Journal
ANAESTHESIA
Volume 70, Issue 7, Pages 828-847Publisher
WILEY
DOI: 10.1111/anae.13018
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Funding
- Higher Education Funding Council for England (HEFC-E)
- Chelsea and Westminster Hospital NHS Foundation Trust
- NAPP Pharmaceuticals
- TEVA-UK
- Welcome Trust
- National Institute for Health Research [ACF-2011-18-019] Funding Source: researchfish
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Pain diagnosis and management would benefit from the development of objective markers of nociception and pain. Current research addressing this issue has focused on five main strategies, each with its own advantages and disadvantages. These encompass: (i) monitoring changes in the autonomic nervous system; (ii) biopotentials; (iii) neuroimaging; (iv) biological (bio-) markers; and (v) composite algorithms. Although each strategy has shown areas of promise, there are currently no validated objective markers of nociception or pain that can be recommended for clinical use. This article introduces the most important developments in the field and highlights shortcomings, with the aim of allowing the reader to make informed decisions about what trends to watch in the future.
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