Hemodynamics, fluids & transfusion

Noninvasive Monitoring of Arterial Pressure: Finger or Lower Leg As Alternatives to the Upper Arm: A Prospective Study in Three ICUs

Crit Care MedPublished Prospective observational study

Authors' conclusion

As compared with lower leg measurements of AP, finger measurements were, when possible, a preferable alternative to upper arm ones.

Study context

Population
ICU patients with an arterial catheter and arm circumference <42 cm130 analysed
Participants
130 patients
Exposure
Lower leg vs Finger vs Upper
Outcome
Agreement for mean AP (bias)
Methodological detailsmulticentre, Three ICUs
  • Multicentre
  • Three ICUs

Main finding

As reported in the abstract

P < 0.05

Observational data: associations, not effects.

Further findings

Measurements with no error-associated clinical risk — Lower leg vs Upper arm or Finger

P < 0.0001

OutcomeLower legFingerUpper
Failure to measure and display AP— not stated in the abstract13%— not stated in the abstract

— not stated in the abstract

Failure to measure and display arterial pressure (AP)

Never at other sites

Trending ability after a cardiovascular intervention (concordance rate for change in mean AP, detection of therapy-induced change)

Good and similar at the three sites
  • 33 patients reassessed

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Noninvasive Monitoring of Arterial Pressure: Finger or Lower Leg As Alternatives to the Upper Arm: A Prospective Study in Three ICUs. Crit Care Med. Published 26 May 2023. doi:10.1097/ccm.0000000000005945

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

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