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Feasibility of continuous non-invasive finger blood pressure monitoring in adult patients admitted to an intensive care unit

Authors :
Schuurmans, Jaap
van Nieuw Amerongen, Arthur Rutger
Terwindt, Lotte Elisabeth
Schenk, Jimmy
Veelo, Denise Petra
Vlaar, Alexander Petrus Johannes
van der Ster, Björn Jacob Petrus
Graduate School
Intensive Care Medicine
ACS - Amsterdam Cardiovascular Sciences
Nursing
ACS - Heart failure & arrhythmias
APH - Methodology
APH - Quality of Care
Anesthesiology
ACS - Diabetes & metabolism
APH - Digital Health
APH - Personalized Medicine
ACS - Microcirculation
AII - Inflammatory diseases
Source :
Heart & lung, 61, 51-58. Mosby Inc.
Publication Year :
2023

Abstract

Background: Arterial catheters are often used for blood pressure monitoring in the intensive care unit (ICU), but they can cause complications. Non-invasive continuous finger blood pressure monitors could serve as an alternative. However, failure to obtain finger blood pressure signals is reported in up to 12% of ICU patients. Objectives: Our primary objective was to identify the success rate of finger blood pressure monitoring in ICU patients. Secondary objectives were to assess whether patient admission characteristics could be used to identify patients unsuitable for non-invasive blood pressure monitoring and to determine the quality of non-invasive blood pressure waveforms. Methods: Retrospective observational study conducted in a cohort of 499 ICU patients. When available, the signal quality of the first hour of finger measurement was determined using an open-source waveform algorithm. Results: Finger blood pressure signals were obtained in 94% of patients. These patients had a high quality blood pressure waveform for 84% of the measurement time. Patients without a finger blood pressure signal significantly more frequently had a history of kidney and vascular disease, were more often treated with inotropic agents, had lower hemoglobin levels, and had higher arterial lactate levels. Conclusions: Finger blood pressure signals were obtained in nearly all ICU patients. Significant differences in baseline characteristics between patients with and without finger blood pressure signals were found, but they were not clinically relevant. The characteristics studied could therefore not be used to identify patients unsuitable for finger blood pressure monitoring.

Details

Language :
English
ISSN :
01479563
Volume :
61
Database :
OpenAIRE
Journal :
Heart & lung
Accession number :
edsair.doi.dedup.....1874cb6953d93f336a5f322f81cae596