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In addition, flow instabilities fall into two principal categories those associated with insufficient suction pressure to avoid cavitation, and those associated with unstable flow patterns at lower flow operation.
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An insufficient analgesia during endotracheal suction was defined by an increase of ≥1 point on the Behavioral Pain Scale (BPS).
In deeply sedated mechanically ventilated patients, a pupil diameter variation ≥5% during a 20 mA tetanic stimulation was highly predictable of insufficient analgesia during endotracheal suction.
In this context, a pupil diameter variation value above 5% after a 20 mA stimulation has a high probability to be associated with insufficient analgesia during endotracheal suction.
The Youden index (sensitivity + specificity – 1) evaluates the performance of the PRD in predicting insufficient analgesia before endotracheal suctioning.
A pupil diameter variation ≥5% with a 20 mA tetanic stimulation predicts insufficient analgesia during endotracheal suctioning.
A pupil diameter variation value above 5% during a 20 mA stimulation in deeply sedated critically ill patients has a high probability of being associated with insufficient analgesia during endotracheal suctioning.
The endpoint was the proportion of patients with an insufficient analgesia during an endotracheal suction, defined as an increase ≥1 point on the BPS.
A pupil diameter variation of 5% or more after a 20 mA tetanic stimulation was predictive of an insufficient analgesia before an endotracheal suction.
The threshold values of the pupil diameter variation during a 10, 20 and 40 mA tetanic stimulation to predict insufficient analgesia during an endotracheal suctioning were 1, 5 and 13% respectively.
We therefore aimed to assess the predictive value of the PDR during a tetanic stimulation as an indicator of insufficient analgesia before performing an endotracheal suction.
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