Cardiothoracic & vascular anesthesia
A Pilot Randomized Trial of Continuous Finger-Cuff Blood Pressure Monitoring With Hemodynamic-Guided Management Versus Oscillometric Monitoring in Open Thoracic Surgery
Authors' conclusion
In this pilot randomized trial, hemodynamic-guided management using continuous noninvasive finger-cuff monitoring was associated with reduced intraoperative hypotension and vasopressor use compared with intermittent oscillometric monitoring.
Study context
- Population
- Adults undergoing elective open thoracic surgery under GA
- Participants
- 40 adults
- Comparison
- Finger-cuff vs Oscillometric
- Primary endpoint
- Time-weighted average (TWA) of mean arterial pressure (MAP) <65 mmHg
Methodological detailspilot, single-centre
- Pilot
- Single-centre
Primary result
As reported in the abstract
TWA of hypotension
Finger-cuff
0
median · IQR 0–0
Oscillometric
0.11
median · IQR 0–0.40
P = 0.001
Further findings
Vasopressor therapy (primarily ephedrine)
P = 0.004
Incidence and duration of hypotensive episodes
- Also reduced in the finger-cuff group
Postoperative serum creatinine and cognitive outcomes
- No significant differences
Safety
- No cases of AKI or postoperative delirium
Original publication
A Pilot Randomized Trial of Continuous Finger-Cuff Blood Pressure Monitoring With Hemodynamic-Guided Management Versus Oscillometric Monitoring in Open Thoracic Surgery. J Cardiothorac Vasc Anesth. Published 1 July 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →