Hemodynamics, fluids & transfusion

Risk factors for poor performance in finger cuff non-invasive monitoring of arterial pressure: A prospective multicenter study

Anaesth Crit Care Pain MedPublished Prospective multicentre observational study

Authors' conclusion

Half of the included patients exhibited poor Clearsight™ system performance.

Study context

Population
ICU patients with an arterial catheter and stable mean arterial pressure (MAP) over a 5-min period
Participants
152 ICU patients
Exposure
Risk factors for poor performance of the Clearsight finger cuff system vs invasive arterial pressure
Outcome
Poor performance of the Clearsight system (failure to measure and display MAP or erroneous MAP, individual bias > 5 mmHg)

Main finding

As reported in the abstract

Poor performance of the Clearsight system
Adjusted odds ratio (95% CI)
PI ≤ 0.85%multivariate analysis
2.94(1.34–6.45)
CRT > 4 smultivariate analysis
5.28(1.39–20.05)
Hand edemamultivariate analysis
2.06(1.01–4.21)
Cardiac arrhythmianot associated
1.39(0.64–3.02)
Poor performance
78 (51%)
Failure to display MAP
19 (13%)
Erroneous value displayed
59 (44%)

Observational data: associations, not effects.

Original publication

Risk factors for poor performance in finger cuff non-invasive monitoring of arterial pressure: A prospective multicenter study. Anaesth Crit Care Pain Med. Published 2 December 2023. doi:10.1016/j.accpm.2023.101333

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