Correlation between invasive and noninvasive blood pressure measurements in severely burned children

Janos Cambiaso-Daniel, Victoria G. Rontoyanni, Guillermo Foncerrada, Anthony Nguyen, Karel D. Capek, Paul Wurzer, Jong O. Lee, Gabriel Hundeshagen, Charles D. Voigt, Ludwik K. Branski, Celeste C. Finnerty, David N. Herndon

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Introduction: Accurate blood pressure monitoring is essential for burn management, with the intra-arterial line method being the gold standard. Here we evaluated agreement between cuff and intra-arterial line methods. Methods: Data from burned children admitted from 1997 to 2016 were retrospectively reviewed. Simultaneously collected intra-arterial and cuff measurements were cross-matched and linear regression performed to assess agreement for systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial pressure (MAP). Results: We identified 9969 matches for SBP, DBP, and MAP in 872 patients (579 male) aged 8 ± 5 years with burns covering 52 ± 20% of the total body surface area and a hospitalization lasting 33 ± 31 days. Intra-arterial lines had a complication rate of 1%. The mean bias (95% CI) between methods was 1.3 (0.5, 2.1) mm Hg for SBP, −6.4 (−7.0, −5.7) mmHg for DBP, and −5.8 (−6.4, −5.3) mmHg for MAP. The standard deviation of the bias (95% limit of agreement) was 12.1 (−22.5, 25.1) mmHg for SBP, 9.9 (−25.8, 13.0) mmHg for DBP, and 8.7 (−22.8, 11.1) mmHg for MAP. Conclusions: Cuff measurements vary widely from those of intra-arterial lines, which have a low complication rate. Intra-arterial lines are advisable when tight control of the hemodynamic response is essential.

Original languageEnglish (US)
Pages (from-to)1787-1791
Number of pages5
JournalBurns
Volume44
Issue number7
DOIs
StatePublished - Nov 2018

Keywords

  • Arterial line
  • Critical care
  • Cuff pressure
  • Intensive care unit
  • Monitoring

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Critical Care and Intensive Care Medicine

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    Cambiaso-Daniel, J., Rontoyanni, V. G., Foncerrada, G., Nguyen, A., Capek, K. D., Wurzer, P., Lee, J. O., Hundeshagen, G., Voigt, C. D., Branski, L. K., Finnerty, C. C., & Herndon, D. N. (2018). Correlation between invasive and noninvasive blood pressure measurements in severely burned children. Burns, 44(7), 1787-1791. https://doi.org/10.1016/j.burns.2018.03.001