How do we sedate children undergoing CSF opening pressure measurement? Results of a Germany-wide survey

2011 ◽  
Vol 42 (S 01) ◽  
Author(s):  
D Tibussek ◽  
F Distelmaier ◽  
S Kummer ◽  
E Mayatepek
2013 ◽  
Vol 15 (11) ◽  
pp. 839-844 ◽  
Author(s):  
Niels V. van der Hoeven ◽  
Sophie Lodestijn ◽  
Stephanie Nanninga ◽  
Gert A. van Montfrans ◽  
Bert-Jan H. van den Born

2021 ◽  
Vol 12 (1) ◽  
pp. 39-49
Author(s):  
N. A. Gogiberidze ◽  
Z. N. Sagirova ◽  
N. O. Kuznetsova ◽  
D. G. Gognieva ◽  
P. Sh. Chomakhidze ◽  
...  

The aim. To evaluate the reliability of blood pressure (BP) measurement results using a cuffless blood pressure device (CardioQVARK®) in comparison with the values obtained using the Korotkov method.Materials and methods. An observational cross-sectional study of 50 patients (25 men, mean age 60 ± 14 years) with arterial hypertension was performed. Blood pressure was measured by the Korotkov method as a standard method, and a CardioQVARK® device, made in the form of a smartphone case, was used as a new method. The device records the electrocardiogram and the photoplethysmogram. Based on the parameters of the electrocardiogram and the photoplethysmogram the systolic and diastolic blood pressure (SBP and DBP) is calculated. Correlation analysis, Student’s t-test, Bland-Altman method were used for comparing the two methods, the standard deviation of the difference and a 95% confidence interval (95% CI) were calculated.Results. There were no statistically significant differences in the mean values of SBP and DBP for the two methods. There was a strong direct relationship between SBP (r = 0.976, p < 0.0001) and DBP (r = 0.817, p < 0.0001), measured by two methods. Bias for SBP and DBP measured by the new method was: –0.5 mm Hg (95% CI: –1.7; 0.7) and –0.3 mmHg (95% CI: –1.4; 0.7), respectively. The difference in DBP measurements depended on the blood pressure level (r = 0.302, p = 0.03). The underestimation of DBP values was more pronounced for low blood pressure from 55 to 75 mm Hg. At the time of the study, 13 (26%) patients had an increase in blood pressure. The sensitivity of the new method in detecting arterial hypertension was 77% (95% CI: 46; 95), specificity 100% (95% CI: 91; 100), accuracy 94% (95% CI: 83; 99).Conclusion. The blood pressure measurement method based on the analysis of the electrocardiogram and photoplethysmogram showed reliable blood pressure measurement results in comparison with the Korotkov method.


2017 ◽  
Vol 2017 ◽  
pp. 1-9
Author(s):  
Robert Koprowski ◽  
Lei Tian

Background. Blood pulsation affects the results obtained using various medical devices in many different ways. Method. The paper proves the effect of blood pulsation on intraocular pressure measurements. Six measurements for each of the 10 healthy subjects were performed in various phases of blood pulsation. A total of 8400 corneal deformation images were recorded. The results of intraocular pressure measurements were related to the results of heartbeat phases measured with a pulse oximeter placed on the index finger of the subject’s left hand. Results. The correlation between the heartbeat phase measured with a pulse oximeter and intraocular pressure is 0.69±0.26 (p<0.05). The phase shift calculated for the maximum correlation is equal to 60±40° (p<0.05). When the moment of measuring intraocular pressure with an air-puff tonometer is not synchronized, the changes in IOP for the analysed group of subjects can vary in the range of ±2.31 mmHg (p<0.3). Conclusions. Blood pulsation has a statistically significant effect on the results of intraocular pressure measurement. For this reason, in modern ophthalmic devices, the measurement should be synchronized with the heartbeat phases. The paper proposes an additional method for synchronizing the time of pressure measurement with the blood pulsation phase.


1988 ◽  
Vol 52 (9) ◽  
pp. 519-521
Author(s):  
NK Nordstrom ◽  
S Longenecker ◽  
HL Whitacre ◽  
FM Beck

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