Pediatric anesthesia & critical care

Detection of Nociceptive Stimuli Using the Newborn Infant Parasympathetic Evaluation Index in Children Aged From 3 to 18 Years

Paediatr AnaesthPublished Prospective observational study

Authors' conclusion

The NIPE index detects the stress response to endotracheal suctioning in children older than 3 years and is more sensitive than hemodynamic parameters, regardless of catecholamine therapy.

Study context

Population
Children aged 3–18 years with airway secured by endotracheal intubation or tracheostomy, Motol University Hospital, Prague
Exposure
Newborn Infant Parasympathetic Evaluation (NIPE) before, during and 5 min after endotracheal suctioning; NIPE vs haemodynamic parameters
Outcome
NIPE value before endotracheal suctioning, 1 min after the start, and 5 min after the end of suctioning
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

NIPE value during endotracheal suctioning

Significantly lower during suctioning; average reduction (100-point scale)

13.4 points

Observational data: associations, not effects.

Further findings

Haemodynamic parameters (heart rate and BP)

No significant changes, in the whole group or in those not receiving catecholamine support

Original publication

Detection of Nociceptive Stimuli Using the Newborn Infant Parasympathetic Evaluation Index in Children Aged From 3 to 18 Years. Paediatr Anaesth. Published 9 June 2025. doi:10.1111/pan.15129

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