Recent updates on pain and analgesia evaluation techniques in anesthesia

Nguyen Dang Thu1,, Tran Dac Tiep1, Tran Hoai Nam1, Vo Van Hien2, Do Van Loi3
1 Military Hospital 103
2 Le Huu Trac National Burn Hospital
3 Phenikaa University Hospital

Main Article Content

Abstract

Accurate assessment of intraoperative nociception and antinociception is essential for optimizing analgesic drug administration, ensuring intraoperative stability, enhancing recovery, and reducing the incidence of severe postoperative pain and chronic pain. Traditionally, heart rate and blood pressure have been used as indicators for monitoring nociception and antinociception during surgery. However, anesthetic agents often influence these parameters, limiting their reliability in accurately reflecting nociceptive states. To date, several commercial devices with proprietary indices have been introduced to assess the body’s response to surgical stress. Each device offers distinct targets, mechanisms, and limitations. This article provides an updated review of current methods for evaluating nociception and analgesia during anesthesia, highlighting their strengths, limitations, and practical applications.

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References

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