Pupil Dilation and Analgesia Nociception Index

Do Pupil Dilation and Analgesia Nociception Index Reflect Pain: a Pilot Study in Healthy, Conscious Volunteers

Pain assessment is crucial in clinical practice. Currently, subjective self-report is considered the most appropriate method to evaluate pain. Although several methods to assess pain objectively exist, the lack of a golden standard still remains. This pilot study assesses the changes in pupil dilation (PD) and the analgesia nociception index (ANI) as a measure of pain in healthy, conscious, male volunteers in a highly standardized and individualized environment. Nineteen subjects received three blocks of 4 individualized electrical stimulus intensities, ranging from no to severe pain. Subjects reported their perceived severity of each individual stimulus, enabling the comparison of changes in PD and ANI in relation to both administered stimulus intensities and perceived pain severities. PD and ANI were measured before and after each administration of a stimulus.

Individualized painful electrical stimuli, Surpass LT stimulator (EMS Biomedical, Korneuburg, Austria) with a bipolar felt pad electrode Measurement of pupil diameter, Algiscan® (iDMed, Marseille, France) Measurement of Analgesia Nociception Index, PhysioDoloris® (MetroDoloris, Lille, France)

painful electrical stimuli of various intensities were administered to the subjects after which changes in pupil diameter and analgesia nociception index were measured

Inclusion Criteria: good health no acute or chronic pain conditions well rested Exclusion Criteria: chronic treatment bad health daily use of analgetics or other medication weekly tobacco use weekly use of recreational drugs more than 10 alcohol consumptions a week

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