Analgesia Nociception Index to Explore Autonomic Nervous System in Patients With Continuous Renal Replacement Therapy

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorHospices Civils de Lyon

About this trial

The Analgesia Nociception Index (ANI) reflects the balance between sympathetic and parasympathetic tone. It is based on a specific interpretation of the R-R interval variation. During fluid removal by net ultrafiltration in patients with fluid overload and continuous renal replacement therapy, some data suggest that haemodynamic variation could be induced by the autonomic nervous system. The study aims to investigate ANI variations in this context and their association with the haemodynamic variations observed.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Continuous renal replacement therapy in intensive care unit

Fluid overload > 5% or peripheral oedema

Noradrenaline equivalent <0.5μg/kg/min

No peripheral hypoperfusion

Disqualifiers

Ongoing administration of inotropes

Ongoing administration of beta blockers

Current administration of alpha-2 agonists

History of dysautonomia

Trial population

Critically ill patients with continuous renal replacement therapy, fluid overload and haemodynamically stable.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

30 Participants
are grouped into 1 trial group
Group A: Critically ill patients with continuous renal replacement therapy.

Trial outcomes

Primary outcomes

1

Percentage of changes in ANI.

Relative changes in ANI (averaged over 4 minutes (percentage)) between Hour 0 and Hour 6 of initiation of net ultrafiltration.

Time frame
6 hours after initiation of net ultrafiltration

Secondary outcomes

Other outcomes

Sponsors and contacts

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