Level of agreement between Nexfin non-invasive arterial pressure with invasive arterial pressure measurements in children

Garnier, R; Spoel, Anna G.E. van der; Sibarani-Ponsen, R.; Markhorst, Dick G.; Boer, Christa

doi:10.1093/bja/aes295

Cited by 28 publications

(13 citation statements)

References 16 publications

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“…We did not perform a level of agreement analysis of our findings, obtained by the Nexfin monitor, with a gold standard. However, we and others previously showed that Nexfin arterial blood pressure and cardiac output showed good agreement with intra-arterial or oesophageal Doppler measurements [17,30,31].…”

Section: Discussionsupporting

confidence: 51%

Detection of volume loss using the Nexfin device in blood donors

et al. 2015

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SummaryWe investigated which haemodynamic parameters derived from Nexfin non-invasive continuous arterial blood pressure measurements are optimal to detect controlled volume loss in spontaneously breathing subjects. Haemodynamic monitoring was performed in 40 whole-blood donors. Mean arterial pressure, cardiac index, systemic vascular resistance index and pulse pressure variation were recorded during controlled breathing, and a Valsalva manoeuvre was performed before and after blood donation. Blood donation resulted in a reduction in cardiac index (from 3.96 AE 0.84 l.min .m 2 ; p < 0.001) and an increase in pulse pressure variation (from 13.4 AE 5.1 to 15.3 AE 5.4%; p = 0.02). The area under the receiver operating characteristic curve to detect volume loss was highest for cardiac index (0.94, 95% CI 0.88-0.99) and systemic vascular resistance (0.90, 95% CI 0.82-0.99). Nexfin is a non-invasive haemodynamic monitor that can feasibly detect volaemic changes in spontaneously breathing subjects.

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Section: Discussionsupporting

confidence: 51%

Detection of volume loss using the Nexfin device in blood donors

et al. 2015

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“…This technology shows promising results in pediatric studies but has yet to be validated in the neonatal population. 5 Although this technology may only monitor trends in patients such as ours, a provider may be able to use this to guide management in short cases where the use of traditional monitoring devices may not be feasible due to small extremity size. The minimum cuff size available and the need for adequate arterial pulsatility limit use in very small infants.…”

Section: Discussionmentioning

confidence: 99%

Continuous Noninvasive Hemodynamic Monitoring in an Infant With Tetra-Amelia

et al. 2016

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Tetra-amelia syndrome is a congenital disorder associated with near or complete absence of all 4 limbs. Noninvasive hemodynamic monitoring may be difficult or impossible in such patients. We describe the use of a finger cuff blood pressure system for continuous noninvasive blood pressure monitoring in an infant with near-complete tetra-amelia undergoing laparoscopic gastrostomy tube placement. This case suggests the potential use of such a blood pressure monitoring system for other patients with comparable deformities.

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“…Continuous monitoring of BP with a non‐invasive finger arterial clamp method has recently been validated against a conventional sphygmomanometer and invasive intra‐arterial pressure . Therefore, the method may conceivably be used to assess BP during resistance exercise.…”

Section: Introductionmentioning

confidence: 99%

“…Continuous monitoring of BP with a non-invasive finger arterial clamp method has recently been validated against a conventional sphygmomanometer 5 and invasive intra-arterial pressure. 6,7 Therefore, the method may conceivably be used to assess BP during resistance exercise. Several studies have found the non-invasive measurement of BP to be acceptable for clinical rehabilitation purposes when compared to the superior invasive measurement of BP.…”

Section: Introductionmentioning

confidence: 99%

Reliability of non-invasive blood pressure measurement during heavy resistance exercise: A pilot study

et al. 2018

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It is largely unknown how much heavy resistance exercise induces an acute increase in systolic blood pressure (SBP) and whether such increase can be measured in a reliable manner with non‐invasive equipment. We aimed to investigate test‐retest (day‐to‐day) reproducibility of acute SBP response during heavy resistance exercise using a non‐invasive methodology (Nexfin), which provides continuous hemodynamics in real time. Blood pressure was measured in 10 lean, healthy men (mean age 38 years.) during 3 × 8 repetition maximum leg press machine performance on two different days 48 hours apart. Systematic differences in SBP between day 1 and day 2 were analyzed by paired t test. A correlation analysis using Pearson's product‐moment determined the strength of the relationship of SBP between test days. No systematic bias between test days was found for SBP (day 1; 206 ± 19 vs day 2; 203 ± 20, P = .34). There was a significant correlation between measurements recorded SBP on test day 1 and day 2 (r = .88, P < .001). Limits of agreement were acceptable (upper 15.1 vs lower −21.0), and within‐subject SBP variation was 3.2%. Findings suggest a non‐invasive blood pressure device being reliable in measuring SBP pressure from day‐to‐day in lean, healthy men during heavy resistance exercise.

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Level of agreement between Nexfin non-invasive arterial pressure with invasive arterial pressure measurements in children

Cited by 28 publications

References 16 publications

Detection of volume loss using the Nexfin device in blood donors

Detection of volume loss using the Nexfin device in blood donors

Continuous Noninvasive Hemodynamic Monitoring in an Infant With Tetra-Amelia

Reliability of non-invasive blood pressure measurement during heavy resistance exercise: A pilot study

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