Continuous Non-Invasive Arterial Pressure Assessment during Surgery to Improve Outcome
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-invasivel...
Main Authors: | , |
---|---|
Format: | Article |
Language: | English |
Published: |
Frontiers Media S.A.
2017-11-01
|
Series: | Frontiers in Medicine |
Subjects: | |
Online Access: | http://journal.frontiersin.org/article/10.3389/fmed.2017.00202/full |
id |
doaj-afae79e55b764defad18ebbda437fb39 |
---|---|
record_format |
Article |
spelling |
doaj-afae79e55b764defad18ebbda437fb392020-11-24T21:00:04ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2017-11-01410.3389/fmed.2017.00202306222Continuous Non-Invasive Arterial Pressure Assessment during Surgery to Improve OutcomeAlena Stenglova0Jan Benes1Jan Benes2Department of Anesthesiology and Intensive Care Medicine, Faculty of Medicine in Plzen, Charles University, Plzen, CzechiaDepartment of Anesthesiology and Intensive Care Medicine, Faculty of Medicine in Plzen, Charles University, Plzen, CzechiaBiomedical Centre, Faculty of Medicine in Plzen, Charles University, Plzen, CzechiaBlood 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.http://journal.frontiersin.org/article/10.3389/fmed.2017.00202/fullblood pressurenon-invasive monitoringvolume clampvascular unloadingapplanation tonometryintraoperative hypotension |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Alena Stenglova Jan Benes Jan Benes |
spellingShingle |
Alena Stenglova Jan Benes Jan Benes Continuous Non-Invasive Arterial Pressure Assessment during Surgery to Improve Outcome Frontiers in Medicine blood pressure non-invasive monitoring volume clamp vascular unloading applanation tonometry intraoperative hypotension |
author_facet |
Alena Stenglova Jan Benes Jan Benes |
author_sort |
Alena Stenglova |
title |
Continuous Non-Invasive Arterial Pressure Assessment during Surgery to Improve Outcome |
title_short |
Continuous Non-Invasive Arterial Pressure Assessment during Surgery to Improve Outcome |
title_full |
Continuous Non-Invasive Arterial Pressure Assessment during Surgery to Improve Outcome |
title_fullStr |
Continuous Non-Invasive Arterial Pressure Assessment during Surgery to Improve Outcome |
title_full_unstemmed |
Continuous Non-Invasive Arterial Pressure Assessment during Surgery to Improve Outcome |
title_sort |
continuous non-invasive arterial pressure assessment during surgery to improve outcome |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Medicine |
issn |
2296-858X |
publishDate |
2017-11-01 |
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. |
topic |
blood pressure non-invasive monitoring volume clamp vascular unloading applanation tonometry intraoperative hypotension |
url |
http://journal.frontiersin.org/article/10.3389/fmed.2017.00202/full |
work_keys_str_mv |
AT alenastenglova continuousnoninvasivearterialpressureassessmentduringsurgerytoimproveoutcome AT janbenes continuousnoninvasivearterialpressureassessmentduringsurgerytoimproveoutcome AT janbenes continuousnoninvasivearterialpressureassessmentduringsurgerytoimproveoutcome |
_version_ |
1716780409319063552 |