Exploration of Autonomic Nervous System by Photoplethysmography
Study Details
Study Description
Brief Summary
The autonomic nervous system state (ANSS) and the autonomic nervous system state index (ANSSi) - two indices derived from the pulse photo-plethysmography analysis - have been recently advocated as a measure of sympathetic activity in the anesthetized patients, but their validity has not been yet demonstrated. We will conduct a study aiming to assess if ANSS and ANSSi reflect autonomic nervous system modulation on cardiovascular system in healthy humans under general anaesthesia.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Outcome Measures
Primary Outcome Measures
- autonomic nervous system activity during laparoscopic cholecystectomy (measured by pulse-photoplethysmography and heart rate variability analysis) [120 min]
assessment of autonomic nervous system activity measured by pulse-photoplethysmography and heart rate variability analysis
Secondary Outcome Measures
- agreement of photoplethysmography and heart rate variability [120 min]
assessment of agreement between pulse-photoplethysmography and heart rate variability as a measure of autonomic nervous system activity
Eligibility Criteria
Criteria
Inclusion Criteria:
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aged between 18 and 50 years
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American Society of Anaesthesiologists status I and II
Exclusion Criteria:
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hypertension requiring pharmacological treatment or chronic cardiovascular disease
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arrhythmic cardiac disease (atrial fibrillation, atrial flutter, ectopic beats >5% of normal sinus beats)
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history of alcohol or drug abuse
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obesity (BMI>30)
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diabetes or other endocrine pathology (thyroidal or adrenal)
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peripheral neuropathy or any kind of chronic neurological disease
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Luigi Sacco Hospital | Milan | Italy | 20157 |
Sponsors and Collaborators
- ASST Fatebenefratelli Sacco
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Colombo R, Raimondi F, Corona A, Rivetti I, Pagani F, Porta VD, Guzzetti S. Comparison of the Surgical Pleth Index with autonomic nervous system modulation on cardiac activity during general anaesthesia: A randomised cross-over study. Eur J Anaesthesiol. 2014 Feb;31(2):76-84. doi: 10.1097/01.EJA.0000436116.06728.b3.
- Hamunen K, Kontinen V, Hakala E, Talke P, Paloheimo M, Kalso E. Effect of pain on autonomic nervous system indices derived from photoplethysmography in healthy volunteers. Br J Anaesth. 2012 May;108(5):838-44. doi: 10.1093/bja/aes001. Epub 2012 Feb 26.
- Monk TG, Ding Y, White PF. Total intravenous anesthesia: effects of opioid versus hypnotic supplementation on autonomic responses and recovery. Anesth Analg. 1992 Nov;75(5):798-804.
- Myles PS, Cui J. Using the Bland-Altman method to measure agreement with repeated measures. Br J Anaesth. 2007 Sep;99(3):309-11.
- O'Leary E, Hubbard K, Tormey W, Cunningham AJ. Laparoscopic cholecystectomy: haemodynamic and neuroendocrine responses after pneumoperitoneum and changes in position. Br J Anaesth. 1996 May;76(5):640-4.
- Paloheimo MP, Sahanne S, Uutela KH. Autonomic nervous system state: the effect of general anaesthesia and bilateral tonsillectomy after unilateral infiltration of lidocaine. Br J Anaesth. 2010 May;104(5):587-95. doi: 10.1093/bja/aeq065. Epub 2010 Mar 30.
- Porta A, Baselli G, Caiani E, Malliani A, Lombardi F, Cerutti S. Quantifying electrocardiogram RT-RR variability interactions. Med Biol Eng Comput. 1998 Jan;36(1):27-34.
- Sly WS, Sato S, Zhu XL. Evaluation of carbonic anhydrase isozymes in disorders involving osteopetrosis and/or renal tubular acidosis. Clin Biochem. 1991 Aug;24(4):311-8. Review.
- ANSSi_2