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Article

Non-invasive monitoring of blood pressure using the Philips Intellivue MP50 monitor cannot replace invasive blood pressure techniques in surgery patients under general anesthesia

  • Authors:
    • Xianghu Meng
    • Guanghui Zang
    • Longchang Fan
    • Lei Zheng
    • Jinzhen Dai
    • Xueren Wang
    • Wei Xia
    • Jihong Liu
    • Chuanhan Zhang
  • View Affiliations / Copyright

    Affiliations: Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China, Department of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China, Anhui Institute of Geriatrics, Ma Anshan, Anhui 243000, P.R. China
  • Pages: 9-14
    |
    Published online on: May 17, 2013
       https://doi.org/10.3892/etm.2013.1121
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Abstract

The Philips Intellivue MP50 monitor provides a method for non‑invasive, near‑continuous blood pressure (BP) monitoring and is designed to be an alternative to direct intra‑arterial BP (IABP) measurement. However, no studies have specifically compared non‑invasive and invasive BP measurements using the monitor. The present retrospective study observed 515 patients undergoing surgery with general anesthesia, whose invasive (intra‑radial, femoral or dorsalis pedis artery) and non‑invasive (oscillometric) BP (NIBP) were monitored simultaneously using the monitor. These data were analyzed using correlations, regressions and Bland‑Altman plots. The patients were placed in a supine position during surgery. The correlation data for invasive BP and NIBP measurements were: for intra-radial measurements, r2=0.51 (bias and precision, 11.04±15.22 and 14.76±11.64 mmHg, respectively) for systolic BP (SBP) and r2=0.27 (6.17±11.95 and 9.77±9.25 mmHg, respectively) for diastolic BP (DBP); for intra‑femoral measurements: r2=0.57 (14.79±14.55 and 17.15±11.68 mmHg, respectively) for SBP and r2=0.45 (4.12±9.70 and 7.49±7.40 mmHg, respectively) for DBP; and for intra‑dorsalis pedis measurements: r2=0.33 (13.00±16.81 and 17.34±12.28 mmHg, respectively) for SBP and r2=0.30 (0.17±11.27 and 8.44±7.46 mmHg, respectively) for DBP. According to this data, the NIBP measured by the Philips Intellivue MP50 monitor showed low positive correlations and poor agreement with the IABP, as calculated by Bland‑Altman analysis. Therefore, the use of oscillometric BP measured by the monitor in surgery patients under general anesthesia is not generally recommended.
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1. 

Bigatello LM and George E: Hemodynamic monitoring. Minerva Anestesiol. 68:219–225. 2002.

2. 

Bowdle TA: Complications of invasive monitoring. Anesthesiol Clin North America. 20:571–588. 2002. View Article : Google Scholar

3. 

Scheer B, Perel A and Pfeiffer UJ: Clinical review: complications and risk factors of peripheral arterial catheters used for haemo-dynamic monitoring in anaesthesia and intensive care medicine. Crit Care. 6:199–204. 2002. View Article : Google Scholar

4. 

Frezza EE and Mezghebe H: Indications and complications of arterial catheter use in surgical or medical intensive care units: analysis of 4932 patients. Am Surg. 64:127–131. 1998.PubMed/NCBI

5. 

Wilkins RG: Radial artery cannulation and ischaemic damage: a review. Anaesthesia. 40:896–899. 1985. View Article : Google Scholar : PubMed/NCBI

6. 

Mireles SA, Jaffe RA, Drover DR and Brock-Utne JG: A poor correlation exists between oscillometric and radial arterial blood pressure as measured by the Philips MP90 monitor. J Clin Monit Comput. 23:169–174. 2009. View Article : Google Scholar : PubMed/NCBI

7. 

Stover JF, Stocker R, Lenherr R, Neff TA, Cottini SR, Zoller B and Béchir M: Noninvasive cardiac output and blood pressure monitoring cannot replace an invasive monitoring system in critically ill patients. BMC Anesthesiol. 9:62009. View Article : Google Scholar : PubMed/NCBI

8. 

Kermode JL, Davis NJ and Thompson WR: Comparison of the Finapres blood pressure monitor with intra-arterial manometry during induction of anaesthesia. Anaesth Intensive Care. 17:470–475. 1989.PubMed/NCBI

9. 

Gibbs NM, Larach DR and Derr JA: The accuracy of Finapres noninvasive mean arterial pressure measurements in anesthetized patients. Anesthesiology. 74:647–652. 1991. View Article : Google Scholar : PubMed/NCBI

10. 

Janelle GM and Gravenstein N: An accuracy evaluation of the T-Line Tensymeter (continuous noninvasive blood pressure management device) versus conventional invasive radial artery monitoring in surgical patients. Anesth Analg. 102:484–490. 2006. View Article : Google Scholar

11. 

Kemmotsu O, Ueda M, Otsuka H, et al: Blood pressure measurement by arterial tonometry in controlled hypotension. Anesth Analg. 73:54–58. 1991. View Article : Google Scholar : PubMed/NCBI

12. 

Belani K, Ozaki M, Hynson J, et al: A new noninvasive method to measure blood pressure: results of a multicenter trial. Anesthesiology. 91:686–692. 1999. View Article : Google Scholar : PubMed/NCBI

13. 

Belani KG, Buckley JJ and Poliac MO: Accuracy of radial artery blood pressure determination with the Vasotrac. Can J Anaesth. 46:488–496. 1999. View Article : Google Scholar : PubMed/NCBI

14. 

Cua CL, Thomas K, Zurakowski D and Laussen PC: A comparison of the Vasotrac with invasive arterial blood pressure monitoring in children after pediatric cardiac surgery. Anesth Analg. 100:1289–1294. 2005. View Article : Google Scholar : PubMed/NCBI

15. 

McCann ME, Hill D, Thomas KC, Zurakowski D and Laussen PC: A comparison of radial artery blood pressure determination between the Vasotrac device and invasive arterial blood pressure monitoring in adolescents undergoing scoliosis surgery. Anesth Analg. 101:978–985. 2005. View Article : Google Scholar

16. 

Jagomägi K, Raamat R, Talts J, Ragun U and Tähepõld P: Measurement of mean arterial pressure: comparison of the Vasotrac monitor with the finger differential oscillometric device. Physiol Res. 59:691–696. 2010.PubMed/NCBI

17. 

Bruner JM, Krenis LJ, Kunsman JM and Sherman AP: Comparison of direct and indirect methods of measuring arterial blood pressure, part III. Med Instrum. 15:182–188. 1981.

18. 

Lee JH, Kim JM, Ahn KR, et al: Study for the discrepancy of arterial blood pressure in accordance with method, age, body part of measurement during general anesthesia using sevoflurane. Korean J Anesthesiol. 60:323–328. 2011. View Article : Google Scholar : PubMed/NCBI

19. 

Araghi A, Bander JJ and Guzman JA: Arterial blood pressure monitoring in overweight critically ill patients: invasive or noninvasive? Crit Care. 10:R642006. View Article : Google Scholar : PubMed/NCBI

20. 

Clark JA, Lieh-Lai MW, Sarnaik A and Mattoo TK: Discrepancies between direct and indirect blood pressure measurements using various recommendations for arm cuff selection. Pediatrics. 110:920–923. 2002. View Article : Google Scholar

21. 

Bur A, Herkner H, Vlcek M, et al: Factors influencing the accuracy of oscillometric blood pressure measurement in critically ill patients. Crit Care Med. 31:793–799. 2003. View Article : Google Scholar : PubMed/NCBI

22. 

Bland JM and Altman DG: Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1:307–310. 1986. View Article : Google Scholar

23. 

Williams B, Poulter NR, Brown MJ, et al: British Hypertension Society: Guidelines for management of hypertension: report of the fourth working party of the British Hypertension Society, 2004-BHS IV. J Hum Hypertens. 18:139–185. 2004. View Article : Google Scholar : PubMed/NCBI

24. 

No authors listed. 1999 World Health Organization-International Society of Hypertension Guidelines for the Management of Hypertension. Guidelines Subcommittee. J Hypertens. 17:151–183. 1999.

25. 

Nichols WW and O’Rourke MF: General principles for measuring arterial waves. McDonald’s Blood Flow in Arteries: Theoretical, Experimental and Clinical Principles. Nichols WW: Oxford University Press; New York: pp. 129–164. 1998

26. 

American National Standard: Manual, electronic or automated sphygmomanometers ANSI/AAMI sp 10-1992. Association for the Advancement of Medical Instrumentation; Arlington, VA: 1992

27. 

Lakhal K, Macq C, Ehrmann S, Boulain T and Capdevila X: Noninvasive monitoring of blood pressure in the critically ill: reliability according to the cuff site (arm, thigh, or ankle). Crit Care Med. 40:1207–1213. 2012. View Article : Google Scholar : PubMed/NCBI

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Copy and paste a formatted citation
Spandidos Publications style
Meng X, Zang G, Fan L, Zheng L, Dai J, Wang X, Xia W, Liu J and Zhang C: Non-invasive monitoring of blood pressure using the Philips Intellivue MP50 monitor cannot replace invasive blood pressure techniques in surgery patients under general anesthesia. Exp Ther Med 6: 9-14, 2013.
APA
Meng, X., Zang, G., Fan, L., Zheng, L., Dai, J., Wang, X. ... Zhang, C. (2013). Non-invasive monitoring of blood pressure using the Philips Intellivue MP50 monitor cannot replace invasive blood pressure techniques in surgery patients under general anesthesia. Experimental and Therapeutic Medicine, 6, 9-14. https://doi.org/10.3892/etm.2013.1121
MLA
Meng, X., Zang, G., Fan, L., Zheng, L., Dai, J., Wang, X., Xia, W., Liu, J., Zhang, C."Non-invasive monitoring of blood pressure using the Philips Intellivue MP50 monitor cannot replace invasive blood pressure techniques in surgery patients under general anesthesia". Experimental and Therapeutic Medicine 6.1 (2013): 9-14.
Chicago
Meng, X., Zang, G., Fan, L., Zheng, L., Dai, J., Wang, X., Xia, W., Liu, J., Zhang, C."Non-invasive monitoring of blood pressure using the Philips Intellivue MP50 monitor cannot replace invasive blood pressure techniques in surgery patients under general anesthesia". Experimental and Therapeutic Medicine 6, no. 1 (2013): 9-14. https://doi.org/10.3892/etm.2013.1121
Copy and paste a formatted citation
x
Spandidos Publications style
Meng X, Zang G, Fan L, Zheng L, Dai J, Wang X, Xia W, Liu J and Zhang C: Non-invasive monitoring of blood pressure using the Philips Intellivue MP50 monitor cannot replace invasive blood pressure techniques in surgery patients under general anesthesia. Exp Ther Med 6: 9-14, 2013.
APA
Meng, X., Zang, G., Fan, L., Zheng, L., Dai, J., Wang, X. ... Zhang, C. (2013). Non-invasive monitoring of blood pressure using the Philips Intellivue MP50 monitor cannot replace invasive blood pressure techniques in surgery patients under general anesthesia. Experimental and Therapeutic Medicine, 6, 9-14. https://doi.org/10.3892/etm.2013.1121
MLA
Meng, X., Zang, G., Fan, L., Zheng, L., Dai, J., Wang, X., Xia, W., Liu, J., Zhang, C."Non-invasive monitoring of blood pressure using the Philips Intellivue MP50 monitor cannot replace invasive blood pressure techniques in surgery patients under general anesthesia". Experimental and Therapeutic Medicine 6.1 (2013): 9-14.
Chicago
Meng, X., Zang, G., Fan, L., Zheng, L., Dai, J., Wang, X., Xia, W., Liu, J., Zhang, C."Non-invasive monitoring of blood pressure using the Philips Intellivue MP50 monitor cannot replace invasive blood pressure techniques in surgery patients under general anesthesia". Experimental and Therapeutic Medicine 6, no. 1 (2013): 9-14. https://doi.org/10.3892/etm.2013.1121
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