Articles: operative.
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Operative
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Case Reports
Changes in the Nociception Level Index During Surgical Resection of Paragangliomas: A Case Report.
Nociception is the detection of noxious stimulation by the nervous system. The PMD-200 monitor is a validated, emerging technology for intraoperative monitoring using the nociception level (NOL) index. ⋯ Since the patient was under stable and adequate analgesia, the increases in NOL index likely reflected the physiologic effects of tumor handling rather that the presence of a true noxious stimulus. Clinicians should consider this limitation when using this monitor.