Skin conductance versus the modified COMFORT sedation score as a measure of discomfort in artificially ventilated children

Pediatrics

Volumn 122, Issue 4, 2008, Pages

  Gjerstad, Ann Christin ^a   Wagner, Kari ^a   Henrichsen, Thore ^b   Storm, Hanne ^a  

^a OSLO UNIVERSITY HOSPITAL   (Norway)

^b ULLEVÅL UNIVERSITY HOSPITAL   (Norway)

Author keywords

Artificially ventilated children; Modified cOMFORT sedation score; Pain detection; Skin conductance

Indexed keywords

FENTANYL; MIDAZOLAM; MORPHINE; PARACETAMOL; REMIFENTANIL; THIOPENTAL;

ARTERIAL PRESSURE; ARTICLE; ARTIFICIAL VENTILATION; CHILD; CLINICAL ARTICLE; FEMALE; HEART RATE; HUMAN; INFANT; INTERMETHOD COMPARISON; MALE; MODIFIED COMFORT SEDATION SCORE; NEWBORN; NOCICEPTIVE STIMULATION; PRIORITY JOURNAL; SCORING SYSTEM; SKIN CONDUCTANCE; SYMPATHETIC NERVE; TRACHEOBRONCHIAL TOILET; BLOOD PRESSURE; CLINICAL TRIAL; COMPARATIVE STUDY; CONSCIOUS SEDATION; CRITICAL ILLNESS; ELECTRODERMAL RESPONSE; FOLLOW UP; INTENSIVE CARE; METHODOLOGY; MULTICENTER STUDY; PAIN; PAIN ASSESSMENT; PATHOPHYSIOLOGY; PHYSIOLOGY; PRESCHOOL CHILD; STANDARD;

BLOOD PRESSURE; CHILD; CHILD, PRESCHOOL; CONSCIOUS SEDATION; CRITICAL ILLNESS; FEMALE; FOLLOW-UP STUDIES; GALVANIC SKIN RESPONSE; HEART RATE; HUMANS; INFANT; INFANT, NEWBORN; INTENSIVE CARE UNITS, PEDIATRIC; MALE; PAIN; PAIN MEASUREMENT; RESPIRATION, ARTIFICIAL;

EID: 54049106096     PISSN: 00314005     EISSN: 10984275     Source Type: Journal    
DOI: 10.1542/peds.2007-2545     Document Type: Article

References (20)

1. Edelberg R. Electrical properties of the skin. In: Brown CC, ed. Methods in Psychophysiology. Baltimore, MD: Williams & Wilkins; 1967:1-53
2. idberg L, Wallin G. Sympathetic skin nerve discharges in relation to amplitude of skin resistance responses. Psychophysiology. 1981;18(3):268-270
3. Bini G, Hagbarth KE, Hynninen P, Wallin BG. Thermoregulatory and rhythm-generating mechanisms governing the sudo-motor and vasoconstrictor outflow in human cutaneous nerves. J Physiol. 1980;306:537-552
4. Storm H. Skin conductance and the stress response from heel stick in preterm infants. Arch Dis Child Fetal Neonatal Ed. 2000; 83(2):F143-F147
5. Hagbarth KE, Hallin RG, Hongell A, Torebjork HE, Wallin BG. General characteristics of sympathetic activity in human skin nerves. Acta Physiol Scand. 1972;84(2):164-176
6. Wallin BG, Sundlof G, Delius W. The effect of carotid sinus nerve stimulations on muscle and skin nerve sympathetic activity in man. Pflugers Arch. 1975;358(2):101-110
7. van Dijk M, de Boer JB, Koot HM, Tibboel D, Passchier J, Duivenvoorden HL. The reliability and validity of the COMFORT scale as a postoperative pain instrument in 0 to 3 year- old infants. Pain. 2000;84(2-3):367-377
8. Ambuel B, Hamlett KW, Marx CM, Blumer JL. Assessing distress in pediatric intensive care environments: the COMFORT scale. J Pediatr Psychol. 1992;17(1):95-109
9. Blauer T, Gerstman D. A simultaneous comparison of three neonatal pain scales during common NICU procedures. Clin J Pain. 1998;14(1):39-47
10. Wessel DL. Hemodynamic responses to perioperative pain and stress in infants. Crit Care Med. 1993;21(9 suppl):S361-S362
11. Grimnes S. Pathways of ionic flow through human skin in vivo. Acta Derm Venereol. 1984;64(2):93-98
12. Storm H, Fremming A, Ødegaard S, Martinsen ØG, MorkeridL. The development of a software program for analyzing spontaneous and externally elicited skin conductance changes in infants and adults. Clin Neurophysiol. 2000;111(10):1889-1898
13. Perneger T. What's wrong with Bonferroni adjustments. BMJ. 1998;316(7139):1236-1238
14. Bouwmeester NJ, Anand KJ, van Dijk M, Hop WC, Boomsma F, Tibboel D. Hormonal and metabolic stress responses after major surgery in children aged 0-3 years: a double-blind, randomized trial comparing the effects on continuous versus intermittent morphine. Br J Anaesth. 2001;87(3):390-399
15. Domino KB, Posner KL, Caplan RA, Cheney FW. Awareness during anesthesia: a closed claims analysis. Anesthesiology. 1999; 90(4):1053-1061
16. Playfor S, Thomas D, Choonara I. Recollection of children following intensive care. Arch Dis Child. 2000;83(5):445-448
17. Anand KJ, Hickey PR. Halothane-morphine compared with high-dose sufentanil for anesthesia and postoperative analgesia in neonatal cardiac surgery. N Engl J Med. 1992;326(1):1-9
18. Tobias JD. Tolerance, withdrawal, and physical dependency after long-term sedation and analgesia of children in the pedi- atric intensive care unit. Crit Care Med. 2000;28(6):2122-2132
19. Ledowski T, Bromilow J, Wu J, Peach MJ, Storm H, Schug SA. The assessment of postoperative pain by monitoring skin conductance: results of a prospective study. Anaesthesia. 2007; 62(10):989-993
20. Ledowski T, Hullett B, Preuss J, Pascoe E, Zamudio-Villarroel I. Skin Conductance as a Measure of Postoperative Pain in Paediatric Patients. Abstract presented at ANZCA annual scientific meeting; May 3-7, 2008; Sydney, Australia