Utility of Newborn Infant Parasympatethic Evaluation (N.I.P.E.) for Monitoring of Succesful Intraoperative Regional Block - Abstract
Assessing regional blocks in infants and neonates can be difficult and especially under general anaesthesia, so a more objective evaluation for the level of pain would be useful. The NIPE monitor (Newborn Infant Parasympathetic Evaluation) can quantify the well-being state of these paediatric patients by analyzing the parasympathetic heart rate vvariabilty [1], and could be an effective tool to assess the success and safety of regional blocks. The analysis of the parasympathetic tone variation is based on the R-R interval study of the ECG giving a range of values from 0 to 100. Values below 50 are considered as a nociceptive stimuli during intraoperative period under sevoflurane anesthesia in neonates [2].