2009
DOI: 10.1136/emj.2008.060608
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Invasive arterial blood pressure monitoring in an out-of-hospital setting: an observational study

Abstract: Emergency out-of-hospital invasive arterial blood pressure monitoring in haemodynamically unstable patients is highly feasible. Discrepancies between invasive and non-invasive measurements are common and highlight the value of early out-of-hospital monitoring.

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Cited by 15 publications
(8 citation statements)
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“…A French land-based pre-hospital medical team found 44% of systolic readings results differed by 20% or greater in one group [23], and another intensive care transport team concluded that NIBP underestimated systolic pressure by 13-21%, yet over estimated diastolic by 5-27% [13]. Feasibility studies have suggested that IABP monitoring can be established in the pre-hospital environment [22,23]. It remains to be seen whether the risks of this procedure in the pre-hospital environment, particularly infection risk and increased time to definitive care, are outweighed by clinical benefit.…”
Section: Discussionmentioning
confidence: 99%
“…A French land-based pre-hospital medical team found 44% of systolic readings results differed by 20% or greater in one group [23], and another intensive care transport team concluded that NIBP underestimated systolic pressure by 13-21%, yet over estimated diastolic by 5-27% [13]. Feasibility studies have suggested that IABP monitoring can be established in the pre-hospital environment [22,23]. It remains to be seen whether the risks of this procedure in the pre-hospital environment, particularly infection risk and increased time to definitive care, are outweighed by clinical benefit.…”
Section: Discussionmentioning
confidence: 99%
“…All patients thus bene ited from endotracheal intubation using a Boussignac™ tube [13], peripheral venous access, EtCO2 monitoring, and the administration of epinephrine and/or external electric shock depending on the rhythm observed. Once these measures had been implemented and according to usual practices of the service, a femoral artery catheter [14] saws inserted during the mechanical chest compression for the invasive monitoring of arterial pressure. The ventilation was standardized by using constant low insuf lation of oxygen via the Boussignac™ tube [15].…”
Section: Methodsmentioning
confidence: 99%
“…The mean value of the PI was calculated by using the two PI on both sides. The ICP was calculated by using the equation“ICP = 10.927* PI—1.284” [8,9]. CPP (CPP = CVAP-ICP) was monitored and recorded by a multichannel physiologic recorder (Sichuan Jinjiang Electronic Science and Technology Co.).…”
Section: Methodsmentioning
confidence: 99%