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December 15, 2020AnesthesiologyOpen Access

Intraoperative Blood Pressure Monitoring in Obese Patients

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Why the study?

The optimal blood pressure monitoring method in obese surgical patients remains unknown, as arterial catheters carry potential complications and oscillometry provides only intermittent values.

Does finger cuff blood pressure monitoring provide better agreement with intraarterial measurements than oscillometric monitoring in obese patients having bariatric surgery?

Population

90 obese patients having bariatric surgery

Comparison

Finger cuff vs oscillometric (upper arm, forearm, lower leg) vs intraarterial monitoring

Design

Prospective study

Authors

RSRoman SchumannTufts UniversityAMAgnes S. MeidertLMU KlinikumIBIwona BonneyTufts University

Discussion

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Implication

Finger cuff monitoring may yield better agreement with intraarterial BP than oscillometry in obese bariatric patients; hypothesis-generating, needs prospective validation.

Structured PICO

Does finger cuff blood pressure monitoring provide better agreement with intraarterial measurements than oscillometric monitoring in obese patients having bariatric surgery?

P
Population
90 obese patients having bariatric surgery
I
Intervention
Finger cuff continuous noninvasive blood pressure monitoring
C
Comparator
Oscillometric blood pressure measurements (upper arm, forearm, and lower leg)
O
Outcome
Agreement with intraarterial blood pressure measurements (reference method) assessed by Bland-Altman analysissurrogate

In obese patients undergoing bariatric surgery, finger cuff monitoring provides more accurate continuous blood pressure measurements compared to standard oscillometric methods when referenced against intraarterial lines.

Cite This Study

Schumann et al. (2020) studied this question.

synapsesocial.com/papers/69d8f6b16715230d10bedafahttps://doi.org/10.1097/aln.0000000000003636
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Continuous Noninvasive Arterial Pressure Monitoring in Obese Patients During Bariatric Surgery: An Evaluation of the Vascular Unloading Technique (Clearsight system)2019 · 46 citations
  2. 2Continuous Noninvasive Arterial Pressure Monitoring Using the Vascular Unloading Technique (CNAP System) in Obese Patients During Laparoscopic Bariatric Operations2017 · 26 citations
  3. 3Invasive and Concomitant Noninvasive Intraoperative Blood Pressure Monitoring2011 · 176 citations
  4. 4Measuring agreement in method comparison studies1999 · 8,866 citations
  5. 5Machine-learning Algorithm to Predict Hypotension Based on High-fidelity Arterial Pressure Waveform Analysis2018 · 635 citations