Pediatric anesthesia & critical care

A prospective comparison of invasive and non‐invasive blood pressure in children undergoing cardiac catheterization

Paediatr AnaesthPublished Prospective observational method-comparison study

Authors' conclusion

Automated oscillometric blood pressure measurement is unreliable in anesthetized children during cardiac catheterization.

Study context

Population
Children under 16 years undergoing cardiac catheterization with GA, 3 pediatric hospitals683 paired BP values
Participants
254 participants
Exposure
Non-invasive vs invasive BP measurement
Outcome
Agreement of MAP measurements (bias >5 mmHg and SD >8 mmHg clinically significant)
Methodological detailsmulticentre, Bland-Altman analysis
  • Multicentre
  • Bland-Altman analysis

Main finding

As reported in the abstract

Agreement of MAP measurements (Bland-Altman bias, non-invasive vs invasive)

Overall bias (SD) for mean arterial pressure (MAP) values, mmHg

7.2

11.4

Observational data: associations, not effects.

Further findings

Agreement of MAP during hypotension (190 readings)

Bias (SD) during hypotension, mmHg
15 (11.0)

Agreement by age

Non-invasive MAP frequently higher than invasive MAP during infancy, and lower in older children

Original publication

A prospective comparison of invasive and non‐invasive blood pressure in children undergoing cardiac catheterization. Paediatr Anaesth. Published 30 June 2023. doi:10.1111/pan.14723

Composed by AI from the published abstract and checked against it. How Briefs are made →

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