Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID06817005

Feasibility Study of the Nociception Level (NOL) Index for Intraoperative Assessment of Nociception During Cardiac Surgery

Led by University Hospital, Strasbourg, France · Updated on 2025-08-06

50

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Cardiac surgery often causes acute or chronic pain due to the body's response to harmful stimuli during surgery under general anesthesia. This trial evaluates the use of a multiparametric device, the PMD200ae, which measures the Nociception Level Index (NOL) to monitor pain signals during cardiac surgery. The study aims to improve pain management by adjusting analgesic doses based on real-time nociception monitoring, particularly during coronary artery bypass grafting procedures. Participants will undergo on-pump cardiac surgery while the NOL monitor is used to assess nociception continuously. A finger probe connected to the PMD200ae device measures a single NOL index number ranging from 0 to 100 that reflects the level of nociception. This device integrates heart rate, pulse variability, skin conductance, and temperature to provide a comprehensive pain-related signal during surgery. Throughout the surgery, researchers will track the time the NOL monitor signal is lost in relation to the total surgery duration. This primary outcome assesses the feasibility of using the monitor during cardiac procedures. Participants will be evaluated at the time of surgery with no long-term follow-up detailed. The study focuses on monitoring effectiveness and device signal stability during the operative period.

CONDITIONS

Brief Title

Nociception Monitoring During Cardiac Surgery

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adult patients
  • Patients undergoing on-pump cardiac surgery
  • Specific cardiac procedure: coronary artery bypass grafting
Not Eligible

You will not qualify if you...

  • Patients with preoperative cardiac arrhythmia
  • Patients with a cardiac pacemaker
  • Emergency cardiac surgical procedure
  • Peripheral artery disease stage 2
  • Patients in shock prior to cardiac surgery (mean arterial pressure 65mmHg with vasopressors)
  • Persons participating in another interventional research
  • Patient refusal

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Implementation

Duration - Day 0 (surgery day)

Participants undergo cardiac surgery during which the nociception monitor device is used intraoperatively to assess nociception.

1 surgical procedure visit

Trial Site Locations

Total: 1 location

1

Service d'Anesthésie Réanimation Cardiovasculaire

Strasbourg, France, 67000

Actively Recruiting

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Research Team

W

Walid OULEHRI, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

PREVENTION

Number of Arms

1

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