Pharmacologic Control of Blood Pressure in Infants and Children

In a letter (Pediatrics 59:138, January 1977) Bailie noted that the sizes of cuffs normally available for the measurement of blood pressure in infants and children are inadequate to insure that measuremnents will accurately reflect the true arterial blood pressure. In general the use of an improperly sized cuff will lead to an overestimation of the arterial blood pressure. In recent studies,1,2 we have shown that several criteria must be fulfilled in the design of an occlusive cuff in order to insure that the indirect pressure accurately reflects the arterial pressure.

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MEASUREMENT OF BLOOD PRESSURE IN INFANTS AND CHILDREN BY THE DOPPLER ULTRASONIC TECHNIQUE

PEDIATRICS ◽

10.1542/peds.48.5.788 ◽

1971 ◽

Vol 48 (5) ◽

pp. 788-794 ◽

Cited By ~ 1

Author(s):

Antonio Hernandez ◽

David Goldring ◽

Alexis F. Hartmann ◽

Charles Crawford ◽

Gerald N. Reed

Keyword(s):

Blood Pressure ◽

Simultaneous Determination ◽

Correlation Coefficient ◽

Cardiac Catheterization ◽

Infants And Children ◽

Ultrasonic Technique ◽

Blood Pressure Determination ◽

Routine Blood ◽

In Infants And Children

Simultaneous determination of arterial pressures by the Doppler ultrasonic technique and intra-arterial measurements were done on 13 children during cardiac catheterization at the St. Louis Children's Hospital. Their ages ranged from 4 weeks to 14 years. Sixty-nine paired determinations were obtained. There was good correlation between the two methods for systolic pressures ranging from 70 to 150 mm Hg (correlation coefficient 0.945) as well as for the diastolic pressures which ranged from 36 to 73 mm Hg (correlation coefficient 0.754). The instrumentation is not elaborate; the method is simple and can be used by a physician, nurse, or nurse's aide for routine blood pressure determination in infants and children.

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371 EVALUATION OF THE PULSE ARRIVAL TIME AS A MARKER FOR BLOOD PRESSURE CHANGES IN INFANTS AND CHILDREN AFTER CARDIAC SURGERY

Pediatric Research ◽

10.1203/00006450-199407000-00371 ◽

1994 ◽

Vol 36 (1) ◽

pp. 64A-64A

Author(s):

Carl-F Wippermann ◽

Dietmar Schranz ◽

Ralph Huth ◽

Bodo-K Jungst

Keyword(s):

Blood Pressure ◽

Cardiac Surgery ◽

Arrival Time ◽

Infants And Children ◽

Pulse Arrival Time ◽

Pressure Changes ◽

Pulse Arrival ◽

In Infants And Children

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Evaluating Indirect Blood Pressure Measurement Techniques: A Comparison of Three Systems in Infants and Children

PEDIATRICS ◽

10.1542/peds.62.3.326 ◽

1978 ◽

Vol 62 (3) ◽

pp. 326-330

Author(s):

Robert F. Reder ◽

Ivan Dimich ◽

Myron L. Cohen ◽

Leonard Steinfeld

Keyword(s):

Blood Pressure ◽

Blood Pressure Measurement ◽

Measurement Techniques ◽

Infants And Children ◽

Arterial Blood ◽

Measuring Devices ◽

Blood Pressures ◽

Indirect Blood Pressure ◽

In Infants And Children ◽

Better Than

The systemic arterial blood pressures obtained in infants and children utilizing three indirect measuring devices—Arteriosonde 1010, Infrasonde 3000, Pedisphyg system—were compared to each other and to intra-arterial pressure measured directly. The results indicate that Arteriosonde performs considerably better than Infrasonde; nevertheless, the Arteriosonde values are often only approximations of true systole and diastole. The Pedisphyg system yields accurate, reproducible values for systole; however, the system is not designed to determine diastolic blood pressure.

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