Photoplethysmography-Based Blood Pressure Monitoring Could Improve Patient Outcome during Anesthesia Induction.
Détails
Télécharger: 36294710_BIB_7F0388199F94.pdf (1622.06 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY 4.0
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_7F0388199F94
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Photoplethysmography-Based Blood Pressure Monitoring Could Improve Patient Outcome during Anesthesia Induction.
Périodique
Journal of personalized medicine
ISSN
2075-4426 (Print)
ISSN-L
2075-4426
Statut éditorial
Publié
Date de publication
23/09/2022
Peer-reviewed
Oui
Volume
12
Numéro
10
Pages
1571
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Publication Status: epublish
Résumé
During anesthesia, noncritical patients are routinely monitored via noninvasive cuff-based blood pressure (BP) monitors. Due to the noncontinuous nature of the monitoring, the BP values of the patient remain unavailable between consecutive cuff measurements, carrying the risk of missing rapid and sudden variations in BP. We evaluated the added value of using a photoplethysmography (PPG)-based continuous BP measurement device in addition to the standard cuff-based monitoring in a cohort of 40 patients in comparison with the current approach, in which only intermittent cuff-based measurements are available. When using a three-minute cuff measurement interval, using the PPG-based BP measurement in addition to the cuff-based monitor reduced the error (mean ± SD) of systolic (SBP) and mean (MBP) BP from 2.6 ± 19.6 mmHg and 1.2 ± 13.2 mmHg to 0.5 ± 11.2 mmHg and 0.0 ± 8.1 mmHg, respectively. Error grid analysis was also used to assess the improvement in patient safety. The additional use of the PPG-based BP measurement reduced the amount of data falling into higher risk categories. For SBP, points falling in the significant-, moderate-, and low-risk categories decreased from 1.1%, 8.7%, and 19.3% to 0.0%, 2.3%, and 9.6%, respectively. Similar results were obtained for MBP. These results suggest that using a PPG-based BP monitor-in addition to the standard cuff-based monitor-can improve patient safety during anesthesia induction, with no additional sensor needed.
Mots-clé
cuffless blood pressure, optical blood pressure, photoplethysmography
Pubmed
Web of science
Open Access
Oui
Création de la notice
08/11/2022 12:21
Dernière modification de la notice
23/01/2024 7:28