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测量麻醉犬直接测量的血压与使用兽医专用示波仪获得的血压读数之间的一致性水平。

Measuring the level of agreement between directly measured blood pressure and pressure readings obtained with a veterinary-specific oscillometric unit in anesthetized dogs.

作者信息

Acierno Mark J, Fauth Erika, Mitchell Mark A, da Cunha Anderson

机构信息

Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA 70803, USA.

出版信息

J Vet Emerg Crit Care (San Antonio). 2013 Jan-Feb;23(1):37-40. doi: 10.1111/vec.12011. Epub 2013 Jan 11.

Abstract

OBJECTIVE

To determine if an oscillometric device optimized for use in dogs produces systolic, diastolic, and mean arterial pressures (MAPs) measurements that are in good agreement with directly obtained pressures

DESIGN

Prospective study.

SETTING

University teaching hospital.

ANIMALS

Twenty-one dogs under general anesthesia for surgical procedures.

INTERVENTIONS

A 20-Ga catheter was placed into the dorsal pedal artery and systolic, diastolic, and MAPs were directly measured using a validated blood pressure measurement system. Indirect blood pressure measurements were collected using a widely available veterinary oscillometric blood pressure unit. Results obtained by the 2 methods were then compared.

MEASUREMENTS AND MAIN RESULTS

Agreement between the directly and indirectly measured pressure demonstrated a bias of 9.9 mm Hg and limits of agreement (LOA) 73.7 to -53.9, a bias of -8.9 mm Hg and LOA 23.3 to -41.2, and a bias of -6.3 mm Hg and LOA 28.2 to -40.8 for systolic, diastolic, and MAP, respectively.

CONCLUSIONS

There was poor agreement between the direct and indirect measured blood pressure measurement systems. Therefore, use of the oscillometric blood pressure unit evaluated in this study for monitoring patients under anesthesia cannot be recommended at this time.

摘要

目的

确定一种为犬类优化使用的示波装置所测量的收缩压、舒张压和平均动脉压(MAP)与直接测量获得的压力是否高度一致。

设计

前瞻性研究。

地点

大学教学医院。

动物

21只接受外科手术全身麻醉的犬。

干预措施

将一根20G的导管插入背侧足背动脉,使用经过验证的血压测量系统直接测量收缩压、舒张压和MAP。使用一种广泛使用的兽医示波血压计收集间接血压测量值。然后比较两种方法获得的结果。

测量与主要结果

直接测量与间接测量的压力之间的一致性显示,收缩压、舒张压和MAP的偏差分别为9.9 mmHg,一致性界限(LOA)为73.7至-53.9;偏差为-8.9 mmHg,LOA为23.3至-41.2;偏差为-6.3 mmHg,LOA为28.2至-40.8。

结论

直接测量与间接测量的血压测量系统之间一致性较差。因此,目前不推荐使用本研究中评估的示波血压计对麻醉患者进行监测。

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