Perioperative medicine & outcomes

Intervals for Oscillometric Arterial Pressure Monitoring during Noncardiac Surgery: The “2.5-Minute versus 5-Minute” Randomized Clinical Trial

AnesthesiologyPublished Randomised controlled trial

Primary resultResult — go to the resultEstimated location shift −1.40 × 10 −5 mmHg 95% CI −6.64 × 10 −5 to 2.93 × 10 −6

Authors' conclusion

Although oscillometric arterial pressure monitoring at 2.5-min intervals-compared to 5-min intervals-did not reduce the time-weighted average MAP less than 65 mmHg, the authors cannot exclude that monitoring at 2.5-min intervals helps reduce profound hypotension.

Study context

Population
Noncardiac surgery patients with GArandomised
Participants
264 patients
Comparison
Oscillometric arterial pressure monitoring at 2.5-min vs 5-min intervals
  • 2.5-minn = 132
  • 5-minn = 132reference
Primary endpoint
Intraoperative hypotension: time-weighted average mean arterial pressure (MAP) <65 mmHg during surgery (blinded continuous finger-cuff monitoring)
Methodological detailssingle-centre, blinded continuous finger-cuff outcome assessment
  • Single-centre
  • Blinded continuous finger-cuff outcome assessment

Primary result

As reported in the abstract

Estimated location shift

−1.40 × 10 −5 mmHg

95% CI −6.64 × 10 −5 to 2.93 × 10 −6

P = 0.27

By group

2.5-min

0.00

median · IQR 0.00–0.04 · mmHg

5-min

0.00

median · IQR 0.00–0.21 · mmHg

Secondary outcomes

≥1 1-min episode of MAP <50 mmHg

P = 0.24

Time-weighted cumulative norepinephrine indexed to body weight during surgery

P = 0.40

Original publication

Intervals for Oscillometric Arterial Pressure Monitoring during Noncardiac Surgery: The “2.5-Minute versus 5-Minute” Randomized Clinical Trial. Anesthesiology. Published 8 May 2026. doi:10.1097/aln.0000000000006140

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