Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Cambiaso-Daniel, J; Rontoyanni, VG; Foncerrada, G; Nguyen, A; Capek, KD; Wurzer, P; Lee, JO; Hundeshagen, G; Voigt, CD; Branski, LK; Finnerty, CC; Herndon, DN.
Correlation between invasive and noninvasive blood pressure measurements in severely burned children.
Burns. 2018; 44(7):1787-1791
Doi: 10.1016/j.burns.2018.03.001
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PubMed
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- Führende Autor*innen der Med Uni Graz
- Cambiaso Daniel Janos
- Co-Autor*innen der Med Uni Graz
- Branski Ludwik
- Wurzer Paul
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- Abstract:
- Accurate blood pressure monitoring is essential for burn management, with the intra-arterial line method being the gold standard. Here we evaluated agreement between cuff and intra-arterial line methods. Data from burned children admitted from 1997 to 2016 were retrospectively reviewed. Simultaneously collected intra-arterial and cuff measurements were cross-matched and linear regression performed to assess agreement for systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial pressure (MAP). We identified 9969 matches for SBP, DBP, and MAP in 872 patients (579 male) aged 8±5years with burns covering 52±20% of the total body surface area and a hospitalization lasting 33±31 days. Intra-arterial lines had a complication rate of 1%. The mean bias (95% CI) between methods was 1.3 (0.5, 2.1) mm Hg for SBP, -6.4 (-7.0, -5.7) mmHg for DBP, and -5.8 (-6.4, -5.3) mmHg for MAP. The standard deviation of the bias (95% limit of agreement) was 12.1 (-22.5, 25.1) mmHg for SBP, 9.9 (-25.8, 13.0) mmHg for DBP, and 8.7 (-22.8, 11.1) mmHg for MAP. Cuff measurements vary widely from those of intra-arterial lines, which have a low complication rate. Intra-arterial lines are advisable when tight control of the hemodynamic response is essential. Copyright © 2018 Elsevier Ltd and ISBI. All rights reserved.
- Find related publications in this database (Keywords)
- Arterial line
- Cuff pressure
- Monitoring
- Critical care
- Intensive care unit