentlicht in: | British journal of anaesthesia : BJA 2006-12, Vol.97 (6), p.862-865 |
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| container_title | British journal of anaesthesia : BJA |
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| creator | Ledowski, T. Bromilow, J. Paech, M.J. Storm, H. Hacking, R. Schug, S.A. |
| description | Pain is known to alter the electrogalvanic properties of the skin. The aim of this pilot study was to investigate the influence of postoperative pain on skin conductance (SC) readings.
After obtaining ethical approval and written informed consent, 25 postoperative patients were asked to quantify their level of pain on a numeric rating scale (NRS, 0–10) at different time points in the recovery room. As a parameter of SC, the number of fluctuations within the mean SC per second (NFSC) was recorded. Simultaneously, the NRS was obtained from patients by a different observer who was blinded to the NFSC values.
Data from 110 readings of 25 patients (14 female, 11 male; 21–67 yr) were included. NFSC showed a significant correlation with the NRS (r=0.625; P |
| doi_str_mv | 10.1093/bja/ael280 |
| format | Article |
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After obtaining ethical approval and written informed consent, 25 postoperative patients were asked to quantify their level of pain on a numeric rating scale (NRS, 0–10) at different time points in the recovery room. As a parameter of SC, the number of fluctuations within the mean SC per second (NFSC) was recorded. Simultaneously, the NRS was obtained from patients by a different observer who was blinded to the NFSC values.
Data from 110 readings of 25 patients (14 female, 11 male; 21–67 yr) were included. NFSC showed a significant correlation with the NRS (r=0.625; P<0.01), whereas heart rate and blood pressure showed no or very weak correlation with the NRS. NFSC was significantly different between patients with no (NRS=0), mild (NRS=1–3), moderate (NRS=4–5) and severe (NRS=6–10) pain (no: 0.047, mild: 0.089, moderate: 0.242, severe: 0.263; P<0.0001). Post hoc, a cut-off value for NFSC (0.1) was calculated above which a pain score >3 on the NRS was predicted with sensitivity of 89% and specificity of 74%.
The severity of postoperative pain significantly influences SC. Using cut-off values, NFSC may prove a useful tool for pain assessment in the postoperative period.</description><identifier>ISSN: 0007-0912</identifier><identifier>EISSN: 1471-6771</identifier><identifier>DOI: 10.1093/bja/ael280</identifier><identifier>PMID: 17060329</identifier><identifier>CODEN: BJANAD</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adult ; Aged ; Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Female ; Galvanic Skin Response ; Humans ; Male ; measurement techniques ; measurement techniques, skin conductance ; Medical sciences ; Middle Aged ; Monitoring, Physiologic - methods ; pain ; Pain Measurement - methods ; pain, postoperative ; Pain, Postoperative - diagnosis ; Pilot Projects ; postoperative ; Postoperative Care - methods ; recovery ; recovery, postoperative ; Sensitivity and Specificity ; skin conductance</subject><ispartof>British journal of anaesthesia : BJA, 2006-12, Vol.97 (6), p.862-865</ispartof><rights>2006 British Journal of Anaesthesia</rights><rights>The Board of Management and Trustees of the British Journal of Anaesthesia 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org 2006</rights><rights>2007 INIST-CNRS</rights><rights>Copyright Oxford University Press(England) Dec 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c491t-12cc300f62069f220aa6b9e9a817e99bc6c6df2006e60918b035bc15f9bc19713</citedby><cites>FETCH-LOGICAL-c491t-12cc300f62069f220aa6b9e9a817e99bc6c6df2006e60918b035bc15f9bc19713</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18332213$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17060329$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ledowski, T.</creatorcontrib><creatorcontrib>Bromilow, J.</creatorcontrib><creatorcontrib>Paech, M.J.</creatorcontrib><creatorcontrib>Storm, H.</creatorcontrib><creatorcontrib>Hacking, R.</creatorcontrib><creatorcontrib>Schug, S.A.</creatorcontrib><title>Monitoring of skin conductance to assess postoperative pain intensity</title><title>British journal of anaesthesia : BJA</title><addtitle>Br J Anaesth</addtitle><description>Pain is known to alter the electrogalvanic properties of the skin. The aim of this pilot study was to investigate the influence of postoperative pain on skin conductance (SC) readings.
After obtaining ethical approval and written informed consent, 25 postoperative patients were asked to quantify their level of pain on a numeric rating scale (NRS, 0–10) at different time points in the recovery room. As a parameter of SC, the number of fluctuations within the mean SC per second (NFSC) was recorded. Simultaneously, the NRS was obtained from patients by a different observer who was blinded to the NFSC values.
Data from 110 readings of 25 patients (14 female, 11 male; 21–67 yr) were included. NFSC showed a significant correlation with the NRS (r=0.625; P<0.01), whereas heart rate and blood pressure showed no or very weak correlation with the NRS. NFSC was significantly different between patients with no (NRS=0), mild (NRS=1–3), moderate (NRS=4–5) and severe (NRS=6–10) pain (no: 0.047, mild: 0.089, moderate: 0.242, severe: 0.263; P<0.0001). Post hoc, a cut-off value for NFSC (0.1) was calculated above which a pain score >3 on the NRS was predicted with sensitivity of 89% and specificity of 74%.
The severity of postoperative pain significantly influences SC. Using cut-off values, NFSC may prove a useful tool for pain assessment in the postoperative period.</description><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Galvanic Skin Response</subject><subject>Humans</subject><subject>Male</subject><subject>measurement techniques</subject><subject>measurement techniques, skin conductance</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Monitoring, Physiologic - methods</subject><subject>pain</subject><subject>Pain Measurement - methods</subject><subject>pain, postoperative</subject><subject>Pain, Postoperative - diagnosis</subject><subject>Pilot Projects</subject><subject>postoperative</subject><subject>Postoperative Care - methods</subject><subject>recovery</subject><subject>recovery, postoperative</subject><subject>Sensitivity and Specificity</subject><subject>skin conductance</subject><issn>0007-0912</issn><issn>1471-6771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90UGL1DAUB_AgijuuXvwAUgQ9CHVfkjZpjrqsu8KIIIriJaTpq2S2k3STdHG_vZEODoh4yiE__u_xf4Q8pfCaguJn_c6cGZxYB_fIhjaS1kJKep9sAEDWoCg7IY9S2gFQyVT7kJxQCQI4Uxty8SF4l0N0_kcVxipdO1_Z4IfFZuMtVjlUJiVMqZpDymHGaLK7xWo2BTqf0SeX7x6TB6OZEj45vKfky7uLz-dX9fbj5fvzN9vaNormmjJrOcAoGAg1MgbGiF6hMh2VqFRvhRXDyAAEirJ21wNve0vbsXxRJSk_JS_X3DmGmwVT1nuXLE6T8RiWpEVHG664KPD5X3AXlujLbroEyVaopivo1YpsDClFHPUc3d7EO01B_25Wl2b12mzBzw6JS7_H4UgPVRbw4gBMsmYaY-nPpaPrOGeM8qMLy_z_gfXqXMr484808VoLyWWrr7591xy27dtP9Ku-LL5ZPZYD3DqMOlmH5YaDi2izHoL715hfBiGuug</recordid><startdate>20061201</startdate><enddate>20061201</enddate><creator>Ledowski, T.</creator><creator>Bromilow, J.</creator><creator>Paech, M.J.</creator><creator>Storm, H.</creator><creator>Hacking, R.</creator><creator>Schug, S.A.</creator><general>Elsevier Ltd</general><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>6I.</scope><scope>AAFTH</scope><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20061201</creationdate><title>Monitoring of skin conductance to assess postoperative pain intensity</title><author>Ledowski, T. ; Bromilow, J. ; Paech, M.J. ; Storm, H. ; Hacking, R. ; Schug, S.A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c491t-12cc300f62069f220aa6b9e9a817e99bc6c6df2006e60918b035bc15f9bc19713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Galvanic Skin Response</topic><topic>Humans</topic><topic>Male</topic><topic>measurement techniques</topic><topic>measurement techniques, skin conductance</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Monitoring, Physiologic - methods</topic><topic>pain</topic><topic>Pain Measurement - methods</topic><topic>pain, postoperative</topic><topic>Pain, Postoperative - diagnosis</topic><topic>Pilot Projects</topic><topic>postoperative</topic><topic>Postoperative Care - methods</topic><topic>recovery</topic><topic>recovery, postoperative</topic><topic>Sensitivity and Specificity</topic><topic>skin conductance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ledowski, T.</creatorcontrib><creatorcontrib>Bromilow, J.</creatorcontrib><creatorcontrib>Paech, M.J.</creatorcontrib><creatorcontrib>Storm, H.</creatorcontrib><creatorcontrib>Hacking, R.</creatorcontrib><creatorcontrib>Schug, S.A.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of anaesthesia : BJA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ledowski, T.</au><au>Bromilow, J.</au><au>Paech, M.J.</au><au>Storm, H.</au><au>Hacking, R.</au><au>Schug, S.A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Monitoring of skin conductance to assess postoperative pain intensity</atitle><jtitle>British journal of anaesthesia : BJA</jtitle><addtitle>Br J Anaesth</addtitle><date>2006-12-01</date><risdate>2006</risdate><volume>97</volume><issue>6</issue><spage>862</spage><epage>865</epage><pages>862-865</pages><issn>0007-0912</issn><eissn>1471-6771</eissn><coden>BJANAD</coden><abstract>Pain is known to alter the electrogalvanic properties of the skin. The aim of this pilot study was to investigate the influence of postoperative pain on skin conductance (SC) readings.
After obtaining ethical approval and written informed consent, 25 postoperative patients were asked to quantify their level of pain on a numeric rating scale (NRS, 0–10) at different time points in the recovery room. As a parameter of SC, the number of fluctuations within the mean SC per second (NFSC) was recorded. Simultaneously, the NRS was obtained from patients by a different observer who was blinded to the NFSC values.
Data from 110 readings of 25 patients (14 female, 11 male; 21–67 yr) were included. NFSC showed a significant correlation with the NRS (r=0.625; P<0.01), whereas heart rate and blood pressure showed no or very weak correlation with the NRS. NFSC was significantly different between patients with no (NRS=0), mild (NRS=1–3), moderate (NRS=4–5) and severe (NRS=6–10) pain (no: 0.047, mild: 0.089, moderate: 0.242, severe: 0.263; P<0.0001). Post hoc, a cut-off value for NFSC (0.1) was calculated above which a pain score >3 on the NRS was predicted with sensitivity of 89% and specificity of 74%.
The severity of postoperative pain significantly influences SC. Using cut-off values, NFSC may prove a useful tool for pain assessment in the postoperative period.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>17060329</pmid><doi>10.1093/bja/ael280</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Female Galvanic Skin Response Humans Male measurement techniques measurement techniques, skin conductance Medical sciences Middle Aged Monitoring, Physiologic - methods pain Pain Measurement - methods pain, postoperative Pain, Postoperative - diagnosis Pilot Projects postoperative Postoperative Care - methods recovery recovery, postoperative Sensitivity and Specificity skin conductance |
| title | Monitoring of skin conductance to assess postoperative pain intensity |
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