alexa The Capability of Skin Conductance to Monitor Pain Compared to Other Physiological Pain Assessment Tools in Children and Neonates | OMICS International | Abstract
ISSN: 2161-0665

Pediatrics & Therapeutics
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Review Article

The Capability of Skin Conductance to Monitor Pain Compared to Other Physiological Pain Assessment Tools in Children and Neonates

Hanne Storm*

The Skills training centre, Institute for Clinical Medicine, University Administration, University of Oslo, Sognsvannsveien 20, 0027 Oslo, Norway

*Corresponding Author:
Hanne Storm, MD, PhD
Associated Professor, The Skills training centre
Institute for Clinical Medicine
University Administration, University of Oslo
Sognsvannsveien 20, 0027 Oslo, Norway
Tel: + 47 90788976/+47 23074398
Fax: + 47 22546678
E-mail: [email protected]

Received Date: August 19, 2013; Accepted Date: September 11, 2013; Published Date: September 12, 2013

Citation: Storm H (2013) The Capability of Skin Conductance to Monitor Pain Compared to Other Physiological Pain Assessment Tools in Children and Neonates. Pediat Therapeut 3:168. doi: 10.4172/2161-0665.1000168

Copyright: © 2013 Storm H. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: In some European countries and the US it is mandatory to assess and treat pain.  In Pubmed there are more than 240 papers when searching for “skin conductance” and “pain”.
Aims: The aim is to review the utility of the skin conductance responses (SCR)/sec to assess pain in infants and children.
Study design: Two searches in Pubmed, where one includes the key words “skin conductance”, “pain”, and “children”. Search two included “skin conductance”, “pain”, and “infants”.  The finds in these searches are discussed and compared with other physiological pain assessment tools.
Outcome measures: Search one; regarding children, included twelve papers, and search two, regarding infants, included 20 papers.
Results: All the found papers show that the SCR/sec increases during defined painful procedures. Postoperatively, at intensive care units, and at neonatal units, the SCR/sec shows high sensitivity to monitor pain, but a lower specificity. The the SCR/sec is the most accurate means to assess pain when compared to the HR and peripheral oxygen saturation.
HR is influenced from respiratory rhythm, changes in blood volume status, drugs acting on the blood circulation, environmental temperature, and emotional stress, and is therefore less specific to pain than the SCR/sec which only is influenced from emotional stress. For infants and children, variation for SCR/sec is low compared to HR and peripheral oxygen saturation when the patients are at the same pain/discomfort level.
Conclusions: The SCR/sec could be adjunctive warning tool for when to validate possible pain.


 

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