Academic Journal

Clinical validation of a continuous non-invasive haemodynamic monitor (CNAP™ 500) during general anaesthesia

التفاصيل البيبلوغرافية
العنوان: Clinical validation of a continuous non-invasive haemodynamic monitor (CNAP™ 500) during general anaesthesia
المؤلفون: Hahn, R., Rinösl, H., Neuner, M., Kettner, S. C.
بيانات النشر: Oxford University Press
سنة النشر: 2012
المجموعة: HighWire Press (Stanford University)
مصطلحات موضوعية: Cardiovascular
الوصف: Background We conducted a prospective study to test the validity of a new continuous non-invasive blood pressure (NIBP) monitor (CNAP) (CNAP™ Monitor 500). Methods One hundred patients undergoing elective surgery under general anaesthesia were included in the study after informed written consent. The CNAP finger cuffs were placed on the fingers of one arm, an arterial catheter was inserted into the same arm and data were recorded simultaneously. Agreement between invasive arterial pressure (IAP) and blood pressure obtained by CNAP was compared using the Bland–Altman method for repeated measurements. The data from the first 50 patients (software V3.0) were used to improve the software of the CNAP (software V3.5), which was then evaluated in another 50 patients. We defined a clinically acceptable agreement according to the standards of the American Association for the Advancement of Medical Instrumentation for NIBP measurements [limits of agreement (LOA) ±15 mm Hg]. Results We analysed 524 878 paired measurements in 100 patients. The mean bias of the mean arterial pressure in the first 50 patients was −2.9 mm Hg (sd 10.6 mm Hg, LOA −23.7 to 17.9 mm Hg), and in the consecutive 50 patients (using software V3.5) the bias was −3.1 mm Hg (sd 9.5 mm Hg, LOA −21.6 to 15.4 mm Hg). Conclusions The new CNAP monitor showed an agreement with the IAP that is promising but did not match our predefined criteria.
نوع الوثيقة: text
وصف الملف: text/html
اللغة: English
Relation: http://bja.oxfordjournals.org/cgi/content/short/108/4/581; http://dx.doi.org/10.1093/bja/aer499
DOI: 10.1093/bja/aer499
الاتاحة: http://bja.oxfordjournals.org/cgi/content/short/108/4/581
https://doi.org/10.1093/bja/aer499
Rights: Copyright (C) 2012, Oxford University Press
رقم الانضمام: edsbas.BFA10F98
قاعدة البيانات: BASE