Pedersen Karen M, Butler Michael A, Ersbøll Annette K, Pedersen Henrik D
J Am Vet Med Assoc. 2002 Sep 1;221(5):646-50. doi: 10.2460/javma.2002.221.646.
To determine accuracy of an oscillometric blood pressure monitor used over a wide range of pressures in anesthetized cats.
Prospective study.
6 healthy cats.
4 female cats and 2 male cats that weighed 2.7 to 4.5 kg (5.9 to 9.9 lb) and were 2 to 8 years old were anesthetized. Blood pressure was measured directly with an arterial catheter placed in the right femoral artery and indirectly from the left antebrachium by use of an oscillometric monitor. A series of diastolic arterial pressure (DAP), mean arterial pressure (MAP), and systolic arterial pressure (SAP) measurements were obtained during hypotension, normotension, and hypertension. Values obtained indirectly and directly were compared.
The oscillometric monitor was accurate for DAP and MAP throughout the entire pressure range and met the standards of the Association for the Advancement of Medical Instrumentation (mean +/- SD difference from values obtained directly, < or = 5 +/- 8 mm Hg). The SAP was increasingly underestimated with increasing overall pressure; mean differences from direct measurements were -5.2, -12.1, and -17.7 mm Hg during hypo-, normo-, and hypertension, respectively. Standard deviations for SAP were all < or = 8 mm Hg. The monitor gave readings during all attempts. The direct blood pressure recording system appeared to perform well with neither under- nor overdamping.
Except for a minor underestimation of SAP during normo- and hypertension, the oscillometric monitor yielded reliable and easily obtainable blood pressure measurements in anesthetized cats.
确定一种示波血压监测仪在麻醉猫的广泛压力范围内使用时的准确性。
前瞻性研究。
6只健康猫。
对4只雌性猫和2只雄性猫进行麻醉,这些猫体重2.7至4.5千克(5.9至9.9磅),年龄2至8岁。通过置于右股动脉的动脉导管直接测量血压,并使用示波监测仪从左前臂间接测量血压。在低血压、正常血压和高血压期间,获取一系列舒张压(DAP)、平均动脉压(MAP)和收缩压(SAP)测量值。比较间接和直接获得的值。
示波监测仪在整个压力范围内对DAP和MAP的测量准确,符合医疗仪器促进协会的标准(与直接获得的值的平均±标准差差异,≤5±8毫米汞柱)。随着总体压力增加,SAP的低估程度越来越大;在低血压、正常血压和高血压期间,与直接测量的平均差异分别为-5.2、-12.1和-17.7毫米汞柱。SAP的标准差均≤8毫米汞柱。在所有测量尝试中,监测仪均给出读数。直接血压记录系统似乎运行良好,既无欠阻尼也无过阻尼。
除了在正常血压和高血压期间对SAP有轻微低估外,示波监测仪在麻醉猫中能产生可靠且易于获得的血压测量值。