Blood pressure measurement in obese patients : non-invasive proximal forearm versus direct intra-arterial measurements

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dc.contributor.authorVerkhovsky, A.en_ZA
dc.contributor.authorSmit, M.en_ZA
dc.contributor.authorLevin, A.en_ZA
dc.contributor.authorCoetzee, J. F.en_ZA
dc.date.accessioned2020-02-26T07:31:01Z
dc.date.available2020-02-26T07:31:01Z
dc.date.issued2018
dc.descriptionCITATION: Verkhovsky, A., et al. 2018. Blood pressure measurement in obese patients : non-invasive proximal forearm versus direct intra-arterial measurements. Southern African Journal of Anaesthesia and Analgesia, 24(3):70-74, doi:10.1080/22201181.2018.1461323.
dc.descriptionThe original publication is available at https://www.tandfonline.com
dc.description.abstractBackground: In obesity, accurate perioperative blood pressure measurement using upper arm, non-invasive blood pressure (NIBP) is technically challenging. Proximal forearm NIBP may be an acceptable substitute. Mean arterial blood pressures (MAP) estimated by proximal forearm NIBP were compared with direct intra-arterial measurements. It was hypothesised that the measurement techniques would be interchangeable if between-technique MAP differed ≤ 20% and MAP ratios were < 1.2 and > 0.8. Method: A total of 30 adults with body mass index ≥ 30 kg/m2 in whom perioperative intra-arterial blood pressure measurement was considered mandatory were enrolled. MAP measurements using the two techniques were obtained at three random intervals in each patient. Bland–Altman analyses were employed. Results: Forearm mean NIBP MAP overestimated mean intra-arterial MAP by 2.2 (SD 8.1; range from 23.8 to –19.4 mmHg; p = 0.011, 95% CI 3.9 to 0.5). However, Bland–Altman analyses revealed a wide dispersion with several MAP differences and MAP ratios exceeding the pre-specified bounds for interchangeability. Conclusion: Forearm NIBP could not be considered interchangeable with direct intra-arterial MAP measurements in obese patients.en_ZA
dc.description.urihttps://www.tandfonline.com/doi/full/10.1080/22201181.2018.1461323?scroll=top&needAccess=true
dc.description.versionPublisher's version
dc.format.extent6 pagesen_ZA
dc.identifier.citationVerkhovsky, A., et al. 2018. Blood pressure measurement in obese patients : non-invasive proximal forearm versus direct intra-arterial measurements. Southern African Journal of Anaesthesia and Analgesia, 24(3):70-74, doi:10.1080/22201181.2018.1461323
dc.identifier.issn2220-1173 (online)
dc.identifier.issn2220-1181 (print)
dc.identifier.otherdoi:10.1080/22201181.2018.1461323
dc.identifier.urihttp://hdl.handle.net/10019.1/107540
dc.language.isoen_ZAen_ZA
dc.publisherTaylor & Francis Groupen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectBlood pressure — monitoringen_ZA
dc.subjectBlood pressure — Measurementen_ZA
dc.subjectObesity — Blood pressure — Regulationen_ZA
dc.titleBlood pressure measurement in obese patients : non-invasive proximal forearm versus direct intra-arterial measurementsen_ZA
dc.typeArticleen_ZA
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