Pediatric anesthesia & critical care

The Newborn Infant Parasympathetic Evaluation Index for Assessment of Procedural Pain and Discomfort in Mechanically Ventilated Pediatric Intensive Care Patients: A Prospective, Exploratory, Observational Study

Paediatr AnaesthPublished Prospective observational study

Authors' conclusion

The NIPE detects procedural pain and discomfort in conscious mechanically ventilated infants with an accuracy comparable to established clinical scoring systems.

Study context

Population
Conscious mechanically ventilated pediatric intensive care unit (PICU) infants undergoing painful or stressful proceduresmean age 1.2 months
Participants
17 participants
Exposure
Newborn Infant Parasympathetic Evaluation (NIPE) values during positive vs negative FLACC and/or COMFORT-B scores
Outcome
Performance of NIPE as an indicator of procedural pain and/or discomfort vs FLACC and COMFORT-B
Methodological detailsexploratory
  • Exploratory

Main finding

As reported in the abstract

NIPE values

Logistic regression OR range

0.84 and 0.85

ROC AUC range

0.83 and 0.88

Observational data: associations, not effects.

Further findings

NIPE data recording failure

Periods with FLACC ≥ 4
49.3%
Periods with COMFORT-B ≥ 17
40.7%

Original publication

The Newborn Infant Parasympathetic Evaluation Index for Assessment of Procedural Pain and Discomfort in Mechanically Ventilated Pediatric Intensive Care Patients: A Prospective, Exploratory, Observational Study. Paediatr Anaesth. Published 7 December 2024. doi:10.1111/pan.15050

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