[New Approaches in Perioperative Algesimetry].

Area of Science:

• Anesthesiology and Pain Management
• Physiological Monitoring

Context:

• Routine monitoring of anesthetic depth and muscle relaxation is standard practice.
• Quantifying intraoperative nociception (the sensory nervous system's response to noxious stimuli) remains a significant clinical challenge.
• Despite over a decade of commercial solutions, a definitive breakthrough in perioperative algesimetry has not been achieved.

Purpose:

• To review and compare various commercial methods for perioperative algesimetry.
• To elucidate methodological similarities and differences among current nociception monitoring techniques.
• To identify challenges hindering the routine clinical application of available algesimetry solutions.

Summary:

• This article analyzes the methodological aspects of different commercial systems designed for perioperative algesimetry.
• It discusses the persistent difficulties in accurately quantifying intraoperative nociception.
• The review highlights commonalities and specific features of existing solutions, acknowledging their limitations.

Impact:

• Provides a comparative overview of perioperative algesimetry technologies for clinicians and researchers.
• Identifies areas for improvement in the development of more effective nociception monitoring tools.
• Aims to guide the selection and application of algesimetry methods in clinical practice.