Détail de la notice
Titre du Document
Skin conductance correlates with perioperative stress
Auteur(s)
STORM H. ; MYRE K. ; ROSTRUP M. ; ...
Résumé
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 monitor
Editeur
Blackwell
Identifiant
PMID : 12139547 ISSN : 0001-5172 CODEN : AANEAB
Source
Acta anaesthesiologica scandinavica A. 2002, vol. 46, n° 7, pp. 887-895 [bibl. : 25 ref.]
Langue
Anglais
Pour les membres de la communauté du CNRS, ce document est autorisé à la reproduction à titre gratuit.
Pour les membres des communautés hors CNRS, la reproduction de ce document à titre onéreux sera fournie sous réserve d’autorisation du Centre Français d’exploitation du droit de Copie.

Pour bénéficier de nos services (strictement destinés aux membres de la communauté CNRS (Centre National de la Recherche Scientifique), de l'ESR français (Enseignement Supérieur et Recherche), et du secteur public français & étranger) :