Hemodynamics, fluids & transfusion

Continuous Noninvasive Blood Pressure Measurement With “ClearSight” Compared to Standard Intermittent Blood Pressure Measurement in Patients With Peripheral Arterial Disease. Are Potential Differences Influenced by Phenylephrine or Dobutamine?

J Cardiothorac Vasc AnesthPublished Secondary analysis of a randomised controlled trial

Primary result · Agreement cNIBP-CS vs iNIBP (Bland-Altman)Result — go to the resultMean bias 13 mmHg

Authors' conclusion

In this study, in patients with PAD, cNIBP-CS showed an underestimation of blood pressure compared to iNIBP in phenylephrine- and dobutamine-treated patients. Compared to previous studies, a larger bias and wider 95% LOA were found.

Study context

Population
Patients with peripheral arterial disease (PAD) undergoing percutaneous transluminal angioplasty of the lower limbs
Participants
34 patients
Comparison
Continuous noninvasive BP vs standard intermittent noninvasive BP
Primary endpoint
Agreement between continuous noninvasive BP measurement with the ClearSight system (cNIBP-CS) and standard intermittent noninvasive BP measurement (iNIBP)
Methodological detailssingle-centre
  • Single-centre

Primary result

Agreement cNIBP-CS vs iNIBP (Bland-Altman)

Mean bias

13 mmHg

As reported in the abstract

Further findings

Mean bias cNIBP-CS vs iNIBP by vasoactive medication (subgroup)

Mean bias cNIBP-CS vs iNIBP by vasoactive medication (subgroup)

Similar mean bias for phenylephrine and dobutamine

Original publication

Continuous Noninvasive Blood Pressure Measurement With “ClearSight” Compared to Standard Intermittent Blood Pressure Measurement in Patients With Peripheral Arterial Disease. Are Potential Differences Influenced by Phenylephrine or Dobutamine? J Cardiothorac Vasc Anesth. Published 10 August 2023. doi:10.1053/j.jvca.2023.08.004

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