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Radial artery applanation tonometry for continuous non-invasive arterial pressure monitoring in intensive care unit patients: comparison with invasively assessed radial arterial pressure

Standard

Radial artery applanation tonometry for continuous non-invasive arterial pressure monitoring in intensive care unit patients: comparison with invasively assessed radial arterial pressure. / Meidert, A S; Huber, W; Müller, J N; Schöfthaler, M; Hapfelmeier, A; Langwieser, N; Wagner, J Y; Eyer, F; Schmid, R M; Saugel, B.

In: BRIT J ANAESTH, Vol. 112, No. 3, 2014, p. 521-8.

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

Harvard

Meidert, AS, Huber, W, Müller, JN, Schöfthaler, M, Hapfelmeier, A, Langwieser, N, Wagner, JY, Eyer, F, Schmid, RM & Saugel, B 2014, 'Radial artery applanation tonometry for continuous non-invasive arterial pressure monitoring in intensive care unit patients: comparison with invasively assessed radial arterial pressure', BRIT J ANAESTH, vol. 112, no. 3, pp. 521-8. https://doi.org/10.1093/bja/aet400

APA

Meidert, A. S., Huber, W., Müller, J. N., Schöfthaler, M., Hapfelmeier, A., Langwieser, N., Wagner, J. Y., Eyer, F., Schmid, R. M., & Saugel, B. (2014). Radial artery applanation tonometry for continuous non-invasive arterial pressure monitoring in intensive care unit patients: comparison with invasively assessed radial arterial pressure. BRIT J ANAESTH, 112(3), 521-8. https://doi.org/10.1093/bja/aet400

Vancouver

Meidert AS, Huber W, Müller JN, Schöfthaler M, Hapfelmeier A, Langwieser N et al. Radial artery applanation tonometry for continuous non-invasive arterial pressure monitoring in intensive care unit patients: comparison with invasively assessed radial arterial pressure. BRIT J ANAESTH. 2014;112(3):521-8. https://doi.org/10.1093/bja/aet400

Bibtex

@article{23a24cf3900f474da9224b3dec3a0b7c,
title = "Radial artery applanation tonometry for continuous non-invasive arterial pressure monitoring in intensive care unit patients: comparison with invasively assessed radial arterial pressure",
abstract = "BACKGROUND: Radial artery applanation tonometry technology can be used for continuous non-invasive measurement of arterial pressure (AP). The purpose of this study was to evaluate this AP monitoring technology in intensive care unit (ICU) patients in comparison with invasive AP monitoring using a radial arterial catheter.METHODS: In 24 ICU patients (German university hospital), AP values were simultaneously recorded on a beat-to-beat basis using radial artery applanation tonometry (T-Line system; Tensys Medical, San Diego, CA, USA) and a radial arterial catheter (contralateral arm). The primary endpoint of the study was to investigate the accuracy and precision of the non-invasively assessed AP measurements with the Bland-Altman method based on averaged 10 beat AP epochs (n=2993 10 beat epochs).RESULTS: For mean AP (MAP), systolic AP (SAP), and diastolic AP (DAP), we observed a bias (±standard deviation of the bias; 95% limits of agreement; percentage error) of +2 mm Hg (±6; -11 to +15 mm Hg; 15%), -3 mm Hg (±15; -33 to +27 mm Hg; 23%), and +5 mm Hg (±7; -9 to +19 mm Hg; 22%), respectively.CONCLUSIONS: In ICU patients, MAP and DAP measurements obtained using radial artery applanation tonometry show clinically acceptable agreement with invasive AP determination with a radial arterial catheter. While the radial artery applanation tonometry technology also allows SAP measurements with high accuracy, its precision for SAP measurements needs to be further improved.",
keywords = "Adult, Aged, Arterial Pressure, Endpoint Determination, Female, Humans, Intensive Care, Male, Manometry, Middle Aged, Monitoring, Physiologic, Radial Artery, Reproducibility of Results",
author = "Meidert, {A S} and W Huber and M{\"u}ller, {J N} and M Sch{\"o}fthaler and A Hapfelmeier and N Langwieser and Wagner, {J Y} and F Eyer and Schmid, {R M} and B Saugel",
year = "2014",
doi = "10.1093/bja/aet400",
language = "English",
volume = "112",
pages = "521--8",
journal = "BRIT J ANAESTH",
issn = "0007-0912",
publisher = "Oxford University Press",
number = "3",

}

RIS

TY - JOUR

T1 - Radial artery applanation tonometry for continuous non-invasive arterial pressure monitoring in intensive care unit patients: comparison with invasively assessed radial arterial pressure

AU - Meidert, A S

AU - Huber, W

AU - Müller, J N

AU - Schöfthaler, M

AU - Hapfelmeier, A

AU - Langwieser, N

AU - Wagner, J Y

AU - Eyer, F

AU - Schmid, R M

AU - Saugel, B

PY - 2014

Y1 - 2014

N2 - BACKGROUND: Radial artery applanation tonometry technology can be used for continuous non-invasive measurement of arterial pressure (AP). The purpose of this study was to evaluate this AP monitoring technology in intensive care unit (ICU) patients in comparison with invasive AP monitoring using a radial arterial catheter.METHODS: In 24 ICU patients (German university hospital), AP values were simultaneously recorded on a beat-to-beat basis using radial artery applanation tonometry (T-Line system; Tensys Medical, San Diego, CA, USA) and a radial arterial catheter (contralateral arm). The primary endpoint of the study was to investigate the accuracy and precision of the non-invasively assessed AP measurements with the Bland-Altman method based on averaged 10 beat AP epochs (n=2993 10 beat epochs).RESULTS: For mean AP (MAP), systolic AP (SAP), and diastolic AP (DAP), we observed a bias (±standard deviation of the bias; 95% limits of agreement; percentage error) of +2 mm Hg (±6; -11 to +15 mm Hg; 15%), -3 mm Hg (±15; -33 to +27 mm Hg; 23%), and +5 mm Hg (±7; -9 to +19 mm Hg; 22%), respectively.CONCLUSIONS: In ICU patients, MAP and DAP measurements obtained using radial artery applanation tonometry show clinically acceptable agreement with invasive AP determination with a radial arterial catheter. While the radial artery applanation tonometry technology also allows SAP measurements with high accuracy, its precision for SAP measurements needs to be further improved.

AB - BACKGROUND: Radial artery applanation tonometry technology can be used for continuous non-invasive measurement of arterial pressure (AP). The purpose of this study was to evaluate this AP monitoring technology in intensive care unit (ICU) patients in comparison with invasive AP monitoring using a radial arterial catheter.METHODS: In 24 ICU patients (German university hospital), AP values were simultaneously recorded on a beat-to-beat basis using radial artery applanation tonometry (T-Line system; Tensys Medical, San Diego, CA, USA) and a radial arterial catheter (contralateral arm). The primary endpoint of the study was to investigate the accuracy and precision of the non-invasively assessed AP measurements with the Bland-Altman method based on averaged 10 beat AP epochs (n=2993 10 beat epochs).RESULTS: For mean AP (MAP), systolic AP (SAP), and diastolic AP (DAP), we observed a bias (±standard deviation of the bias; 95% limits of agreement; percentage error) of +2 mm Hg (±6; -11 to +15 mm Hg; 15%), -3 mm Hg (±15; -33 to +27 mm Hg; 23%), and +5 mm Hg (±7; -9 to +19 mm Hg; 22%), respectively.CONCLUSIONS: In ICU patients, MAP and DAP measurements obtained using radial artery applanation tonometry show clinically acceptable agreement with invasive AP determination with a radial arterial catheter. While the radial artery applanation tonometry technology also allows SAP measurements with high accuracy, its precision for SAP measurements needs to be further improved.

KW - Adult

KW - Aged

KW - Arterial Pressure

KW - Endpoint Determination

KW - Female

KW - Humans

KW - Intensive Care

KW - Male

KW - Manometry

KW - Middle Aged

KW - Monitoring, Physiologic

KW - Radial Artery

KW - Reproducibility of Results

U2 - 10.1093/bja/aet400

DO - 10.1093/bja/aet400

M3 - SCORING: Journal article

C2 - 24355832

VL - 112

SP - 521

EP - 528

JO - BRIT J ANAESTH

JF - BRIT J ANAESTH

SN - 0007-0912

IS - 3

ER -