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Non-invasive continuous arterial pressure measurement based on radial artery tonometry in the intensive care unit: a method comparison study using the T-Line TL-200pro device

Standard

Non-invasive continuous arterial pressure measurement based on radial artery tonometry in the intensive care unit: a method comparison study using the T-Line TL-200pro device. / Saugel, B; Meidert, A S; Hapfelmeier, A; Eyer, F; Schmid, R M; Huber, W.

in: BRIT J ANAESTH, Jahrgang 111, Nr. 2, 01.08.2013, S. 185-90.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Saugel, B, Meidert, AS, Hapfelmeier, A, Eyer, F, Schmid, RM & Huber, W 2013, 'Non-invasive continuous arterial pressure measurement based on radial artery tonometry in the intensive care unit: a method comparison study using the T-Line TL-200pro device', BRIT J ANAESTH, Jg. 111, Nr. 2, S. 185-90. https://doi.org/10.1093/bja/aet025

APA

Saugel, B., Meidert, A. S., Hapfelmeier, A., Eyer, F., Schmid, R. M., & Huber, W. (2013). Non-invasive continuous arterial pressure measurement based on radial artery tonometry in the intensive care unit: a method comparison study using the T-Line TL-200pro device. BRIT J ANAESTH, 111(2), 185-90. https://doi.org/10.1093/bja/aet025

Vancouver

Saugel B, Meidert AS, Hapfelmeier A, Eyer F, Schmid RM, Huber W. Non-invasive continuous arterial pressure measurement based on radial artery tonometry in the intensive care unit: a method comparison study using the T-Line TL-200pro device. BRIT J ANAESTH. 2013 Aug 1;111(2):185-90. https://doi.org/10.1093/bja/aet025

Bibtex

@article{6eeec376df1541ce80ca730a01d25d24,
title = "Non-invasive continuous arterial pressure measurement based on radial artery tonometry in the intensive care unit: a method comparison study using the T-Line TL-200pro device",
abstract = "BACKGROUND: The T-Line TL-200pro (TL-200pro) device (Tensys Medical, Inc., San Diego, CA, USA), based on radial artery tonometry, provides an arterial pressure (AP) waveform and beat-to-beat values of systolic arterial pressure (SAP), mean arterial pressure (MAP), and diastolic arterial pressure (DAP). The aim of the study was to evaluate this non-invasive technique for continuous AP monitoring in medical intensive care unit (ICU) patients.METHODS: Arterial pressure measurements obtained using the TL-200pro technology were compared using Bland-Altman analysis with values measured directly from a femoral arterial catheter in 34 ICU patients.RESULTS: Arterial pressure values were analysed and compared in 4502 averaged 10-beat epochs. A bias of +0.72 mm Hg (95% limits of agreement -9.37 to +10.82 mm Hg) was observed for MAP. For SAP and DAP, there was a mean difference of -1.39 mm Hg (95% limits of agreement -18.74 to +15.96 mm Hg) and +4.36 mm Hg (95% limits of agreement -8.66 to +17.38 mm Hg), respectively. The percentage error for MAP, SAP, and DAP was 12%, 14%, and 21%, respectively.CONCLUSIONS: Arterial pressure measurement based on radial artery tonometry using the TL-200pro technology is feasible in medical ICU patients. The TL-200pro system is capable of providing MAP values with high accuracy (low mean difference) and precision (narrow limits of agreement) compared with MAP measured invasively using a femoral arterial catheter. The TL-200pro technology is promising for the measurement of SAP and DAP but further development is necessary to improve accuracy and precision.",
keywords = "Aged, Blood Pressure, Blood Pressure Determination, Blood Pressure Monitors, Critical Care, Female, Humans, Intensive Care Units, Male, Manometry, Middle Aged, Monitoring, Physiologic, Radial Artery",
author = "B Saugel and Meidert, {A S} and A Hapfelmeier and F Eyer and Schmid, {R M} and W Huber",
note = "Saugel f{\"u}r: Tech Univ Munich, Klinikum Rechts Isar, Med Klin & Poliklin 2, D-81675 Munich, Germany",
year = "2013",
month = aug,
day = "1",
doi = "10.1093/bja/aet025",
language = "English",
volume = "111",
pages = "185--90",
journal = "BRIT J ANAESTH",
issn = "0007-0912",
publisher = "Oxford University Press",
number = "2",

}

RIS

TY - JOUR

T1 - Non-invasive continuous arterial pressure measurement based on radial artery tonometry in the intensive care unit: a method comparison study using the T-Line TL-200pro device

AU - Saugel, B

AU - Meidert, A S

AU - Hapfelmeier, A

AU - Eyer, F

AU - Schmid, R M

AU - Huber, W

N1 - Saugel für: Tech Univ Munich, Klinikum Rechts Isar, Med Klin & Poliklin 2, D-81675 Munich, Germany

PY - 2013/8/1

Y1 - 2013/8/1

N2 - BACKGROUND: The T-Line TL-200pro (TL-200pro) device (Tensys Medical, Inc., San Diego, CA, USA), based on radial artery tonometry, provides an arterial pressure (AP) waveform and beat-to-beat values of systolic arterial pressure (SAP), mean arterial pressure (MAP), and diastolic arterial pressure (DAP). The aim of the study was to evaluate this non-invasive technique for continuous AP monitoring in medical intensive care unit (ICU) patients.METHODS: Arterial pressure measurements obtained using the TL-200pro technology were compared using Bland-Altman analysis with values measured directly from a femoral arterial catheter in 34 ICU patients.RESULTS: Arterial pressure values were analysed and compared in 4502 averaged 10-beat epochs. A bias of +0.72 mm Hg (95% limits of agreement -9.37 to +10.82 mm Hg) was observed for MAP. For SAP and DAP, there was a mean difference of -1.39 mm Hg (95% limits of agreement -18.74 to +15.96 mm Hg) and +4.36 mm Hg (95% limits of agreement -8.66 to +17.38 mm Hg), respectively. The percentage error for MAP, SAP, and DAP was 12%, 14%, and 21%, respectively.CONCLUSIONS: Arterial pressure measurement based on radial artery tonometry using the TL-200pro technology is feasible in medical ICU patients. The TL-200pro system is capable of providing MAP values with high accuracy (low mean difference) and precision (narrow limits of agreement) compared with MAP measured invasively using a femoral arterial catheter. The TL-200pro technology is promising for the measurement of SAP and DAP but further development is necessary to improve accuracy and precision.

AB - BACKGROUND: The T-Line TL-200pro (TL-200pro) device (Tensys Medical, Inc., San Diego, CA, USA), based on radial artery tonometry, provides an arterial pressure (AP) waveform and beat-to-beat values of systolic arterial pressure (SAP), mean arterial pressure (MAP), and diastolic arterial pressure (DAP). The aim of the study was to evaluate this non-invasive technique for continuous AP monitoring in medical intensive care unit (ICU) patients.METHODS: Arterial pressure measurements obtained using the TL-200pro technology were compared using Bland-Altman analysis with values measured directly from a femoral arterial catheter in 34 ICU patients.RESULTS: Arterial pressure values were analysed and compared in 4502 averaged 10-beat epochs. A bias of +0.72 mm Hg (95% limits of agreement -9.37 to +10.82 mm Hg) was observed for MAP. For SAP and DAP, there was a mean difference of -1.39 mm Hg (95% limits of agreement -18.74 to +15.96 mm Hg) and +4.36 mm Hg (95% limits of agreement -8.66 to +17.38 mm Hg), respectively. The percentage error for MAP, SAP, and DAP was 12%, 14%, and 21%, respectively.CONCLUSIONS: Arterial pressure measurement based on radial artery tonometry using the TL-200pro technology is feasible in medical ICU patients. The TL-200pro system is capable of providing MAP values with high accuracy (low mean difference) and precision (narrow limits of agreement) compared with MAP measured invasively using a femoral arterial catheter. The TL-200pro technology is promising for the measurement of SAP and DAP but further development is necessary to improve accuracy and precision.

KW - Aged

KW - Blood Pressure

KW - Blood Pressure Determination

KW - Blood Pressure Monitors

KW - Critical Care

KW - Female

KW - Humans

KW - Intensive Care Units

KW - Male

KW - Manometry

KW - Middle Aged

KW - Monitoring, Physiologic

KW - Radial Artery

U2 - 10.1093/bja/aet025

DO - 10.1093/bja/aet025

M3 - SCORING: Journal article

C2 - 23491946

VL - 111

SP - 185

EP - 190

JO - BRIT J ANAESTH

JF - BRIT J ANAESTH

SN - 0007-0912

IS - 2

ER -