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July 26, 2021Journal of Evidence Based Medicine and HealthcareOpen Access

Comparison between Invasive and Non-Invasive Blood Pressure Monitoring in High-Risk Prolonged Surgeries in a Medical College of Assam

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Key result

Non-invasive blood pressure monitoring significantly overestimated systolic pressure and underestimated diastolic and mean arterial pressures compared to invasive monitoring during high-risk surgeries.

Why the study?

Intraoperative blood pressure monitoring guides hemodynamic management, but there is a need to compare non-invasive and invasive blood pressure monitoring methods in patients undergoing high-risk prolonged surgeries.

Does non-invasive blood pressure monitoring accurately reflect invasive blood pressure monitoring in patients undergoing high-risk prolonged surgeries?

Population

40 patients undergoing high-risk prolonged surgeries

Comparison

Non-invasive oscillometric blood pressure monitoring vs invasive blood pressure monitoring via radial artery line

Design

Comparative observational study

Authors

UDUtpal Kumar DuttaMBMahin Aboobacker BRBRituparna Bora

Discussion

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Implication

NIBP differs significantly from invasive readings in high-risk surgery; leaves open whether routine invasive monitoring improves outcomes pending larger trials.

Study Design

Type

Observational (n=40)

Multicenter

No

Structured PICO

Does non-invasive blood pressure monitoring accurately reflect invasive blood pressure monitoring in patients undergoing high-risk prolonged surgeries?

P
Population
40 patients undergoing high-risk prolonged surgeries.
E
Exposure
Non-invasive blood pressure (NIBP) monitoring by oscillometric method
C
Comparator
Invasive blood pressure (IBP) monitoring via radial artery line
O
Outcome
Agreement between non-invasive and invasive blood pressure measurements (systolic, diastolic, and mean arterial pressure) assessed by Bland-Altman plotsurrogate

Invasive blood pressure monitoring remains recommended for high-risk surgeries due to significant discrepancies (overestimation of systolic and underestimation of diastolic/MAP) when using non-invasive oscillometric methods.

Limitations

  • Small sample size requiring a large-scale study to arrive at a definitive conclusion
  • Small sample size (large-scale study required to arrive at a definitive conclusion)

Cite This Study

Dutta et al. (2021) conducted an observational in High-risk prolonged surgeries (n=40). Non-invasive blood pressure monitoring vs. Invasive blood pressure monitoring was evaluated on Blood pressure measurement comparison (systolic, diastolic, and mean arterial pressure). Non-invasive blood pressure monitoring significantly overestimated systolic pressure and underestimated diastolic and mean arterial pressures compared to invasive monitoring during high-risk surgeries.

synapsesocial.com/papers/6a9cfcc9f4d73a8d78599ae9https://doi.org/10.18410/jebmh/2021/512
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Also Consider

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

  1. 1Invasive and Concomitant Noninvasive Intraoperative Blood Pressure Monitoring2011 · 176 citations
  2. 2Recommendations for standards of monitoring during anaesthesia and recovery 2015 : Association of Anaesthetists of Great Britain and Ireland2015 · 490 citations
  3. 3Comparison of Continuous Noninvasive Blood Pressure Monitoring by TL-300 With Standard Invasive Blood Pressure Measurement in Patients Undergoing Elective Neurosurgery2015 · 19 citations
  4. 4Measuring blood pressure: pitfalls and recommendations2004 · 76 citations
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