The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.
Noninvasive Continuous Arterial Blood Pressure Monitoring with Nexfin®
Abstract
Background: If invasive measurement of arterial blood pressure is not warranted, finger cuff technology can provide continuous and noninvasive monitoring. Finger and radial artery pressures differ; Nexfin® (BMEYE, Amsterdam, The Netherlands) measures finger arterial pressure and uses physiologic reconstruction methodologies to obtain values comparable to invasive pressures. Methods: Intra-arterial pressure (IAP) and noninvasive Nexfin arterial pressure (NAP) were measured in cardiothoracic surgery patients, because invasive pressures are available. NAP-IAP differences were analyzed during 30 min. Tracking was quantified by within-subject precision (SD of individual NAP-IAP differences) and correlation coefficients. The ranges of pressure change were quantified by within-subject variability (SD of individual averages of NAP and IAP). Accuracy and precision were expressed as group average ± SD of the differences and considered acceptable when smaller than 5 ± 8 mmHg, the Association for the Advancement of Medical Instrumentation criteria. Results: NAP and IAP were obtained in 50 (34-83 yr, 40 men) patients. For systolic, diastolic, mean arterial, and pulse pressure, median (25-75 percentiles) correlation coefficients were 0.96 (0.91-0.98), 0.93 (0.87-0.96), 0.96 (0.90-0.97), and 0.94 (0.85-0.98), respectively. Within-subject precisions were 4 ± 2, 3 ± 1, 3 ± 2, and 3 ± 2 mmHg, and within-subject variations 13 ± 6, 6 ± 3, 9 ± 4, and 7 ± 4 mmHg, indicating precision over a wide range of pressures. Group average ± SD of the NAP-IAP differences were -1 ± 7, 3 ± 6, 2 ± 6, and -3 ± 4 mmHg, meeting criteria. Differences were not related to mean arterial pressure or heart rate. Conclusion: Arterial blood pressure can be measured noninvasively and continuously using physiologic pressure reconstruction. Changes in pressure can be followed and values are comparable to invasive monitoring.
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Cites
STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT
Martin Bland, J., & Altman, D. (1986) · The Lancet · doi:10.1016/s0140-6736(86)90837-8 · Cited by 47,965
Agreement Between Methods of Measurement with Multiple Observations Per Individual
Bland, J. M., & Altman, D. G. (2007) · Journal of Biopharmaceutical Statistics · doi:10.1080/10543400701329422 · Cited by 1,864 · cited 1×
“Work of Bland and Altman includes a method for calculating the confidence of the limits of agreement with multiple measurements per individual but did not focus on simultaneously displaying both individual and group statistics.(33) Thus, each patient contributed one point with horizontal and vertical error bars (fig.”
MethodAnalog studies of the human systemic arterial tree
Westerhof, N., Bosman, F., De Vries, C. J., & Noordergraaf, A. (1969) · Journal of Biomechanics · doi:10.1016/0021-9290(69)90024-4 · Cited by 684 · cited 1×
“The tube system was divided into seven segments, with length, radius, and wall thickness based on biologic data.(29) Wave propagation and damping followed directly from longitudinal impedance based on Womersley’s theory and from transverse impedance that is based on the (viscoelastic) wall properties.”
MethodArterial viscoelasticity: A generalized model
Westerhof, N., & Noordergraaf, A. (1970) · Journal of Biomechanics · doi:10.1016/0021-9290(70)90036-9 · Cited by 171
Bur, A., Hirschl, M. M., Herkner, H., Oschatz, E., Kofler, J., Woisetschläger, C., & Laggner, A. N. (2000) · Critical Care Medicine · doi:10.1097/00003246-200002000-00014 · Cited by 154
Cited by
Kinsella, S. M., Carvalho, B., Dyer, R. A., Fernando, R., McDonnell, N., Mercier, F. J., Palanisamy, A., Sia, A. T. H., Van de Velde, M., Vercueil, A., et al. (2018) · Anaesthesia · doi:10.1111/anae.14080 · Cited by 585
Dort, J. C., Farwell, D. G., Findlay, M., Huber, G. F., Kerr, P., Shea-Budgell, M. A., Simon, C., Uppington, J., Zygun, D., Ljungqvist, O., et al. (2017) · JAMA Otolaryngology–Head & Neck Surgery · doi:10.1001/jamaoto.2016.2981 · Cited by 527
Current Status and Prospects of Health-Related Sensing Technology in Wearable Devices
Cho, J. (2019) · Journal of Healthcare Engineering · doi:10.1155/2019/3924508 · Cited by 33
Metadata
- Authors
- Martina, J. R., Westerhof, B. E., van Goudoever, J., de Beaumont, E. M. F. H., Truijen, J., Kim, Y.-S., Immink, R. V., Jöbsis, D. A., Hollmann, M. W., Lahpor, J. R., de Mol, B. A. J. M., & van Lieshout, J. J.
- Venue
- Anesthesiology
- Published
- 2012-05-01
- Volume
- 116
- Issue
- 5
- Pages
- 1092-1103
- ISSN
- 0003-3022 (ISSN-L)
- OpenAlex
- W2028141385
- Cited by
- 292
- References
- 5
- FWCI
- 24.65
- Type
- journal article
- Language
- en
- Open access
- closed
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- Martina, J. R., Westerhof, B. E., van Goudoever, J., de Beaumont, E. M. F. H., Truijen, J., Kim, Y.-S., Immink, R. V., Jöbsis, D. A., Hollmann, M. W., Lahpor, J. R., de Mol, B. A. J. M., & van Lieshout, J. J. (2012). Noninvasive Continuous Arterial Blood Pressure Monitoring with Nexfin®. Anesthesiology. https://doi.org/10.1097/aln.0b013e31824f94ed
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