ANI in ICU
8Pages

MEASURE THE ANS CONTROL NOCICEPTION IMPROVE OUTCOMES ANI in the ICU Analgesia Nociception Index

Several publications have proven that, in mechanically ventilated patients, an analgosedation protocol will improve pain scores, reduce sedatives (54%) and their overall consequences as delirium, decrease length of stay (50.8 h), decrease time on ventilation (45.5h) and decrease In the intensive care unit (ICU) opioids, must also be avoided as 20% to 70% of patients that receive opioids will have side effects such as; respiratory depression (27%), gastrointestinal mechanical sedation. ventilation Analgesia associated medication costs [1]. However, overuse of analgesia, especially problems...

Measuring the autonomic nervous system (ANS) with the analgesia nociception index (ANI) Heart rate variability (HRV) is a well-known phenomenon that controls the regulation of the cardiovascular system via the ANS. By analyzing the HRV oscillations it is possible to measure the activity of the sympathetic and parasympathetic nervous systems [3]. All mammals exhibit what is known as respiratory sinus arrhythmia. This process is controlled by the sympathetic and the parasympathetic branch of the nucleus accumbens and nucleus ambiguous, causing the heart to beat slower during expiration, due...

ANI can detect nociception [6] and may help to take the decisions to control the autonomic response improving patient outcomes [17] In Anesthesiology 2017, Funcke et al. show that ANI is the best in its class for detecting nociception versus other parameters, especially Measurement of Heart Rate Variability to assess pain in sedated critically Ill patients: A prospective observational study. under opioid conditions [6]. While titrating analgesics based on heart rate and blood pressure might be common, Funcke et al. demonstrated that ANI is more sensible and specific than haemodynamics to...

Testimonials ANI monitor is very useful for monitoring the system, especially in those undergoing mechanical titrate good patient synchrony to the ventilator, avoiding the side effects of overdose, saving The main benefits of using ANI technology ANI shows the sympathetic/parasympathetic allowing taking better decisions to control nociception improving outcomes. drugs, and allowing for earlier weaning from mechanical ventilation. Dr. Carlos Chamorro Jambrina Intensive Care Unit Hospital Puerta de Hierro Majadahonda, Madrid The measurement of parasympathetic tone with ANI to continuously...

Andrew C Faust , Pearl Rajan, Lyndsay A Sheperd, Carlos A Alvarez, Phyllis McCorstin, Rebecca L Doebele Impact of an Analgesia-Based Sedation Protocol on Mechanically Ventilated Patients in a Medical Intensive Care Unit Anesth Analg, 903-9 Oct 2016 B V Christensen , L P Thunedborg Use of Sedatives, Analgesics and Neuromuscular Blocking Agents in Danish ICUs 1996/97. A National Survey Intensive Care Med 25 (2), 186-91 Feb 1999 European Heart Journal (1996) 17, 354–381 Guidelines Heart rate variability Standards of measurement, physiological interpretation, and clinical use Task Force of The...

MDoloris Medical Systems SAS Biocentre Fleming - Bâtiment C Epi de Soil 270, rue Salvador Allende 59120 Loos - France Tel: +33 (0)3 62 09 20 80 / Fax +33 (0)9 72 38 75 27 www.mdoloris.com ANI Monitor V2, ANI MOC-9 and the ANI-MR are class IIa medical device, manufactured by MDoloris Medical Systems. CE evaluation was performed by Bureau Veritas Italy (1370) for the ANI Monitor V2 and the ANI MOC-9. CE evaluation was performed by BSI (2797) for the ANI-MR. © 2021 MDoloris Medical Systems. All rights reserved. MD/QUA/EN14.2 v.04