Title :
Heart rate variability analysis for newborn infants prolonged pain assessment
Author :
De jonckheere, J. ; Rakza, T. ; Logier, R. ; Jeanne, M. ; Jounwaz, R. ; Storme, L.
Author_Institution :
Inst. Hippocrate, Univ. Hosp. of Lille, Lille, France
fDate :
Aug. 30 2011-Sept. 3 2011
Abstract :
Pain management is a general concern for healthcare quality. In the particular context of neonatal care, it´s well known that an efficient pain management will decrease mortality and morbidity of newborn infants. Furthermore, the plasticity of developing brain is vulnerable to pain and/or stress, that in turn may cause long term neurodevelopmental changes, including altered pain sensitivity and neuroanatomic and behavioural abnormalities. During neonatal intensive care stay, large number of painful procedures are performed, the majority of which are not accompanied by adequate analgesia. Optimal management requires competent pain assessment which can be especially difficult to perform in this non verbal population. We have developed an instantaneous heart rate variability (HRV) analysis method, non intrusive and user-friendly, based on the ECG signal acquisition. This analysis method enabled us to design parameters related to the influence of pain on the Autonomic Nervous System (ANS) activity. This paper presents the application of this method, previously validated for adults under general anesthesia, to the domain of newborn infants prolonged pain assessment.
Keywords :
biomechanics; brain; electrocardiography; medical signal processing; neurophysiology; paediatrics; patient care; plasticity; ECG signal acquisition; altered pain sensitivity; analgesia; autonomic nervous system; behavioural abnormalities; developing brain; healthcare quality; heart rate variability analysis; long term neurodevelopmental changes; morbidity; mortality; neonatal care; neuroanatomic abnormalities; newborn infants; pain management; plasticity; prolonged pain assessment; stress; Frequency domain analysis; Heart rate variability; Indexes; Pain; Pediatrics; Wavelet transforms; Heart Rate Variability; Newborn infants; Pain Evaluation; Adult; Anesthesia; Area Under Curve; Electrocardiography; Heart Rate; Humans; Infant, Newborn; Pain Measurement; ROC Curve; Sensitivity and Specificity;
Conference_Titel :
Engineering in Medicine and Biology Society, EMBC, 2011 Annual International Conference of the IEEE
Conference_Location :
Boston, MA
Print_ISBN :
978-1-4244-4121-1
Electronic_ISBN :
1557-170X
DOI :
10.1109/IEMBS.2011.6091909