Continuous non-invasive monitoring of blood pressure in the operating room: a cuffless optical technology at the fingertip
Open accessAbstract
Routine monitoring of blood pressure during general anaesthesia relies on intermittent measurements with a non-invasive brachial cuff every five minutes. This manuscript provides first experimental evidence that a physiology-based pulse wave analysis algorithm applied to optical data (as provided by a standard fingertip pulse oximeter) is capable of accurately estimating blood pressure changes in-between cuff readings. Combined with the routine use of oscillometric cuffs, the presented novel approach is a candidate technology to increase patient safety by providing beat-to-beat hemodynamic measurements without the need of invasive monitoring procedures.
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New devices that promise to change the current paradigm of hypertension monitoring use either inflating wristband cuffs or optical pulse wave-based metrics of BP.
“New devices that promise to change the current paradigm of hypertension monitoring use either inflating wristband cuffs (e.g., Omron HeartGuide, currently undergoing clinical testing) or optical pulse wave-based metrics of BP [75,76].”
From Wearables and the Medical Revolution (2018) · cites this paper as [75]
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Vlachopoulos, C., O'Rourke, M., & Nichols, W. W. (2011) · doi:10.1201/b13568 · Cited by 1,613 · see citing works
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Practical Issues of Hemodynamic Monitoring at the Bedside
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Wearables and the Medical Revolution
Dunn, J., Runge, R., & Snyder, M. (2018) · Personalized Medicine · doi:10.2217/pme-2018-0044 · Cited by 654 · see citing works
The use of photoplethysmography for assessing hypertension
Elgendi, M., Fletcher, R., Liang, Y., Howard, N., Lovell, N. H., Abbott, D., Lim, K., & Ward, R. (2019) · npj Digital Medicine · doi:10.1038/s41746-019-0136-7 · Cited by 625 · see citing works
Kario, K., Shimbo, D., Tomitani, N., Kanegae, H., Schwartz, J. E., & Williams, B. (2020) · The Journal of Clinical Hypertension · doi:10.1111/jch.13799 · Cited by 112 · see citing works
- Authors
- Solà, J., Proença, M., Braun, F., Pierrel, N., Degiorgis, Y., Verjus, C., Lemay, M., Bertschi, M., & Schoettker, P.
- Affiliations
- Swiss Center for Electronics and Microtechnology (Switzerland) (CH)
- Centre Hospitalier Universitaire Vaudois (CH)
- Corresponding author
- Solà, Josep
- Venue
- Current Directions in Biomedical Engineering
- Publisher
- Walter de Gruyter GmbH
- Published
- 2016-09-01
- Volume
- 2
- Issue
- 1
- Pages
- 267-271
- ISSN
- 2364-5504 (ISSN-L)
- OpenAlex
- W2560755629
- Cited by
- 18
- References
- 4
- Citations by year
- 2025: 1 · 2023: 2 · 2022: 1 · 2021: 3 · 2020: 5 · 2019: 5 · 2018: 1
- FWCI
- 0.96
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Current Directions in Biomedical Engineering (publishedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Keywords
- cuffless blood pressure measurement, pulse wave analysis, general anesthesia, operating room monitoring, non-invasive blood pressure estimation, patient safety
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