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Radial artery applanation tonometry for continuous noninvasive arterial blood pressure monitoring in the cardiac intensive care unit

Standard

Radial artery applanation tonometry for continuous noninvasive arterial blood pressure monitoring in the cardiac intensive care unit. / Langwieser, Nicolas; Prechtl, Luisa; Meidert, Agnes S; Hapfelmeier, Alexander; Bradaric, Christian; Ibrahim, Tareq; Laugwitz, Karl-Ludwig; Schmid, Roland M; Wagner, Julia Y; Saugel, Bernd.

In: CLIN RES CARDIOL, Vol. 104, No. 6, 06.2015, p. 518-524.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Langwieser, N, Prechtl, L, Meidert, AS, Hapfelmeier, A, Bradaric, C, Ibrahim, T, Laugwitz, K-L, Schmid, RM, Wagner, JY & Saugel, B 2015, 'Radial artery applanation tonometry for continuous noninvasive arterial blood pressure monitoring in the cardiac intensive care unit', CLIN RES CARDIOL, vol. 104, no. 6, pp. 518-524. https://doi.org/10.1007/s00392-015-0816-5

APA

Langwieser, N., Prechtl, L., Meidert, A. S., Hapfelmeier, A., Bradaric, C., Ibrahim, T., Laugwitz, K-L., Schmid, R. M., Wagner, J. Y., & Saugel, B. (2015). Radial artery applanation tonometry for continuous noninvasive arterial blood pressure monitoring in the cardiac intensive care unit. CLIN RES CARDIOL, 104(6), 518-524. https://doi.org/10.1007/s00392-015-0816-5

Vancouver

Langwieser N, Prechtl L, Meidert AS, Hapfelmeier A, Bradaric C, Ibrahim T et al. Radial artery applanation tonometry for continuous noninvasive arterial blood pressure monitoring in the cardiac intensive care unit. CLIN RES CARDIOL. 2015 Jun;104(6):518-524. https://doi.org/10.1007/s00392-015-0816-5

Bibtex

@article{d4eb43bad0834620b349e3029ce76d12,
title = "Radial artery applanation tonometry for continuous noninvasive arterial blood pressure monitoring in the cardiac intensive care unit",
abstract = "BACKGROUND: Hemodynamic monitoring plays a pivotal role in the treatment of patients in the cardiac intensive care unit (CICU). The innovative radial artery applanation tonometry technology allows for continuous noninvasive arterial blood pressure (AP) measurement. By closing the gap between continuous invasive AP monitoring (arterial catheter) and intermittent noninvasive AP monitoring (oscillometry) this technology might improve CICU patient monitoring. We therefore aimed to evaluate the measurement performance of radial artery applanation tonometry in comparison with a radial arterial catheter in CICU patients.METHODS: In this prospective method comparison study, we simultaneously recorded AP noninvasively with radial artery applanation tonometry (T-line 200pro device; Tensys Medical Inc., San Diego, CA, USA) and invasively with an arterial catheter (criterion standard) in 30 patients treated in the CICU of a German university hospital. We statistically analyzed 7,304 averaged 10-beat epochs of measurements of mean AP, systolic AP, and diastolic AP by using Bland-Altman analysis for repeated measurements.RESULTS: Our study revealed a mean difference ± standard deviation (95 % limits of agreement; percentage error) between radial artery applanation tonometry and the criterion standard method (radial arterial catheter) of +2 ± 6 mmHg (-10 to +14 mmHg; 17 %) for mean AP, -6 ± 11 mmHg (-28 to +15 mmHg; 20 %) for systolic AP, and +4 ± 7 mmHg (-9 to +17 mmHg; 23 %) for diastolic AP.CONCLUSIONS: In CICU patients, continuous noninvasive measurement of AP using radial artery applanation tonometry is feasible. The technology showed reasonable accuracy and precision in comparison with radial arterial catheter-derived AP values.",
author = "Nicolas Langwieser and Luisa Prechtl and Meidert, {Agnes S} and Alexander Hapfelmeier and Christian Bradaric and Tareq Ibrahim and Karl-Ludwig Laugwitz and Schmid, {Roland M} and Wagner, {Julia Y} and Bernd Saugel",
year = "2015",
month = jun,
doi = "10.1007/s00392-015-0816-5",
language = "English",
volume = "104",
pages = "518--524",
journal = "CLIN RES CARDIOL",
issn = "1861-0684",
publisher = "D. Steinkopff-Verlag",
number = "6",

}

RIS

TY - JOUR

T1 - Radial artery applanation tonometry for continuous noninvasive arterial blood pressure monitoring in the cardiac intensive care unit

AU - Langwieser, Nicolas

AU - Prechtl, Luisa

AU - Meidert, Agnes S

AU - Hapfelmeier, Alexander

AU - Bradaric, Christian

AU - Ibrahim, Tareq

AU - Laugwitz, Karl-Ludwig

AU - Schmid, Roland M

AU - Wagner, Julia Y

AU - Saugel, Bernd

PY - 2015/6

Y1 - 2015/6

N2 - BACKGROUND: Hemodynamic monitoring plays a pivotal role in the treatment of patients in the cardiac intensive care unit (CICU). The innovative radial artery applanation tonometry technology allows for continuous noninvasive arterial blood pressure (AP) measurement. By closing the gap between continuous invasive AP monitoring (arterial catheter) and intermittent noninvasive AP monitoring (oscillometry) this technology might improve CICU patient monitoring. We therefore aimed to evaluate the measurement performance of radial artery applanation tonometry in comparison with a radial arterial catheter in CICU patients.METHODS: In this prospective method comparison study, we simultaneously recorded AP noninvasively with radial artery applanation tonometry (T-line 200pro device; Tensys Medical Inc., San Diego, CA, USA) and invasively with an arterial catheter (criterion standard) in 30 patients treated in the CICU of a German university hospital. We statistically analyzed 7,304 averaged 10-beat epochs of measurements of mean AP, systolic AP, and diastolic AP by using Bland-Altman analysis for repeated measurements.RESULTS: Our study revealed a mean difference ± standard deviation (95 % limits of agreement; percentage error) between radial artery applanation tonometry and the criterion standard method (radial arterial catheter) of +2 ± 6 mmHg (-10 to +14 mmHg; 17 %) for mean AP, -6 ± 11 mmHg (-28 to +15 mmHg; 20 %) for systolic AP, and +4 ± 7 mmHg (-9 to +17 mmHg; 23 %) for diastolic AP.CONCLUSIONS: In CICU patients, continuous noninvasive measurement of AP using radial artery applanation tonometry is feasible. The technology showed reasonable accuracy and precision in comparison with radial arterial catheter-derived AP values.

AB - BACKGROUND: Hemodynamic monitoring plays a pivotal role in the treatment of patients in the cardiac intensive care unit (CICU). The innovative radial artery applanation tonometry technology allows for continuous noninvasive arterial blood pressure (AP) measurement. By closing the gap between continuous invasive AP monitoring (arterial catheter) and intermittent noninvasive AP monitoring (oscillometry) this technology might improve CICU patient monitoring. We therefore aimed to evaluate the measurement performance of radial artery applanation tonometry in comparison with a radial arterial catheter in CICU patients.METHODS: In this prospective method comparison study, we simultaneously recorded AP noninvasively with radial artery applanation tonometry (T-line 200pro device; Tensys Medical Inc., San Diego, CA, USA) and invasively with an arterial catheter (criterion standard) in 30 patients treated in the CICU of a German university hospital. We statistically analyzed 7,304 averaged 10-beat epochs of measurements of mean AP, systolic AP, and diastolic AP by using Bland-Altman analysis for repeated measurements.RESULTS: Our study revealed a mean difference ± standard deviation (95 % limits of agreement; percentage error) between radial artery applanation tonometry and the criterion standard method (radial arterial catheter) of +2 ± 6 mmHg (-10 to +14 mmHg; 17 %) for mean AP, -6 ± 11 mmHg (-28 to +15 mmHg; 20 %) for systolic AP, and +4 ± 7 mmHg (-9 to +17 mmHg; 23 %) for diastolic AP.CONCLUSIONS: In CICU patients, continuous noninvasive measurement of AP using radial artery applanation tonometry is feasible. The technology showed reasonable accuracy and precision in comparison with radial arterial catheter-derived AP values.

U2 - 10.1007/s00392-015-0816-5

DO - 10.1007/s00392-015-0816-5

M3 - SCORING: Journal article

C2 - 25618259

VL - 104

SP - 518

EP - 524

JO - CLIN RES CARDIOL

JF - CLIN RES CARDIOL

SN - 1861-0684

IS - 6

ER -