Assessing the eligibility of a non-invasive continuous blood pressure measurement technique for application during total intravenous anaesthesia

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

Abstract

Objective: To assess the eligibility for replacement of invasive blood pressure as measured "within" the arterial vessel (IBP) with non-invasive continuous arterial blood pressure (cNIP) monitoring during total intravenous anaesthesia (TIVA), the ability of cNiP to track fast blood pressure changes needs to be quantified. A new method of statistical data analysis is developed for this purpose. Methods: In a pilot study on patients undergoing neurosurgical anaesthesia, mean arterial pressure MAPIBP measured with IBP was compared to MAPCNP measured by the CNAP Monitor 500 in ten patients (age: 63±13 a). Correlation analysis of changes of device differences ΔeMAP=ΔMAPCNP-ΔMAPIBP with changes of MAPIBP (ΔMAPIBP) during intervals of vasoactivity was conducted. An innovative technique, of linear trend analysis (LTA) applied to two signals, is described to perform this analysis without a priori knowledge of intervals of vasoactivity. Results: Analysis of ΔeMAP during vasoactivity revealed that ΔMAPCNP systematically underestimated ΔMAPIBP by 37%. This was confirmed in the complete data set using LTA technique showing a systematic, yet patient specific, underestimation in tracking ΔMAPIBP (16...120%). Conclusion: The proposed LTA technique is able to detect systematic errors in tracking short-term blood pressure changes otherwise masked by established analysis. LTA may thus be a useful tool to assess the eligibility of cNIP to replace IBP during TIVA.

Details

Original languageEnglish
Pages (from-to)369-379
Number of pages11
Journal Biomedical engineering : joint journal of the German Society for Biomedical Engineering in VDE and the Austrian and Swiss Societies for Biomedical Engineering
Volume61
Issue number3
Publication statusPublished - 1 Jun 2016
Peer-reviewedYes

External IDs

researchoutputwizard legacy.publication#71783
Scopus 84974853744
PubMed 26859497
ORCID /0000-0003-2185-1819/work/142245096

Keywords

Keywords

  • blood pressure, CNAP, continuous non-invasive blood pressure monitoring, hypertension, invasive blood pressure, perioperative anaesthesia, reference standards