Continuous Non-Invasive Arterial Pressure Assessment during Surgery to Improve Outcome

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11140%2F17%3A10365300" target="_blank" >RIV/00216208:11140/17:10365300 - isvavai.cz</a>

Result on the web

<a href="http://dx.doi.org/10.3389/fmed.2017.00202" target="_blank" >http://dx.doi.org/10.3389/fmed.2017.00202</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.3389/fmed.2017.00202" target="_blank" >10.3389/fmed.2017.00202</a>

Result language

angličtina

Original language name

Continuous Non-Invasive Arterial Pressure Assessment during Surgery to Improve Outcome

Original language description

Blood pressure (BP) is one of the most important variables evaluated during almost every medical examination. Most national anesthesiology societies recommend BP monitoring at least once every 5 min in anesthetized subjects undergoing surgical procedures. In most cases, BP is monitored non-invasively using oscillometric cuffs. Although the risk of arterial cannulation is not very high, the invasive BP monitoring is usually indicated only in the case of high-risk patients or in complex surgical procedures. However, recent evidence points out that when using intermittent BP monitoring short periods of hypotension may be overlooked. In addition, large datasets have demonstrated that even short periods of low BP (or their cumulative duration) may have a detrimental impact on the development of postoperative outcome including increased risk of acute kidney or myocardial injury development. Recently marketed continuous non-invasive blood pressure monitoring tools may help us to recognize the BP fluctuation without the associated burden of arterial cannulation filling the gap between intermittent non-invasive cuff and continuous invasive arterial pressure. Among others, several novel devices based either on volume clamp/vascular unloading method or on applanation tonometry are nowadays available. Moreover, several near-future smart technologies may lead to better hypotension recognition or even prediction potentially improving our ability to maintain BP stability throughout the anesthesia or surgical procedure. In this review, novel or emerging technologies of non-invasive continuous blood pressure assessment and their potential to improve postoperative outcome are discussed.

Czech name

—

Czech description

—

Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30223 - Anaesthesiology

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Frontiers in Medicine [online]

ISSN

2296-858X

e-ISSN

—

Volume of the periodical

4

Issue of the periodical within the volume

November

Country of publishing house

CH - SWITZERLAND

Number of pages

8

Pages from-to

—

UT code for WoS article

000415604300001

EID of the result in the Scopus database

—