The T-Line TL-200 system for continuous non-invasive blood pressure measurement in medical intensive care unit patients

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The T-Line TL-200 system for continuous non-invasive blood pressure measurement in medical intensive care unit patients. / Saugel, Bernd; Fassio, Florian; Hapfelmeier, Alexander; Meidert, Agnes S; Schmid, Roland M; Huber, Wolfgang.

in: INTENS CARE MED, Jahrgang 38, Nr. 9, 01.09.2012, S. 1471-7.

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@article{4da46be8a7e94ff7b8b81c8a8799b4d8,
title = "The T-Line TL-200 system for continuous non-invasive blood pressure measurement in medical intensive care unit patients",
abstract = "PURPOSE: The T-Line TL-200 (Tensys Medical, San Diego, CA, USA) is a non-invasive arterial blood pressure (BP) monitoring system allowing continuous {"}beat-to-beat{"} monitoring of systolic arterial pressure (SAP), mean arterial pressure (MAP), and diastolic arterial pressure (DAP). It provides a real-time BP waveform like that obtained using an arterial catheter. The aim of this study was to compare BP measurements obtained using the T-Line TL-200 with simultaneous invasive BP measurements using a femoral arterial catheter in unselected critically ill medical patients.METHODS: In 28 patients treated in a medical intensive care unit (ICU), BP values were simultaneously obtained using a femoral arterial catheter and the T-Line TL-200. All recorded data were included in the final analysis. For comparison of BP measurements, Bland-Altman analysis accounting for repeated measurements was performed (primary endpoint).RESULTS: A total of 76,826 pairs of BP measurements (each consisting of SAP, MAP, and DAP) were analyzed. For MAP, Bland-Altman analysis revealed a mean difference of +0.47 mmHg (95 % limits of agreement -16.53 to +17.46 mmHg). For SAP and DAP, the bias and 95 % limits of agreement were -9.01 mmHg (-37.47 to +19.45 mmHg) and +5.22 mmHg (-13.50 to +23.94 mmHg), respectively.CONCLUSIONS: Non-invasive, continuous, radial BP measurement with the T-Line TL-200 is basically feasible in medical ICU patients (with a low bias for MAP compared to MAP assessed using a femoral arterial catheter). High limits of agreement (particularly of SAP and DAP) preclude the use of the device as a single source of BP information in unstable critically ill patients.",
keywords = "Aged, Blood Pressure, Blood Pressure Determination, Critical Care, Critical Illness, Feasibility Studies, Female, Femoral Artery, Humans, Intensive Care Units, Male, Middle Aged, United States",
author = "Bernd Saugel and Florian Fassio and Alexander Hapfelmeier and Meidert, {Agnes S} and Schmid, {Roland M} and Wolfgang Huber",
year = "2012",
month = sep,
day = "1",
doi = "10.1007/s00134-012-2617-x",
language = "English",
volume = "38",
pages = "1471--7",
journal = "INTENS CARE MED",
issn = "0342-4642",
publisher = "Springer",
number = "9",

}

RIS

TY - JOUR

T1 - The T-Line TL-200 system for continuous non-invasive blood pressure measurement in medical intensive care unit patients

AU - Saugel, Bernd

AU - Fassio, Florian

AU - Hapfelmeier, Alexander

AU - Meidert, Agnes S

AU - Schmid, Roland M

AU - Huber, Wolfgang

PY - 2012/9/1

Y1 - 2012/9/1

N2 - PURPOSE: The T-Line TL-200 (Tensys Medical, San Diego, CA, USA) is a non-invasive arterial blood pressure (BP) monitoring system allowing continuous "beat-to-beat" monitoring of systolic arterial pressure (SAP), mean arterial pressure (MAP), and diastolic arterial pressure (DAP). It provides a real-time BP waveform like that obtained using an arterial catheter. The aim of this study was to compare BP measurements obtained using the T-Line TL-200 with simultaneous invasive BP measurements using a femoral arterial catheter in unselected critically ill medical patients.METHODS: In 28 patients treated in a medical intensive care unit (ICU), BP values were simultaneously obtained using a femoral arterial catheter and the T-Line TL-200. All recorded data were included in the final analysis. For comparison of BP measurements, Bland-Altman analysis accounting for repeated measurements was performed (primary endpoint).RESULTS: A total of 76,826 pairs of BP measurements (each consisting of SAP, MAP, and DAP) were analyzed. For MAP, Bland-Altman analysis revealed a mean difference of +0.47 mmHg (95 % limits of agreement -16.53 to +17.46 mmHg). For SAP and DAP, the bias and 95 % limits of agreement were -9.01 mmHg (-37.47 to +19.45 mmHg) and +5.22 mmHg (-13.50 to +23.94 mmHg), respectively.CONCLUSIONS: Non-invasive, continuous, radial BP measurement with the T-Line TL-200 is basically feasible in medical ICU patients (with a low bias for MAP compared to MAP assessed using a femoral arterial catheter). High limits of agreement (particularly of SAP and DAP) preclude the use of the device as a single source of BP information in unstable critically ill patients.

AB - PURPOSE: The T-Line TL-200 (Tensys Medical, San Diego, CA, USA) is a non-invasive arterial blood pressure (BP) monitoring system allowing continuous "beat-to-beat" monitoring of systolic arterial pressure (SAP), mean arterial pressure (MAP), and diastolic arterial pressure (DAP). It provides a real-time BP waveform like that obtained using an arterial catheter. The aim of this study was to compare BP measurements obtained using the T-Line TL-200 with simultaneous invasive BP measurements using a femoral arterial catheter in unselected critically ill medical patients.METHODS: In 28 patients treated in a medical intensive care unit (ICU), BP values were simultaneously obtained using a femoral arterial catheter and the T-Line TL-200. All recorded data were included in the final analysis. For comparison of BP measurements, Bland-Altman analysis accounting for repeated measurements was performed (primary endpoint).RESULTS: A total of 76,826 pairs of BP measurements (each consisting of SAP, MAP, and DAP) were analyzed. For MAP, Bland-Altman analysis revealed a mean difference of +0.47 mmHg (95 % limits of agreement -16.53 to +17.46 mmHg). For SAP and DAP, the bias and 95 % limits of agreement were -9.01 mmHg (-37.47 to +19.45 mmHg) and +5.22 mmHg (-13.50 to +23.94 mmHg), respectively.CONCLUSIONS: Non-invasive, continuous, radial BP measurement with the T-Line TL-200 is basically feasible in medical ICU patients (with a low bias for MAP compared to MAP assessed using a femoral arterial catheter). High limits of agreement (particularly of SAP and DAP) preclude the use of the device as a single source of BP information in unstable critically ill patients.

KW - Aged

KW - Blood Pressure

KW - Blood Pressure Determination

KW - Critical Care

KW - Critical Illness

KW - Feasibility Studies

KW - Female

KW - Femoral Artery

KW - Humans

KW - Intensive Care Units

KW - Male

KW - Middle Aged

KW - United States

U2 - 10.1007/s00134-012-2617-x

DO - 10.1007/s00134-012-2617-x

M3 - SCORING: Journal article

C2 - 22744376

VL - 38

SP - 1471

EP - 1477

JO - INTENS CARE MED

JF - INTENS CARE MED

SN - 0342-4642

IS - 9

ER -