Pupillary reflex measurement predicts insufficient analgesia before endotracheal suctioning in critically ill patients

Critical Care

Volumn 17, Issue 4, 2013, Pages

  Paulus, Jerome ^a   Roquilly, Antoine ^a   Beloeil, Hélène ^b   Théraud, Julien ^a   Asehnoune, Karim ^a   Lejus, Corinne ^a  

^a HÔTEL DIEU   (France)

^b RENNES UNIVERSITY HOSPITAL   (France)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ANALGESIA; ARTICLE; CLINICAL ARTICLE; CRITICALLY ILL PATIENT; FEMALE; HUMAN; MALE; MEASUREMENT; PREDICTIVE VALUE; PRIORITY JOURNAL; PUPIL REFLEX; PUPILLOMETER; RICHMOND AGITATION SEDATION SCALE; TRACHEOBRONCHIAL TOILET; VENTILATED PATIENT; YOUDEN INDEX; AGED; ARTIFICIAL VENTILATION; CRITICAL ILLNESS; DRUG EFFECTS; ENDOTRACHEAL INTUBATION; MIDDLE AGED; PAIN MEASUREMENT; PHYSIOLOGY; PROCEDURES; PROSPECTIVE STUDY; STIMULATION; SUCTION;

ADULT; AGED; ANALGESIA; CRITICAL ILLNESS; FEMALE; HUMANS; INTUBATION, INTRATRACHEAL; MALE; MIDDLE AGED; PAIN MEASUREMENT; PHYSICAL STIMULATION; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; REFLEX, PUPILLARY; RESPIRATION, ARTIFICIAL; SUCTION;

EID: 84880355585     PISSN: 13648535     EISSN: 1466609X     Source Type: Journal    
DOI: 10.1186/cc12840     Document Type: Article

References (33)

1. Grap MJ, Blecha T, Munro C. A description of patients' report of endotracheal tube discomfort. Intensive Crit Care Nurs 2002, 18:244-249. 10.1016/S0964339702000654, 12470014.
2. Puntillo KA, White C, Morris AB, Perdue ST, Stanik-Hutt J, Thompson CL, Wild LR. Patients' perceptions and responses to procedural pain: results from Thunder Project II. Am J Crit Care 2001, 10:238-251.
3. Yorke J, Wallis M, McLean B. Patients' perceptions of pain management after cardiac surgery in an Australian critical care unit. Heart Lung 2004, 33:33-41. 10.1016/j.hrtlng.2003.09.002, 14983137.
4. Schelling G, Stoll C, Haller M, Briegel J, Manert W, Hummel T, Lenhart A, Heyduck M, Polasek J, Meier M, Preuss U, Bullinger M, Schüffel W, Peter K. Health-related quality of life and posttraumatic stress disorder in survivors of the acute respiratory distress syndrome. Crit Care Med 1998, 26:651-659. 10.1097/00003246-199804000-00011, 9559601.
5. Li D, Puntillo K, Miaskowski C. A review of objective pain measures for use with critical care adult patients unable to self-report. J Pain 2008, 9:2-10.
6. Payen JF, Chanques G, Mantz J, Hercule C, Auriant I, Leguillou JL, Binhas M, Genty C, Rolland C, Bosson JL. Current practices in sedation and analgesia for mechanically ventilated critically ill patients: a prospective multicenter patient-based study. Anesthesiology 2007, 106:687-695. 10.1097/01.anes.0000264747.09017.da, 17413906.
7. Payen JF, Bosson JL, Chanques G, Mantz J, Labarere J, DOLOREA Investigators Pain assessment is associated with decreased duration of mechanical ventilation in the intensive care unit: a post hoc analysis of the DOLOREA study. Anesthesiology 2009, 111:1308-1316. 10.1097/ALN.0b013e3181c0d4f0, 19934877, DOLOREA Investigators.
8. Larson MD, Sessler DI, Washington DE, Merrifield BR, Hynson JA, McGuire J. Pupillary response to noxious stimulation during isoflurane and propofol anesthesia. Anesth Analg 1993, 76:1072-1078.
9. Constant I, Nghe MC, Boudet L, Berniere J, Schrayer S, Seeman R, Murat I. Reflex pupillary dilatation in response to skin incision and alfentanil in children anaesthetized with sevoflurane: a more sensitive measure of noxious stimulation than the commonly used variables. Br J Anaesth 2006, 96:614-619. 10.1093/bja/ael073, 16565227.
10. Aissou M, Snauwaert A, Dupuis C, Atchabahian A, Aubrun F, Beaussier M. Objective assessment of the immediate postoperative analgesia using pupillary reflex measurement: a prospective and observational study. Anesthesiology 2012, 116:1006-1012. 10.1097/ALN.0b013e318251d1fb, 22446982.
11. Payen JF, Bru O, Bosson JL, Lagrasta A, Novel E, Deschaux I, Lavagne P, Jacquot C. Assessing pain in critically ill sedated patients by using a behavioral pain scale. Crit Care Med 2001, 29:2258-2263. 10.1097/00003246-200112000-00004, 11801819.
12. Sessler CN, Gosnell MS, Grap MJ, Brophy GM, O'Neal PV, Keane KA, Tesoro EP, Elswick RK. The Richmond Agitation-Sedation Scale: validity and reliability in adult intensive care unit patients. Am J Respir Crit Care Med 2002, 166:1338-1344. 10.1164/rccm.2107138, 12421743.
13. De Jonghe B, Cook D, Appere-De-Vecchi C, Guyatt G, Meade M, Outin H. Using and understanding sedation scoring systems: a systematic review. Intensive Care Med 2000, 26:275-285. 10.1007/s001340051150, 10823383.
14. Puntillo KA, Morris AB, Thompson CL, Stanik-Hutt J, White CA, Wild LR. Pain behaviors observed during six common procedures: results from Thunder Project II. Crit Care Med 2004, 32:421-427. 10.1097/01.CCM.0000108875.35298.D2, 14758158.
15. Carroll KC, Atkins PJ, Herold GR, Mlcek CA, Shively M, Clopton P, Glaser DN. Pain assessment and management in critically ill postoperative and trauma patients: a multisite study. Am J Crit Care 1999, 8:105-117.
16. Thille AW, Rodriguez P, Cabello B, Lellouche F, Brochard L. Patient-ventilator asynchrony during assisted mechanical ventilation. Intensive Care Med 2006, 32:1515-1522. 10.1007/s00134-006-0301-8, 16896854.
17. Gelinas C, Fillion L, Puntillo KA, Viens C, Fortier M. Validation of the critical-care pain observation tool in adult patients. Am J Crit Care 2006, 15:420-427.
18. Greisen J, Juhl CB, Grofte T, Vilstrup H, Jensen TS, Schmitz O. Acute pain induces insulin resistance in humans. Anesthesiology 2001, 95:578-584. 10.1097/00000542-200109000-00007, 11575527.
19. Marik PE, Zaloga GP. Adrenal insufficiency in the critically ill: a new look at an old problem. Chest 2002, 122:1784-1796. 10.1378/chest.122.5.1784, 12426284.
20. Cammarano WB, Pittet JF, Weitz S, Schlobohm RM, Marks JD. Acute withdrawal syndrome related to the administration of analgesic and sedative medications in adult intensive care unit patients. Crit Care Med 1998, 26:676-684. 10.1097/00003246-199804000-00015, 9559604.
21. Joly V, Richebe P, Guignard B, Fletcher D, Maurette P, Sessler DI, Chauvin M. Remifentanil-induced postoperative hyperalgesia and its prevention with small-dose ketamine. Anesthesiology 2005, 103:147-155. 10.1097/00000542-200507000-00022, 15983467.
22. Puntillo KA, Wild LR, Morris AB, Stanik-Hutt J, Thompson CL, White C. Practices and predictors of analgesic interventions for adults undergoing painful procedures. Am J Crit Care 2002, 11:415-429.
23. Li D, Miaskowski C, Burkhardt D. Evaluations of physiologic reactivity and reflexive behaviors during noxious procedures in sedated critically ill patients. J Crit Care 2009, 24:e9-13. 472.
24. Belani KG, Sessler DI, Larson MD, Lopez MA, Washington DE, Ozaki M, McGuire J, Merrifield B, Schroeder M. The pupillary light reflex, Effects of anesthetics and hyperthermia. Anesthesiology 1993, 79:23-27. 10.1097/00000542-199307000-00006, 8342824.
25. Bitsios P, Szabadi E, Bradshaw CM. The effects of clonidine on the fear-inhibited light reflex. J Psychopharmacol 1998, 12:137-145. 10.1177/026988119801200204, 9694025.
26. Larson MD. The effect of antiemetics on pupillary reflex dilation during epidural/general anesthesia. Anesth Analg 2003, 97:1652-1656. 10.1213/01.ANE.0000090011.19809.93, 14633536.
27. Larson MD, Talke PO. Effect of dexmedetomidine, an alpha2-adrenoceptor agonist, on human pupillary reflexes during general anaesthesia. Br J Clin Pharmacol 2001, 51:27-33. 2014430, 11167662.
28. Yang LL, Niemann CU, Larson MD. Mechanism of pupillary reflex dilation in awake volunteers and in organ donors. Anesthesiology 2003, 99:1281-1286. 10.1097/00000542-200312000-00008, 14639139.
29. Larson MD, Sessler DI, Ozaki M, McGuire J, Schroeder M. Pupillary assessment of sensory block level during combined epidural/general anesthesia. Anesthesiology 1993, 79:42-48. 10.1097/00000542-199307000-00009, 8342827.
30. Larson MD, Tayefeh F, Sessler DI, Daniel M, Noorani M. Sympathetic nervous system does not mediate reflex pupillary dilation during desflurane anesthesia. Anesthesiology 1996, 85:748-754. 10.1097/00000542-199610000-00009, 8873544.
31. Rouche O, Wolak-Thierry A, Destoop Q, Milloncourt L, Floch T, Raclot P, Jolly D, Cousson J. Evaluation of the depth of sedation in an intensive care unit based on the photo motor reflex variations measured by video pupillometry. Ann Intensive Care 2013, 3:5. 10.1186/2110-5820-3-5, 3605207, 23433043.
32. Barvais L, Engelman E, Eba JM, Coussaert E, Cantraine F, Kenny GN. Effect site concentrations of remifentanil and pupil response to noxious stimulation. Br J Anaesth 2003, 91:347-352. 10.1093/bja/aeg178, 12925472.
33. Larson MD, Kurz A, Sessler DI, Dechert M, Bjorksten AR, Tayefeh F. Alfentanil blocks reflex pupillary dilation in response to noxious stimulation but does not diminish the light reflex. Anesthesiology 1997, 87:849-855. 10.1097/00000542-199710000-00019, 9357887.