Radial Artery Applanation Tonometry for Continuous Noninvasive Cardiac Output Measurement

Wagner, Julia Y.; Sarwari, Harun; Schön, Gerhard; Kubik, Mathias; Kluge, Stefan; Reichenspurner, H.; Reuter, Daniel A.; Saugel, Bernd

doi:10.1097/ccm.0000000000000979

Cited by 33 publications

(17 citation statements)

References 35 publications

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“…The results showed substantial disagreement between BP assessed using radial artery applanation tonometry and invasively measured BP. The findings in this cohort are in contrast to previous studies in general ICU patients which found better agreement between BP readings obtained using automated radial artery applanation tonometry and invasive BP measurements [6, 11, 12]. However, the authors pointed out the fact that BP data were not averaged as aggregation of data can lead to underestimation of measurement differences.…”

Section: Blood Pressure Monitoringcontrasting

confidence: 99%

Journal of clinical monitoring and computing end of year summary 2018: hemodynamic monitoring and management

Saugel

Flick

Bendjelid

et al. 2019

J Clin Monit Comput

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Hemodynamic management is a mainstay of patient care in the operating room and intensive care unit (ICU). In order to optimize patient treatment, researchers investigate monitoring technologies, cardiovascular (patho-) physiology, and hemodynamic treatment strategies. The Journal of Clinical Monitoring and Computing (JCMC) is a well-established and recognized platform for publishing research in this field. In this review, we highlight recent advancements and summarize selected papers published in the JCMC in 2018 related to hemodynamic monitoring and management.

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Section: Blood Pressure Monitoringcontrasting

confidence: 99%

Journal of clinical monitoring and computing end of year summary 2018: hemodynamic monitoring and management

Saugel

Flick

Bendjelid

et al. 2019

J Clin Monit Comput

Self Cite

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“…These are uncalibrated, non-invasive, real-time techniques, which are very easy to perform. Many clinical studies have shown they reliably monitor perfusion pressure and CO in the perioperative period [71][72][73]. A moderate to normal relationship between CO estimations was obtained by this type of device in comparison with PiCCO or thermodilution [74][75][76][77].…”

Section: Volume Clamp and Radial Artery Applanation Tonometrymentioning

confidence: 84%

Contemporary perioperative haemodynamic monitoring

Pang

Hendrickx

Liu

et al. 2019

ait

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“…An important drawback to the technology is the extreme sensitivity of the sensor position; therefore, two servo motors automatically and continuously reassess the sensor position. Similar to previous devices, the reconstructed arterial wave enables calculation of different advanced hemodynamic variables, including cardiac output ( 27 ). Several validation studies exist for the different T-line generations, mostly with accuracy comparable to volume clamp devices as demonstrated in the meta-analysis by Kim et al ( 21 ).…”

Section: Contemporary Possibilities Of Continuous Nibp Assessmentmentioning

confidence: 99%

Continuous Non-Invasive Arterial Pressure Assessment during Surgery to Improve Outcome

Stenglova

Beneš

2017

Front. Med.

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Blood pressure (BP) is one of the most important variables evaluated during almost every medical examination. Most national anesthesiology societies recommend BP monitoring at least once every 5 min in anesthetized subjects undergoing surgical procedures. In most cases, BP is monitored non-invasively using oscillometric cuffs. Although the risk of arterial cannulation is not very high, the invasive BP monitoring is usually indicated only in the case of high-risk patients or in complex surgical procedures. However, recent evidence points out that when using intermittent BP monitoring short periods of hypotension may be overlooked. In addition, large datasets have demonstrated that even short periods of low BP (or their cumulative duration) may have a detrimental impact on the development of postoperative outcome including increased risk of acute kidney or myocardial injury development. Recently marketed continuous non-invasive blood pressure monitoring tools may help us to recognize the BP fluctuation without the associated burden of arterial cannulation filling the gap between intermittent non-invasive cuff and continuous invasive arterial pressure. Among others, several novel devices based either on volume clamp/vascular unloading method or on applanation tonometry are nowadays available. Moreover, several near-future smart technologies may lead to better hypotension recognition or even prediction potentially improving our ability to maintain BP stability throughout the anesthesia or surgical procedure. In this review, novel or emerging technologies of non-invasive continuous blood pressure assessment and their potential to improve postoperative outcome are discussed.

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Radial Artery Applanation Tonometry for Continuous Noninvasive Cardiac Output Measurement

Cited by 33 publications

References 35 publications

Journal of clinical monitoring and computing end of year summary 2018: hemodynamic monitoring and management

Journal of clinical monitoring and computing end of year summary 2018: hemodynamic monitoring and management

Contemporary perioperative haemodynamic monitoring

Continuous Non-Invasive Arterial Pressure Assessment during Surgery to Improve Outcome

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