Invasive arterial blood pressure monitoring in an out-of-hospital setting: an observational study
| Autor: | Eric Lecarpentier, A. Margenet, Jean Marty, B. Leroux, M. Khalid, Patricia Jabre, J. Sende, C. Penet, Xavier Combes |
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| Rok vydání: | 2009 |
| Předmět: |
Male
Emergency Medical Services medicine.medical_specialty Critical Care and Intensive Care Medicine Sensitivity and Specificity Femoral access Vasoactive Internal medicine Catheterization Peripheral Humans Medicine Prospective Studies Aged Out of hospital Chi-Square Distribution business.industry Arterial catheterisation Blood Pressure Determination General Medicine Middle Aged Heart Arrest Surgery Stroke Blood pressure Brain Injuries Continuous noninvasive arterial pressure Emergency Medicine Cardiology Feasibility Studies Female Observational study business |
| Zdroj: | Emergency Medicine Journal. 26:210-212 |
| ISSN: | 1472-0213 1472-0205 |
| DOI: | 10.1136/emj.2008.060608 |
| Popis: | Background: Non-invasive arterial blood pressure measurement is often inaccurate in emergency unstable patients. A study was undertaken to assess the feasibility of out-of-hospital intra-arterial catheterisation in haemodynamically unstable patients and to evaluate the correlation between invasive and non-invasive arterial pressure values. Methods: In this prospective 2-year observational study conducted by mobile emergency medical units, the success rate of arterial catheterisation was calculated and blood pressure values measured invasively and non-invasively after successful catheterisation were compared. Results: 94 patients were included. The success rate for catheterisation (44 radial access, 50 femoral access) was 86% (95% CI 79% to 93%). Bias and precision in invasive versus non-invasive comparisons were −0.1, 38 mm Hg for systolic pressure and 4.2, 27 mm Hg for diastolic pressure. Values differed by more than 20 mm Hg in over 40% of patients. Invasive measurement led to 79 changes in vasoactive treatment in 51 patients. Conclusion: Emergency out-of-hospital invasive arterial blood pressure monitoring in haemodynamically unstable patients is highly feasible. Discrepancies between invasive and non-invasive measurements are common and highlight the value of early out-of-hospital monitoring. |
| Databáze: | OpenAIRE |
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