Hemodynamics, fluids & transfusion

Continuous Finger-cuff versus Intermittent Oscillometric Arterial Pressure Monitoring and Hypotension during Induction of Anesthesia and Noncardiac Surgery: The DETECT Randomized Trial

AnesthesiologyPublished Randomised controlled trial

Primary result · Area under a MAP of 65 mmHg within 15 min after starting induction (first primary endpoint)Result — go to the resultEstimated location shift −6 mmHg × min 95% CI −15 to −0.3

Authors' conclusion

Continuous finger-cuff arterial pressure monitoring helps clinicians reduce hypotension within 15 min after starting induction of anesthesia and during noncardiac surgery compared to intermittent oscillometric arterial pressure monitoring.

Study context

Population
Noncardiac surgery patientsrandomized
Participants
242 patients
Comparison
Continuous finger-cuff vs Intermittent oscillometric
Primary endpoint
First (hierarchical):
  1. Area under a MAP of 65 mmHg within 15 min after starting induction of anesthesia
  2. Second: time-weighted average MAP <65 mmHg during surgery
Methodological detailssingle-centre, hierarchical primary endpoints
  • Single-centre
  • Hierarchical primary endpoints

Primary result

As reported in the abstract

Area under a MAP of 65 mmHg within 15 min after starting induction (first primary endpoint) · within 15 min after starting induction

Estimated location shift

−6 mmHg × min

95% CI −15 to −0.3

P = 0.004

By group

Further findings

Time-weighted average MAP <65 mmHg during surgery (second primary endpoint) · second hierarchical primary endpoint

estimated location shift (mmHg) −0.17 (−0.41 to −0.05) · P < 0.001

Patients analysed Continuous finger-cuff 112 · Intermittent oscillometric 115

Original publication

Continuous Finger-cuff versus Intermittent Oscillometric Arterial Pressure Monitoring and Hypotension during Induction of Anesthesia and Noncardiac Surgery: The DETECT Randomized Trial. Anesthesiology. Published 2 June 2023. doi:10.1097/aln.0000000000004629

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

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