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The use of the NIPE index for pain evaluation during pediatric burn surgery
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Abstract
Surgical excision of burn necrosis and autologous skin grafting usually cause much pain for pediatric burn patients, so monitoring the level of pain during pediatric burn surgery is vital. Clinically, evaluating the level of pain in anesthetized patients is often based on changes in heart rate, blood pressure, body movement, or sweating. Nevertheless, these indicators have low sensitivity and specificity. Recently, the Neonate Infant Parasympathetic Evaluation (NIPE) index has helped to evaluate pain levels objectively. Hence, in this study, we report 8 cases of using the NIPE index during burn necrotomy and skin grafting in pediatric patients for the purpose of monitoring and evaluating the level of intraoperative pain.
A prospective, descriptive study was conducted on a series of 8 pediatric burn patients whose ages ranged from 7 months to 23 months old, with indications for anesthesia, burn necrotomy, and/or skin grafting, at the Department of Anesthesia, Le Huu Trac National Burn Hospital, from November 6, 2019, to July 23, 2020, who were monitored for NIPE index during the surgery.
The results showed that the NIPE index value at all study times was greater than 50, meaning that the pediatric burn patients were painless during surgery.
NIPE is an index that can be used to evaluate the level of pain during pediatric burn surgery.
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Keywords
NIPE, pediatric burn necrotomy, skin grafting
References
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