RefDoc
Haut

Faire une nouvelle recherche
Make a new search
Lancer la recherche


Titre du document / Document title

Skin conductance correlates with perioperative stress

Auteur(s) / Author(s)

STORM H. (1) ; MYRE K. (2) ; ROSTRUP M. (3) ; STOKLAND O. (4) ; LIEN M. D. (5) ; RAEDER J. C. (2) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Department of Paediatric Research, the National Hospital, Oslo, NORVEGE
(2) Department of Anesthesia, Day-Surgery Unit, Ullevål University Hospital, Oslo, NORVEGE
(3) Department of Internal Medicine, Ullevål University Hospital, Oslo, NORVEGE
(4) Department of Intensive Care, Ullevål University Hospital, Oslo, NORVEGE
(5) Department of Epidemiology and Statistics, the National Hospital, Oslo, NORVEGE

Résumé / Abstract

Background: Skin conductance (SC) as a measure of emotional state or arousal may be a tool for monitoring surgical stress in anaesthesia. When an outgoing sympathetic nervous burst occurs to the skin, the palmar and plantar sweat glands are filled up, and the SC increases before the sweat is removed and the SC decreases. This creates a SC fluctuation. The purpose of this study was to measure SC during laparoscopic cholecystectomy with propofol and remifentanil anesthaesia and to evaluate whether number and amplitude of SC fluctuations correlate with perioperative stress monitoring. Methods: Eleven patients were studied nine times before, during and after anaesthesia. SC was compared to changes in stress measures such as blood pressure, heart rate, norepinephrine and epinephrine levels. SC was also compared to changes in Bispectral index (BIS). Results: The blood pressure, epinephrine levels and norepinephrine levels were positively correlated with both the number (P<0.001) and amplitude (P<0.01) of the SC fluctuations. Moreover, the BIS was positively correlated with the number (P<0.001) and amplitude (P<0.001) of the SC fluctuations. Furthermore, during tracheal intubation, the mean levels of the number of SC fluctuations from the 11 patients had the same stress response as measured in changes of the mean levels of norepinephrine. The mean BIS did not show any stress response during tracheal intubation. Conclusion: Number of SC fluctuations may be a useful method for monitoring the perioperative stress.

Revue / Journal Title

Acta anaesthesiologica scandinavica    ISSN  0001-5172   CODEN AANEAB 

Source / Source

2002, vol. 46, no7, pp. 887-895 (25 ref.)

Langue / Language

Anglais

Editeur / Publisher

Blackwell, Oxford, ROYAUME-UNI  (1957) (Revue)

Mots-clés anglais / English Keywords

Arterial pressure

;

Catecholamine

;

Opiates

;

Heart rate

;

Norepinephrine

;

Epinephrine

;

Hemodynamics

;

Monitoring

;

Skin

;

Electrical conductance

;

Stress

;

Human

;

Laparoscopy

;

Endoscopic surgery

;

Cholecystectomy

;

General anesthesia

;

Narcotic analgesic

;

General anesthetic

;

Remifentanil

;

Propofol

;

Mots-clés français / French Keywords

Phénylpipéridine dérivé

;

Pression artérielle

;

Catécholamine

;

Opiacés

;

Rythme cardiaque

;

Noradrénaline

;

Adrénaline

;

Hémodynamique

;

Monitorage

;

Peau

;

Conductance électrique

;

Stress

;

Homme

;

Laparoscopie

;

Chirurgie endoscopique

;

Cholécystectomie

;

Anesthésie générale

;

Analgésique narcotique

;

Anesthésique général

;

Rémifentanil

;

Propofol

;

Mots-clés espagnols / Spanish Keywords

Presión arterial

;

Catecolamina

;

Opiados

;

Ritmo cardíaco

;

Noradrenalina

;

Adrenalina

;

Hemodinámica

;

Monitoreo

;

Piel

;

Conductancia eléctrica

;

Estrés

;

Hombre

;

Laparoscopia

;

Cirugía endoscópica

;

Colecistectomía

;

Anestesia general

;

Analgésico narcotico

;

Anestésico general

;

Remifentanilo

;

Propofol

;

Localisation / Location

INIST-CNRS, Cote INIST : 8878, 35400010438134.0210

Nº notice refdoc (ud4) : 13781163



Faire une nouvelle recherche
Make a new search
Lancer la recherche
Bas