Noninvasive continuous detection of arterial hypotension during induction of anaesthesia using a photoplethysmographic signal: proof of concept.

Adult Anesthesia, General / adverse effects Blood Pressure / drug effects Blood Pressure Determination / methods Female Humans Hypotension / chemically induced Intraoperative Care / methods Intraoperative Complications / chemically induced Male Middle Aged Monitoring, Intraoperative / methods Photoplethysmography / methods Proof of Concept Study Prospective Studies Sensitivity and Specificity Vasoconstrictor Agents / pharmacology
arterial hypotension general anaesthesia haemodynamics intraoperative monitoring perfusion index photoplethysmography pulse oximetry

Journal

British journal of anaesthesia
ISSN: 1471-6771
Titre abrégé: Br J Anaesth
Pays: England
ID NLM: 0372541

Informations de publication

Date de publication:
May 2019
Historique:
received: 18 09 2018
revised: 10 01 2019
accepted: 19 01 2019
pubmed: 28 3 2019
medline: 23 4 2019
entrez: 28 3 2019
Statut: ppublish

Résumé

During general anaesthesia, intraoperative hypotension (IOH), defined as a mean arterial pressure (MAP) reduction of > 20%, is frequent and may lead to complications. Pulse oximetry is mandatory in the operating room, making the photoplethysmographic signal and parameters, such as relative dicrotic notch height (Dic MAP, Dic The delta in Dic The relative variation in Dic NCT03756935.

Sections du résumé

BACKGROUND BACKGROUND
During general anaesthesia, intraoperative hypotension (IOH), defined as a mean arterial pressure (MAP) reduction of > 20%, is frequent and may lead to complications. Pulse oximetry is mandatory in the operating room, making the photoplethysmographic signal and parameters, such as relative dicrotic notch height (Dic
METHODS METHODS
MAP, Dic
RESULTS RESULTS
The delta in Dic
CONCLUSIONS CONCLUSIONS
The relative variation in Dic
CLINICAL TRIAL REGISTRATION BACKGROUND
NCT03756935.

Identifiants

DOI: 10.1016/j.bja.2019.01.037 PMID: 30916032
pubmed: 30916032
pii: S0007-0912(19)30096-0
doi: 10.1016/j.bja.2019.01.037
pii:
doi:

Substances chimiques

Vasoconstrictor Agents 0

Banques de données

ClinicalTrials.gov
['NCT03756935']

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

605-612

Informations de copyright

Copyright © 2019 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.

Auteurs

Maxime Coutrot (M)

Department of Anaesthesiology and Critical Care, Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France; UMR-S942, Lariboisière Hospital, Paris, France; University of Paris Diderot, Paris, France. Electronic address: maxime.coutrot@aphp.fr.

Jona Joachim (J)

Department of Anaesthesiology and Critical Care, Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France; UMR-S942, Lariboisière Hospital, Paris, France.

François Dépret (F)

Department of Anaesthesiology and Critical Care, Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France; UMR-S942, Lariboisière Hospital, Paris, France; University of Paris Diderot, Paris, France.

Sandrine Millasseau (S)

Pulse Wave Consulting, Saint-Leu-la-Forêt, France.

Hélène Nougué (H)

Department of Anaesthesiology and Critical Care, Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France; UMR-S942, Lariboisière Hospital, Paris, France.

Joaquim Matéo (J)

Department of Anaesthesiology and Critical Care, Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France; University of Paris Diderot, Paris, France.

Alexandre Mebazaa (A)

Department of Anaesthesiology and Critical Care, Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France; UMR-S942, Lariboisière Hospital, Paris, France; University of Paris Diderot, Paris, France.

Etienne Gayat (E)

Department of Anaesthesiology and Critical Care, Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France; UMR-S942, Lariboisière Hospital, Paris, France; University of Paris Diderot, Paris, France.

Fabrice Vallée (F)

Department of Anaesthesiology and Critical Care, Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France; UMR-S942, Lariboisière Hospital, Paris, France; University of Paris Diderot, Paris, France; MEDISIM, Inria Paris-Saclay, Palaiseau, France.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Noninvasive continuous detection of arterial...
questionsmedicales.fr › Anesthésie et analgésie › Anesthésie › Anesthésie générale › Noninvasive continuous detection of arterial...
questionsmedicales.fr › Phénomènes physiologiques respiratoires et circulatoires › Phénomènes physiologiques cardiovasculaires › Hémodynamique › Pression sanguine › Noninvasive continuous detection of arterial...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Examen physique › Mesure de la pression artérielle › Noninvasive continuous detection of arterial...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Noninvasive continuous detection of arterial...
questionsmedicales.fr › Maladies cardiovasculaires › Maladies vasculaires › Hypotension artérielle › Noninvasive continuous detection of arterial...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Soins périopératoires › Soins peropératoires › Noninvasive continuous detection of arterial...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Complications peropératoires › Noninvasive continuous detection of arterial...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Adulte d'âge moyen › Noninvasive continuous detection of arterial...
questionsmedicales.fr › Procédures de chirurgie opératoire › Surveillance peropératoire › Noninvasive continuous detection of arterial...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Techniques de diagnostic cardiovasculaire › Pléthysmographie › Photopléthysmographie › Noninvasive continuous detection of arterial...
questionsmedicales.fr › Disciplines des sciences naturelles › Science › Recherche › Étude de validation de principe › Noninvasive continuous detection of arterial...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études prospectives › Noninvasive continuous detection of arterial...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Sensibilité et spécificité › Noninvasive continuous detection of arterial...
questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Utilisations thérapeutiques › Agents cardiovasculaires › Vasoconstricteurs › Noninvasive continuous detection of arterial...