Pain medicine

Reduced postoperative pain in patients receiving nociception monitor guided analgesia during elective major abdominal surgery: a randomized, controlled trial

J Clin Monit ComputPublished Randomised controlled trial

Primary result · Postoperative pain score (NRS)Result — go to the resultBootstrap corrected actual difference 1.5 95% CI 0.4–2.6

Authors' conclusion

Postoperative pain scores were significantly improved in nociception level index-guided patients.

Study context

Population
ASA 1–3 adults undergoing major abdominal surgery under sevoflurane/fentanyl anesthesiacompleted the study
Participants
75 participants
Comparison
NOL-guided fentanyl dosing vs standard care
  • NOLn = 36
  • SOCn = 39reference
Primary endpoint
Postoperative pain scores (Numerical Rating Scale (NRS) 0-10)
Follow-up
90 min
Methodological detailssingle-centre, prospective
  • Single-centre
  • Prospective

Primary result

Postoperative pain score (NRS)

Bootstrap corrected actual difference

1.5

95% CI 0.4–2.6

By group

NOL

3.0

median · IQR 0.0–5.0

SOC

5.0

median · IQR 3.0–6.0

SOC vs NOL
Bootstrap corrected actual difference 1.5 (95% CI 0.4–2.6)

As reported in the abstract

Further findings

Postoperative morphine consumption and intraoperative fentanyl consumption

No difference

Original publication

Reduced postoperative pain in patients receiving nociception monitor guided analgesia during elective major abdominal surgery: a randomized, controlled trial. J Clin Monit Comput. Published 17 August 2022. doi:10.1007/s10877-022-00906-1

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