Document Detail


Blood pressure in the neonate: three non-invasive oscillometric pressure monitors compared with invasively measured blood pressure.
MedLine Citation:
PMID:  15981753     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To compare blood pressure in neonates obtained from three different oscillometer blood pressure monitors (Dinamap, Criticare, Hewlett-Packard) with arterial blood pressure (Hewlett-Packard' invasive unit). STUDY DESIGN: A total of 32 randomized, non-invasive blood pressure series, each consisting of three measurements from each monitor, were obtained from 20 neonates (birthweight 531-4660 g). Each measurement was compared with the invasive pressure. RESULTS: Two factors appear to have a systematic effect on the difference between oscillometric and invasive pressure (the measurement deviance): the size of the infant, e.g., the arm circumference, and the monitor system. For small infants, the non-invasively measured value tends to be too high. The deviance is partly reversed for larger infants (dependency on size significant for mean and diastolic pressure, p < 0.001). The difference between monitor systems is clearly significant (p < 0.001). Hewlett-Packard gives the lowest pressure values for all pressures. Thus, Criticare and Dinamap tended to show values too high in the smallest infants, while Hewlett-Packard tended to give values too low in larger infants. Birthweight, present weight and arm circumference affected measurement deviance approximately equally strongly, while factors such as the infant's sex, need of breath support and umbilical or radial arterial line were non-significant. CONCLUSIONS: Blood pressure should preferably be measured invasively in severely ill neonates and preterm infants, being aware of pitfalls with measurements using different oscillometer monitors and the size/arm circumference of the infant.
Authors:
Ingrid Dannevig; Helen Caroline Dale; Knut Liestøl; Rolf Lindemann
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  94     ISSN:  0803-5253     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-06-28     Completed Date:  2005-07-15     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  191-6     Citation Subset:  IM    
Affiliation:
Neonatal Intensive Care Unit, Department of Paediatrics, Ullevål University Hospital, Oslo, Norway.
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MeSH Terms
Descriptor/Qualifier:
Blood Pressure*
Blood Pressure Monitors*
Catheterization, Peripheral
Catheters, Indwelling
Humans
Infant, Newborn
Infant, Premature
Intensive Care Units, Neonatal
Linear Models
Oscillometry
Comments/Corrections
Comment In:
Acta Paediatr. 2005 Feb;94(2):138-40   [PMID:  15981743 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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