Cardiothoracic & vascular anesthesia

Comparison of the ClearSight™ finger cuff monitor versus invasive arterial blood pressure measurement in elective cardiac surgery patients: a prospective observational study

Can J AnaesthPublished Prospective observational study

Authors' conclusion

In this prospective observational study, we did not find the ClearSight system to be an acceptable substitute for invasive arterial blood pressure measurement in elective cardiac surgery patients according to AAMI guidelines.

Study context

Population
Patients undergoing elective cardiac surgery
Participants
30 patients
Exposure
ClearSight finger cuff vs invasive arterial BP measurement
Outcome
Agreement of ClearSight with invasive arterial BP (AAMI recommendations: fixed bias, percentage error, interchangeability)
Follow-up
Intraoperatively
Methodological detailsmethod-comparison, Association for the Advancement of Medical Instrumentation (AAMI) agreement criteria
  • Method-comparison
  • AAMI agreement criteria

Main finding

As reported in the abstract

Agreement ClearSight vs arterial line

Mean difference

8.7

P < 0.001

Systolic blood pressure (SBP); fixed bias

Mean difference

−2.2

P < 0.001

Diastolic blood pressure (DBP); fixed bias

Mean difference

−0.5

P < 0.001

Mean arterial pressure (MAP); no fixed bias

Average interchangeability rate, SBP
38%
Average interchangeability rate, DBP
50%
Average interchangeability rate, MAP
50%

Observational data: associations, not effects.

Further findings

Time to place monitor · significantly faster; paired samples t test

P < 0.001

Original publication

Comparison of the ClearSight™ finger cuff monitor versus invasive arterial blood pressure measurement in elective cardiac surgery patients: a prospective observational study. Can J Anaesth. Published 24 September 2024. doi:10.1007/s12630-024-02834-x

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