Non-invasive oscillometric versus invasive arterial blood pressure measurements in critically ill patients
| Autor: | Frederik Keus, Geert Koster, Thomas Scheeren, Renske Wiersema, Eline G M Cox, Bart Hiemstra, Bernd Saugel, Thomas Kaufmann, Ruben J. Eck, Iwan C. C. van der Horst |
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| Přispěvatelé: | Critical care, Anesthesiology, Peri-operative and Emergency medicine (CAPE), Cardiovascular Centre (CVC), RS: Carim - V04 Surgical intervention, Intensive Care, MUMC+: MA Medische Staf IC (9), MUMC+: MA Intensive Care (3) |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Risk medicine.medical_specialty Mean arterial pressure Critical Illness Blood Pressure CUFF Critical Care and Intensive Care Medicine 03 medical and health sciences Norepinephrine 0302 clinical medicine Intensive care Internal medicine Oscillometry Post-hoc analysis Catheterization Peripheral medicine Humans Prospective Studies Aged Arterial pressure business.industry Reproducibility of Results 030208 emergency & critical care medicine Blood Pressure Determination Arterial catheter Middle Aged Blood pressure 030228 respiratory system Shock (circulatory) AGREEMENT Cuff Radial Artery Cardiology SHOCK Female Vascular access devices medicine.symptom business Vasoactive medication |
| Zdroj: | Journal of Critical Care, 57, 118-123. W B SAUNDERS CO-ELSEVIER INC Journal of Critical Care, 57, 118-123. W B Saunders Co-Elsevier Inc |
| ISSN: | 0883-9441 |
| DOI: | 10.1016/j.jcrc.2020.02.013 |
| Popis: | Purpose: The aimwas to compare non-invasive blood pressuremeasurementswith invasive blood pressure measurements in critically ill patients. Methods: Non-invasive blood pressure was measured via automated brachial cuff oscillometry, and simultaneously the radial arterial catheter-derived measurement was recorded as part of a prospective observational study. Measurements of systolic arterial pressure (SAP), diastolic arterial pressure (DAP), and mean arterial pressure (MAP) were compared using Bland-Altman and error grid analyses. Results: Paired measurements of blood pressurewere available for 736 patients. Observedmean difference (+/- SD, 95% limits of agreement) between oscillometrically and invasively measured blood pressure was 0.8 mmHg (+/- 15.7 mmHg, -30.2 to 31.7 mmHg) for SAP, -2.9 mmHg (+/- 11.0 mmHg, -24.5 to 18.6 mmHg) for DAP, and -1.0 mmHg (+/- 10.2 mmHg, -21.0 to 18.9 mmHg) for MAP. Error grid analysis showed that the proportions of measurements in risk zones A to E were 78.3%, 20.7%, 1.0%, 0%, and 0.1% for MAP. Conclusion: Non-invasive blood pressure measurements using brachial cuff oscillometry showed large limits of agreement compared to invasivemeasurements in critically ill patients. Error grid analysis showed that measurement differences between oscillometry and the arterial catheter would potentially have triggered at least lowrisk treatment decisions in one in five patients. (c) 2020 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http:// creativecommons.org/licenses/by/4.0/). |
| Databáze: | OpenAIRE |
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