Intraoperative Invasive Blood Pressure Monitoring and the Potential Pitfalls of Invasively Measured Systolic Blood Pressure.
damping
hemodynamics
hyperresonance
invasive intraarterial blood pressure
monitoring
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
accepted:
31
08
2021
entrez:
14
10
2021
pubmed:
15
10
2021
medline:
15
10
2021
Statut:
epublish
Résumé
Invasive intraarterial blood pressure measurement is currently the gold standard for intraoperative hemodynamic monitoring but accurate systolic blood pressure (SBP) measurement is difficult in everyday clinical practice, mostly because of problems with hyper-resonance or damping within the measurement system, which can lead to erroneous treatment decisions if these phenomena are not recognized. A hyper-resonant blood pressure trace significantly overestimates true systolic blood pressure while underestimating the diastolic pressure. Invasively measured systolic blood pressure is also significantly more affected than mean blood pressure by the site of measurement within the arterial system. Patients in the intraoperative period should be treated based on the invasively measured mean blood pressure rather than the systolic blood pressure. In this review, we discuss the pros/cons, mechanisms of invasive blood pressure measurements, and the interpretation of the invasively measured systolic blood pressure value.
Identifiants
pubmed: 34646661
doi: 10.7759/cureus.17610
pmc: PMC8483407
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
e17610Informations de copyright
Copyright © 2021, Lam et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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