Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
July 20, 2020BMC AnesthesiologyOpen Access

Validation of noninvasive continuous arterial pressure measurement by ClearSight System™ during induction of anesthesia for cardiovascular surgery

View Full Paper
Ask AI
Bookmark
Share

Key result

Noninvasive ClearSight System shows acceptable agreement versus invasive radial pressure with a ~4 mmHg bias.

  • bias -3.9 mmHg (precision 7.8 mmHg)
  • n=18

Why the study?

The validity of noninvasive continuous arterial pressure measurement using the ClearSight System during induction of anesthesia in patients undergoing cardiovascular surgery had not been evaluated.

Does noninvasive continuous arterial pressure measurement by the ClearSight System accurately reflect invasive radial arterial pressure during induction of anesthesia for cardiovascular surgery?

Population

18 patients undergoing elective cardiovascular surgery

Comparison

ClearSight System noninvasive arterial pressure vs invasive radial arterial pressure

Design

Retrospectively registered comparative validation study

Authors

TTTadashi TaniokuAYAkari YoshidaYAYuichi Aratani

Discussion

Loading...

Member takes

Overview

ClearSight may suffice for mean arterial pressure but not systolic or diastolic during induction; leaves open prospective validation versus invasive monitoring in cardiovascular surgery.

Study Design

Type

Observational (n=18)

Multicenter

No

Structured PICO

Does noninvasive continuous arterial pressure measurement by the ClearSight System accurately reflect invasive radial arterial pressure during induction of anesthesia for cardiovascular surgery?

P
Population
18 patients (median age 70, 39% female) undergoing elective cardiovascular surgery who had simultaneous noninvasive and invasive arterial pressure monitoring during anesthesia induction.
E
Exposure
Noninvasive continuous arterial pressure measurement by ClearSight System (APcs) during induction of anesthesia
C
Comparator
Invasive radial arterial pressure measurement (APrad)
O
Outcome
Bias and precision of arterial pressure measurements (systolic, diastolic, and mean) compared to invasive radial arterial pressuresurrogate

Main Result

Mean Difference: -3.9

The ClearSight System provides acceptable accuracy for mean arterial pressure, but not systolic or diastolic pressure, compared to invasive radial arterial monitoring during anesthesia induction for cardiovascular surgery.

Limitations

  • Retrospective study design
  • Small sample size of 18 patients
  • Data exclusion due to artifacts and auto-calibration
  • Lack of prospective control over study conditions and data collection timing

Cite This Study

Tanioku et al. (2020) conducted an observational in Elective cardiovascular surgery (n=18). ClearSight System noninvasive arterial pressure measurement vs. Invasive radial arterial pressure measurement was evaluated on Bias and precision between noninvasive and invasive mean arterial pressure (bias -3.9 mmHg (precision 7.8 mmHg)). Mean arterial pressure measured by the ClearSight System showed a bias of -3.9 mmHg and precision of 7.8 mmHg compared to invasive radial arterial pressure, meeting AAMI criteria for acceptable agreement.

synapsesocial.com/papers/6aaa2d63f8c08cbefbf6c7d0https://doi.org/10.1186/s12871-020-01091-x
View Full Paper
Ask AI
Bookmark
Share

Also Consider

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

  1. 1Noninvasive continuous arterial pressure monitoring during anesthesia induction in patients undergoing cardiac surgery2021 · 13 citations
  2. 2The Use of Non-Invasive Continuous Blood Pressure Measuring (ClearSight®) during Central Neuraxial Anaesthesia for Caesarean Section—A Retrospective Validation Study2022 · 10 citations
  3. 3The ClearSight System for Postoperative Arterial Blood Pressure Monitoring After Carotid Endarterectomy: A Validation Study2021 · 7 citations
  4. 4Clinical validation of a new wrist continuous noninvasive hemodynamic monitoring system in comparison with invasive radial artery measurement2017 · 4 citations
  5. 5Continuous Noninvasive Arterial Pressure Monitoring in Obese Patients During Bariatric Surgery: An Evaluation of the Vascular Unloading Technique (Clearsight system)2019 · 46 citations