Comparison between oscillometric and invasive blood pressure measurements in critically ill premature infants

Takçı, Şahin; Yiğit, Şule; Korkmaz, Ayşe; Yurdakök, Murat

doi:10.1111/j.1651-2227.2011.02458.x

Cited by 46 publications

(50 citation statements)

References 18 publications

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“…In practice, the cuff should cover about 2/3rds of the upper arm. Although there may be inaccuracies between oscillometric noninvasive blood pressure measurements compared with invasive arterial blood pressure measurements, the preponderance of studies suggests that in preterm infants during hypotension, there is either good agreement or an overestimation of the blood pressure using oscillometric methods (39)(40)(41)(42)(43)(44). Studies in term infants also find a bias in this direction (45)(46)(47).…”

Section: Inaccuracy Of Blood Pressure Measurementmentioning

confidence: 99%

Beyond survival; influences of blood pressure, cerebral perfusion and anesthesia on neurodevelopment

McCann

Schouten

2013

Pediatric Anesthesia

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Neonates have a higher perioperative mortality risk largely due to the degree of prior illness of the infants, the complexity of their surgeries, and infant physiology. It is important to consider contributing anesthetic factors during the perioperative period that may affect cerebral perfusion and neurocognitive outcome, such as alterations in hemodynamics and ventilation. Limitations of blood pressure as a marker for cerebral perfusion are discussed, as well as the effect of hypocapnia on the brain.

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Section: Inaccuracy Of Blood Pressure Measurementmentioning

confidence: 99%

Beyond survival; influences of blood pressure, cerebral perfusion and anesthesia on neurodevelopment

McCann

Schouten

2013

Pediatric Anesthesia

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“…However, invasive arterial BP (IABP) measurement is considered as a standard of monitoring in patients requiring a more intense BP control and monitoring. [1234] The two monitoring techniques often produce different values; however, the relationship between these two techniques has been poorly studied. A recent study by Wax et al .…”

Section: Introductionmentioning

confidence: 99%

Accuracy in blood pressure monitoring: The effect of noninvasive blood pressure cuff inflation on intra-arterial blood pressure values

et al. 2017

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Context:Both invasive and noninvasive blood pressure (invasive arterial blood pressure [IABP] and noninvasive BP [NIBP]) monitors are used perioperatively; however, they often produce different values. The reason for this discrepancy is not clear, and it is possible that the act of cuff inflation itself might affect the IABP values, especially with the recurrent cycling of NIBP cuff.Aim:The aim of this study was to determine the effect of ipsilateral NIBP cuff inflation on the contralateral IABP values.Settings and Designs:Prospective, observational study.Materials and Methods:One hundred consecutive patients were studied. The NIBP device was set to cycle every 5 min for a total of 6 times. During each cuff inflation cycle, changes in IABP values from the arterial line in the contralateral arm were recorded. A total of 582 measurements were included for data analysis.Statistical Analysis:Chi-square, paired t-test, analysis of variance.Results:Mean (± standard deviation) changes in systolic BP (SBP), diastolic BP, and mean BP with cuff inflation were 6.7 ± 5.9, 2.6 ± 4.0, and 4.0 ± 3.9 mmHg, respectively. We observed an increase of 0–10 mmHg in SBP in majority (73.4%) of cuff inflations. The changes in IABP did not differ between the patients with or without hypertension or with the baseline SBP.Conclusions:This study showed that there is a transient reactive rise in IABP values with NIBP cuff inflation. This is important information in the perioperative and intensive care settings, where both these measurement techniques are routinely used. The exact mechanism for this effect is not known but may be attributed to the pain and discomfort from cuff inflation.

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“…Many studies that have reported a good correlation between intra-arterial and oscillometric readings have not conducted an appropriate evaluation for the agreement between the two methods, thus incorrectly attributing correlation as being equivalent to comparability or agreement [32][33][34][35][36]. Other studies in which agreement between the two methods of BP measurement have been evaluated have 'overlooked' the wide ranges of the data, once again incorrectly concluding that these two methods provide similar BP measurements [30,[37][38][39].…”

Section: Challenges With Blood Pressure Measurementsmentioning

confidence: 84%

Discrepancies in the normative neonatal blood pressure reference ranges

Lalan

Warady²

2015

Blood Pressure Monitoring

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Numerous normative blood pressure (BP) reference ranges with considerable variation in the data have been published for neonates. This poses unique challenges for the definition and management of BP abnormalities in neonates. The aim of this study was to investigate the factors that have led to varying normative BP reference ranges in the studies conducted to date and to discuss potential study designs that would help better define the normative data. An electronic literature search was performed in 'PubMed' for articles published in English between January 1965 and February 2014 related to neonatal BP reference ranges. Common limitations found in the published studies included small sample sizes, combined use of oscillometric and intra-arterial BP measurements, lack of consideration of potentially influential factors such as postconception age, daily weight and medications, and use of data from individuals with wide ranges of gestational age, birth weight, and postconception age. Inconsistencies in the published neonatal BP reference ranges are likely due to a combination of factors related to study design. Attention to these issues should be considered when designing future multicenter studies on this topic.

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Comparison between oscillometric and invasive blood pressure measurements in critically ill premature infants

Cited by 46 publications

References 18 publications

Beyond survival; influences of blood pressure, cerebral perfusion and anesthesia on neurodevelopment

Beyond survival; influences of blood pressure, cerebral perfusion and anesthesia on neurodevelopment

Accuracy in blood pressure monitoring: The effect of noninvasive blood pressure cuff inflation on intra-arterial blood pressure values

Discrepancies in the normative neonatal blood pressure reference ranges

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