Towards the automatic detection and correction of abnormal arterial pressure waveforms.
Arterial pressure monitoring
Cardiac output
Damping
Resonance
Systolic pressure
Journal
Journal of clinical monitoring and computing
ISSN: 1573-2614
Titre abrégé: J Clin Monit Comput
Pays: Netherlands
ID NLM: 9806357
Informations de publication
Date de publication:
04 Apr 2024
04 Apr 2024
Historique:
received:
15
02
2024
accepted:
08
03
2024
medline:
4
4
2024
pubmed:
4
4
2024
entrez:
4
4
2024
Statut:
aheadofprint
Résumé
Both over and underdamping of the arterial pressure waveform are frequent during continuous invasive radial pressure monitoring. They may influence systolic blood pressure measurements and the accuracy of cardiac output monitoring with pulse wave analysis techniques. It is therefore recommended to regularly perform fast flush tests to unmask abnormal damping. Smart algorithms have recently been developed for the automatic detection of abnormal damping. In case of overdamping, air bubbles, kinking, and partial obstruction of the arterial catheter should be suspected and eliminated. In the case of underdamping, resonance filters may be necessary to normalize the arterial pressure waveform and ensure accurate hemodynamic measurements.
Identifiants
pubmed: 38573369
doi: 10.1007/s10877-024-01152-3
pii: 10.1007/s10877-024-01152-3
doi:
Types de publication
Editorial
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s).
Références
Hirahata T, Hashimoto S, Watanabe H, et al. The 10 hz dynamic response of a flid-filled pressure monitoring system is a novel alternative to the fast flush test and indicative of unacceptable systolic pressure overshoot. J Clin Monit Comput. 2024. https://doi.org/10.1007/s10877-023-01122-1 .
doi: 10.1007/s10877-023-01122-1
pubmed: 38310593
Saugel B, Kouz K, Meidert AS, Schulte-Uentrop L, Romagnoli S. How to measure blood pressure using an arterial catheter: a systematic 5-step approach. Crit Care. 2020;24:172.
doi: 10.1186/s13054-020-02859-w
pubmed: 32331527
pmcid: 7183114
Romagnoli S, Ricci Z, Quattrone D, et al. Accuracy of invasive arterial pressure monitoring in cardiovascular patients: an observational study. Crit Care. 2014;18:644.
doi: 10.1186/s13054-014-0644-4
pubmed: 25433536
pmcid: 4279904
Kouz K, Scheeren TWL, de Backer D, Saugel B. Pulse wave analysis to estimate cardiac output. Anesthesiology. 2021;134:119–26.
doi: 10.1097/ALN.0000000000003553
pubmed: 32914174
Foti L, Michard F, Villa G, et al. The impact of arterial pressure waveform underdamping and resonance filters on cardiac output measurements with pulse wave analysis. Br J Anaesth. 2022;129:e6–8.
doi: 10.1016/j.bja.2022.03.024
pubmed: 35459533
Flick M, Hilty MP, Duranteau J, Saugel B. The microcirculation in perioperative medicine: a narrative review. Br J Anaesth. 2024;132:25–34.
doi: 10.1016/j.bja.2023.10.033
pubmed: 38030549
Ostadal P, Vondrakova D, Kruger A, Janotka M, Naar J. Continual measurement of arterial dP/dt max enables minimally invasive monitoring of left ventricular contractility in patients with acute heart failure. Crit Care. 2019;23:364.
doi: 10.1186/s13054-019-2654-8
pubmed: 31752966
pmcid: 6869259
Frassanito L, Giuri PP, Vassalli F et al. Hypotension prediction index guided goal directed therapy and the amount of hypotension during major gynaecologic oncologic surgery: a randomized controlled clinical trial. J Clin Monit Comput 2023; published ahead of print.
Tsoumpa M, Kyttari A, Matiatou S, et al. The use of the hypotension prediction index integrated in an algorithm of goal directed hemodynamic treatment during moderate and high-risk surgery. J Clin Med. 2021;10:5884.
doi: 10.3390/jcm10245884
pubmed: 34945177
pmcid: 8707257
Michard F, Foti L, Villa G, et al. The impact of underdamping on the maximum rate of the radial pressure rise during systole (dP/dt
Gardner RM. Direct blood pressure measurements: dynamic response requirements. Anesthesiology. 1981;54:227–36.
doi: 10.1097/00000542-198103000-00010
pubmed: 7469106
Watanabe H, Yagi SI. Why the natural frequency and the damping coefficient do not evaluate the dynamic response of clinically used pressure monitoring circuits correctly. J Anaesth. 2020;34:898–903.
doi: 10.1007/s00540-020-02843-2
Rinehart J, Tang J, Nam J, et al. Detection of arterial pressure waveform error using machine learning trained algorithms. J Clin Monit Comput. 2022;36:227–37.
doi: 10.1007/s10877-020-00642-4
pubmed: 33523353
Greiwe G, Luehsen K, Hapfelmeier A, et al. Cardiac output estimation by pulse wave analysis using the pressure recording analytical method and intermittent pulmonary artery thermodilution. Eur J Anaesthesiol. 2020;37:920–5.
doi: 10.1097/EJA.0000000000001227
pubmed: 32398582
Persona P, Valeri I, Saraceni E, et al. Cardiac output evaluation in septic shock patients: comparison between calibrated and uncalibrated devices during vasopressor therapy. J Clin Med. 2021;10:213.
doi: 10.3390/jcm10020213
pubmed: 33435270
pmcid: 7826755