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A Comparison of Blood Pressure Measurements in Newborns
Abstract
Blood pressure monitoring is an essential component of neonatal intensive care. We compared invasive and noninvasive (Dinamap, Marquette, and Dash) recordings in newborns and also noninvasive values obtained from upper and lower limbs. Infants' blood pressure was recorded every 6 hours for 72 hours using three noninvasive devices and compared with invasive readings taken simultaneously. Twenty-five babies were enrolled in the study, with birth weights of 560 to 4500 g and gestation 24 + 1 to 40 + 5 weeks. Three hundred thirty-two recordings were obtained. Comparison between invasive and noninvasive readings revealed that all three noninvasive monitors overread mean blood pressure. There was no significant difference between the cuff recordings obtained from the upper or lower limbs. All three noninvasive devices overestimated mean blood pressure values compared with invasive monitoring. Clinicians may be falsely reassured by noninvasive monitoring. Mean blood pressure values obtained from the upper and lower limb are similar.
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“Cuff-based blood pressure measurements with sphygmomanometers fail to provide continuous measurement, overestimate blood pressure in premature neonates (32), and pose a direct risk for pressure-related injuries (33).”
From Binodal, wireless epidermal electronic systems with in-sensor analytics for neonatal intensive care (2019) · cites this paper as [32]
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Binodal, wireless epidermal electronic systems with in-sensor analytics for neonatal intensive care
Chung, H. U., Kim, B. H., Lee, J. Y., Lee, J., Xie, Z., Ibler, E. M., Lee, K., Banks, A., Jeong, J. Y., Kim, J., et al. (2019) · Science · doi:10.1126/science.aau0780 · Cited by 807
“Cuff-based blood pressure measurements with sphygmomanometers fail to provide continuous measurement, overestimate blood pressure in premature neonates (32), and pose a direct risk for pressure-related injuries (33).”
BackgroundHypertension in infancy: diagnosis, management and outcome
Dionne, J. M., Abitbol, C. L., & Flynn, J. T. (2011) · Pediatric Nephrology · doi:10.1007/s00467-010-1755-z · Cited by 279
The Effects of Umbilical Cord Milking on Hemodynamics and Neonatal Outcomes in Premature Neonates
Katheria, A. C., Leone, T. A., Woelkers, D. A., et al. (2014) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2014.01.024 · Cited by 128
Beyond survival; influences of blood pressure, cerebral perfusion and anesthesia on neurodevelopment
McCann, M. E., & Schouten, A. N. J. (2013) · Pediatric Anesthesia · doi:10.1111/pan.12310 · Cited by 105
Method of Blood Pressure Measurement in Neonates and Infants: A Systematic Review and Analysis
Dionne, J. M., Bremner, S. A., Baygani, S., Batton, B., Ergenekon, E., Bhatt‐Mehta, V., Dempsey, E. M., Kluckow, M. R., Koplowitz, L. P., Apele‐Freimane, D., et al. (2020) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2020.02.072 · Cited by 99
“Measurement Method Studies Using Bland-Altman Methods Weidentified18 articles inwhich the authors had appliedBlandAltman methods to quantify the bias and agreement between different methods of measuring BP, comparing direct (intraarterial) with indirect (oscillometric) methods.(15,20,22-37) Results extracted from thos…”
MethodInfluentialSelf-citation
Metadata
- Authors
- O'Shea, J., & Dempsey, E.
- Affiliations
- Coombe Women & Infants University Hospital (IE)
- ORCID
- Dempsey, Eugene
- Venue
- American Journal of Perinatology
- Publisher
- Georg Thieme Verlag KG
- Published
- 2008-11-19
- Volume
- 26
- Issue
- 02
- Pages
- 113-116
- ISSN
- 0735-1631 (ISSN-L)
- 1098-8785
- OpenAlex
- W1996545684
- Cited by
- 49
- References
- 0
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 1 · 2021: 2 · 2020: 5 · 2019: 6 · 2018: 5 · 2017: 2 · 2016: 2 · 2015: 1 · 2014: 3 · 2013: 4 · 2012: 3
- FWCI
- 2.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Perinatology (publishedVersion)
- PubMed (publishedVersion)
- Lenus, The Irish Health Repository (Dr Steevens Hospital Library) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Keywords
- blood pressure measurement, neonates, non-invasive blood pressure monitoring, invasive blood pressure monitoring, neonatal intensive care, arterial catheterization
- MeSH terms
- Blood Pressure, Female, Gestational Age, Humans, Infant, Newborn, Infant, Premature, Male, Blood Pressure Monitors, Blood Pressure Monitoring, Ambulatory
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