Comparison between pupillometry and numeric pain rating scale for pain assessments in communicating adult patients in the emergency department

The adequate assessment of pain in the emergency department (ED) can be challenging. Two dynamic pupillary measures used in conscious subjects after a surgical procedure were previously shown to correlate to the magnitude of ongoing pain. The objective of this study was to test the ability of dynamic measures derived from pupillometry to evaluate pain intensity in conscious adult patients admitted to the ED.

[1]  A. Neice,et al.  Relationship between age, sex and pupillary unrest , 2022, Journal of Clinical Monitoring and Computing.

[2]  M. Bradley,et al.  Publication guidelines and recommendations for pupillary measurement in psychophysiological studies. , 2022, Psychophysiology.

[3]  I. Tonhajzerova,et al.  Eye pupil – a window into central autonomic regulation via emotional/cognitive processing , 2021, Physiological Research.

[4]  M. Larson,et al.  Detection of opioid effect with pupillometry , 2021, Autonomic Neuroscience.

[5]  M. Kohn,et al.  Pupillary unrest, opioid intensity, and the impact of environmental stimulation on respiratory depression , 2021, Journal of Clinical Monitoring and Computing.

[6]  K. Bär,et al.  Sympathetic and Parasympathetic Modulation of Pupillary Unrest , 2020, Frontiers in Neuroscience.

[7]  J. Branney,et al.  Congruence between nurses' and patients' assessment of postoperative pain: a literature review. , 2020, British journal of nursing.

[8]  B. Laeng,et al.  Pupillometry , 2020, Definitions.

[9]  F. Vassal,et al.  Assessing pain in the postoperative period: Analgesia Nociception IndexTMvs pupillometry. , 2019, British journal of anaesthesia.

[10]  O. Karcioglu,et al.  A systematic review of the pain scales in adults: Which to use? , 2018, The American journal of emergency medicine.

[11]  O. Hugli,et al.  Pain assessment by emergency nurses at triage in the emergency department: A qualitative study , 2018, Journal of clinical nursing.

[12]  Frederic Roche,et al.  Assessing Pain Using the Variation Coefficient of Pupillary Diameter. , 2017, The journal of pain : official journal of the American Pain Society.

[13]  F. Roche,et al.  Intérêt de la pupillométrie pour l'évaluation de la douleur. , 2017 .

[14]  R. Coghill,et al.  Pupil responses and pain ratings to heat stimuli: Reliability and effects of expectations and a conditioning pain stimulus , 2017, Journal of Neuroscience Methods.

[15]  A. Neice,et al.  Prediction of Opioid Analgesic Efficacy by Measurement of Pupillary Unrest , 2017, Anesthesia and analgesia.

[16]  A. Neice,et al.  Fentanyl, an agonist at the mu opioid receptor, depresses pupillary unrest , 2015, Autonomic Neuroscience.

[17]  Jessica M. Lee,et al.  Pupillary Effects of High-dose Opioid Quantified with Infrared Pupillometry , 2014, Anesthesiology.

[18]  K. Neville,et al.  Pupillometry: a non-invasive technique for pain assessment in paediatric patients , 2014, Archives of Disease in Childhood.

[19]  M. Bradley,et al.  Modulation of the initial light reflex during affective picture viewing. , 2014, Psychophysiology.

[20]  D. McNeil,et al.  Autonomic arousal and experimentally induced pain: a critical review of the literature. , 2014, Pain research & management.

[21]  D. Longrois,et al.  Pain assessment in the postanaesthesia care unit using pupillometry: A cross-sectional study after standard anaesthetic care , 2014, European journal of anaesthesiology.

[22]  A. M. Santos,et al.  Pupillometry: the influence of gender and anxiety on the pain response. , 2013, Pain physician.

[23]  D. Longrois,et al.  Assessment of Pain During Labor with Pupillometry: A Prospective Observational Study , 2013, Anesthesia and analgesia.

[24]  A. Ricard-Hibon,et al.  Quality of pain management in the emergency department: results of a multicentre prospective study , 2011, European journal of anaesthesiology.

[25]  Abel Wakai,et al.  The end of the line? The Visual Analogue Scale and Verbal Numerical Rating Scale as pain assessment tools in the emergency department , 2010, Emergency Medicine Journal.

[26]  J. Hoogstraten,et al.  Anxiety and pain during dental injections. , 2009, Journal of dentistry.

[27]  E. Keogh,et al.  Anxiety sensitivity and pain: Generalisability across noxious stimuli , 2008, Pain.

[28]  Peter Homel,et al.  Pain in the emergency department: results of the pain and emergency medicine initiative (PEMI) multicenter study. , 2007, The journal of pain : official journal of the American Pain Society.

[29]  K. Delaney,et al.  Inadequate analgesia in emergency medicine. , 2004, Annals of emergency medicine.

[30]  C. Bradshaw,et al.  The fear-inhibited light reflex: importance of the anticipation of an aversive event. , 2004, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[31]  C. Bradshaw,et al.  Attenuation of the pupillary light reflex in anxious patients. , 1990, British journal of clinical pharmacology.

[32]  E. Hess,et al.  Pupil Size in Relation to Mental Activity during Simple Problem-Solving , 1964, Science.

[33]  J. Radford.  Anxiety and pain during dental injections , 2009, BDJ.

[34]  C. Chapman,et al.  Phasic pupil dilation response to noxious stimulation in normal volunteers: relationship to brain evoked potentials and pain report. , 1999, Psychophysiology.