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June 13, 2016AnaesthesiaOpen Access

Non‐invasive continuous arterial pressure and pulse pressure variation measured with Nexfin ® in patients following major upper abdominal surgery: a comparative study

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Key result

Non-invasive pulse pressure variation measured with Nexfin differed significantly from radial artery catheter measurements (mean difference 1.49%; limits of agreement -2.71% to 5.69%; p<0.001).

Why the study?

Does the non-invasive Nexfin device accurately measure arterial pressure and pulse pressure variation compared to a radial artery catheter in patients following major upper abdominal surgery?

Population

19 patients following major upper abdominal surgery without major cardiovascular compromise or haemodynamic…

Comparison

Non-invasive continuous arterial pressure and… vs Arterial blood pressure values measured from a…

Design

Cross-sectional

Authors

RWRob B. P. de WildeFWFrank De WitBGBart F. Geerts

Discussion

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Overview

Nexfin PPV differs significantly from radial artery measurements; leaves open reliability of non-invasive monitoring after major upper abdominal surgery.

Study Design

Type

Observational (n=19)

Structured PICO

Does the non-invasive Nexfin device accurately measure arterial pressure and pulse pressure variation compared to a radial artery catheter in patients following major upper abdominal surgery?

P
Population
19 patients following major upper abdominal surgery.
E
Exposure
Non-invasive continuous arterial pressure and pulse pressure variation measurement using the Nexfin device
C
Comparator
Arterial blood pressure values measured from a radial artery catheter
O
Outcome
Accuracy and precision of systolic, diastolic, mean arterial pressure and pulse pressure variation measurementssurrogate

Main Result

Mean Difference: 1.49 (95% CI -2.71–5.69)

p-value: p=< 0.001

The Nexfin monitor system provides acceptable non-invasive arterial pressure monitoring in patients after major upper abdominal surgery without major cardiovascular compromise.

Cite This Study

Wilde et al. (2016) conducted an observational in major upper abdominal surgery (n=19). Nexfin device vs. radial artery catheter was evaluated on pulse pressure variation (MD 1.49%, 95% CI -2.71 to 5.69, p=< 0.001). Non-invasive pulse pressure variation measured with Nexfin differed significantly from radial artery catheter measurements (mean difference 1.49%; limits of agreement -2.71% to 5.69%; p<0.001).

synapsesocial.com/papers/6a2214146be264275d4e945chttps://doi.org/10.1111/anae.13503
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Also Consider

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

  1. 1Noninvasive Continuous Arterial Blood Pressure Monitoring with Nexfin®2012 · 293 citations
  2. 2Nexfin Noninvasive Continuous Blood Pressure Validated Against Riva-Rocci/Korotkoff2009 · 223 citations
  3. 3Assessment of changes in cardiac index and fluid responsiveness: a comparison of <scp>N</scp>exfin and transpulmonary thermodilution2013 · 57 citations
  4. 4Peripheral arterial blood pressure monitoring adequately tracks central arterial blood pressure in critically ill patients: an observational study2006 · 93 citations
  5. 5Reconstruction of Brachial Artery Pressure From Noninvasive Finger Pressure Measurements1996 · 364 citations