The Accuracy of the CNAP®Device Compared with Invasive Radial Artery Measurements for Providing Continuous Noninvasive Arterial Blood Pressure Readings at a Medical Intensive Care Unit

2015 ◽  
Vol 121 (6) ◽  
pp. 1508-1516 ◽  
Author(s):  
Karl-Heinz Smolle ◽  
Martin Schmid ◽  
Helga Prettenthaler ◽  
Christian Weger
Keyword(s):  
Blood Pressure ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Arterial Blood Pressure ◽  
Radial Artery ◽  
Medical Intensive Care Unit ◽  
Arterial Blood ◽  
Medical Intensive Care

997 Nadir Mean Arterial Blood Pressure During the First Day of Admission to the Intensive Care Unit (ICU) Is Associated With ICU Mortality

2019 ◽  
Vol 114 (1) ◽  
pp. S578-S579
Author(s):  
Jennifer L. Peng ◽  
Sarah M. Russell ◽  
Hani Shamseddeen ◽  
Carla D. Kettler ◽  
Caitriona A. Buckley ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Arterial Blood Pressure ◽  
Mean Arterial Blood Pressure ◽  
Icu Mortality ◽  
Arterial Blood

Comparison of Non-Invasive Oscillometric and Intra-Arterial Blood Pressure Measurements in Children Admitted to the Pediatric Intensive Care Unit

2021 ◽  
Author(s):  
Jaswinder Kaur ◽  
Siddharth Bhargava ◽  
Puneet Aulakh Pooni ◽  
Deepak Bhat ◽  
Gurdeep S. Dhooria ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Arterial Blood Pressure ◽  
Pediatric Intensive Care ◽  
Critically Ill Children ◽  
Non Invasive ◽  
Arterial Blood ◽  
The Difference

AbstractIntra-arterial blood pressure (IABP) measurement, although considered the gold standard in critically ill children, is associated with certain risks and lacks widespread availability. This study was conducted to determine the differences and agreements between oscillometric non-invasive blood pressure (NIBP) and invasive IABP measurements in children. Inclusion criteria consisted of children (from 1 month to 18 years) admitted to the pediatric intensive care unit (PICU) of a teaching hospital who required arterial catheter insertion for blood pressure (BP) monitoring. The comparison between IABP and NIBP was studied using paired t-test, Bland–Altman analysis, and Pearson's correlation coefficient. In total, 4,447 pairs of simultaneously recorded hourly NIBP and IABP measurements were collected from 65 children. Mean differences between IABP and NIBP were −3.6 ± 12.85, −4.7 ± 9.3, and −3.12 ± 9.30 mm Hg for systolic, diastolic, and mean arterial BP, respectively (p < 0.001), with wide limits of agreement. NIBP significantly overestimated BP (p < 0.001) in all three BP states (hypotensive, normotensive, and hypertensive), except systolic blood pressure (SBP) during hypertension where IABP was significantly higher. The difference in SBP was most pronounced during hypotension. The difference in SBP was significant in children <10 years (p < 0.001), with the maximum difference being in infants. It was insignificant in adolescents (p = 0.28) and underweight children (p = 0.55). NIBP recorded significantly higher BP in all states of BP except SBP in the hypertensive state. SBP measured by NIBP tended to be the most reliable in adolescents and underweight children. NIBP was the most unreliable in infants, obese children, and during hypotension.

scholarly journals Suppression of Intensive Care Unit False Alarms based on the Arterial Blood Pressure Signal

IEEE Access ◽  
2017 ◽  
pp. 1-1 ◽  
Author(s):  
Petre Lameski ◽  
Eftim Zdravevski ◽  
Saso Koceski ◽  
Andrea Kulakov ◽  
Vladimir Trajkovik
Keyword(s):  
Blood Pressure ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Arterial Blood Pressure ◽  
False Alarms ◽  
Pressure Signal ◽  
Arterial Blood

Bradycardia and hypotension in mianserin intoxication

2010 ◽  
Vol 29 (10) ◽  
pp. 887-888 ◽  
Author(s):  
Zikret Koseoglu ◽  
Banu Kara ◽  
Salim Satar
Keyword(s):  
Blood Pressure ◽  
Adverse Effect ◽  
Intensive Care Unit ◽  
Heart Rate ◽  
Intensive Care ◽  
Side Effects ◽  
Tricyclic Antidepressants ◽  
Medical Intensive Care Unit ◽  
Cardiac Side Effects ◽  
Medical Intensive Care

Cardiotoxicity is an important adverse effect of tricyclic antidepressants. But cardiac side effects after intoxication with the tetracyclic mianserin are rare. In this paper, we describe a case in which bradycardia and hypotension occured due to mianserin overdose. A 37-year-old woman was admitted to the medical intensive care unit for self-poisoning with 30 tablets of 10 mg mianserin 2 hours before her admission. The patient denied taking any other drugs. Four hours after her admission, bradycardia and hypotension occurred and she began to suffer from giddiness. Atropine and theophylline were given. On the second and third day, her heart rate and blood pressure were normal. Based on this case, we estimate the probability of bradycardia and hypotension in mianserin intoxication and the significance of closely monitoring the patient.

scholarly journals Hydralazine use for the management of hypertensive crises in a medical intensive care unit

2021 ◽  
Vol 9 (39) ◽  
pp. 9-14
Author(s):  
Anudeeksha Satheeshkumar ◽  
Hunter Atkins ◽  
Sakolwan Suchartlikitwong ◽  
Ebtesam Islam
Keyword(s):  
Blood Pressure ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Antihypertensive Medication ◽  
Medical Intensive Care Unit ◽  
Medical Center ◽  
Uncontrolled Hypertension ◽  
Antihypertensive Medications ◽  
Medical Intensive Care ◽  
Hypertensive Crises

Background: Hypertensive crises, including emergent or urgent hypertension, are rare but life-threatening complications of uncontrolled hypertension. Hydralazine is one of several antihypertensive medications available for treatment of hypertensive crises. Major United States guidelines on hypertension recommend conservative use of hydralazine – only for situations of preeclampsia or eclampsia with pregnancy – due to significant adverse effects and unpredictability in the dose response. Methods: A retrospective chart review was conducted on patients admitted to the medical intensive care unit at University Medical Center in Lubbock, Texas, with urgent or emergent hypertension between January 1, 2017, and June 30, 2017. Demographic information - age and gender - and records of which antihypertensive medication(s) and route used were collected. Systolic blood pressure before and 2 hours after hydralazine administration - and whether it was given after an initial dose of another antihypertensive medication - was recorded. Patient comorbidities and contraindications for use were noted. Results: Thirty-five patients were included in this study (1 patient result was excluded from certain calculations due to missing data). Mean age of patients was 53.4 ± 12.5 years. Range was 22-74 years. Eight patients had initial treatment with hydralazine, and 29 out of 35 patients were given hydralazine when considering combination treatment. IV hydralazine was preferred over PO hydralazine (23 patients vs. 6 patients). Sixteen patients had comorbidities and/or contraindications for hydralazine use, but 12 patients received IV hydralazine and one patient received PO hydralazine. Conclusion: Hydralazine was not used in a guideline-directed manner in the medical intensive care unit at our hospital. Physicians should regularly evaluate patients for the presence or absence of end-organ damage concurrent with a blood pressure >180/120 mmHg before considering which antihypertensive medication to use. Hydralazine should be reserved for special situations involving pregnancy. Keywords: hydralazine, emergent hypertension, urgent hypertension, intensive medical care unit

Use of backrest elevation in critical care: a pilot study

1999 ◽  
Vol 8 (1) ◽  
pp. 475-480 ◽  
Author(s):  
MJ Grap ◽  
M Cantley ◽  
CL Munro ◽  
MC Corley
Keyword(s):  
Blood Pressure ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Arterial Blood Pressure ◽  
Mean Arterial Blood Pressure ◽  
Enteral Feeding ◽  
Flow Sheet ◽  
Ventilator Associated Pneumonia ◽  
Hemodynamic Status ◽  
Arterial Blood

BACKGROUND: Use of lower backrest positions occurs frequently and is a factor in the development of ventilator-associated pneumonia. OBJECTIVES: To determine the usual bed elevation and backrest position in a medical intensive care unit and their relationship to hemodynamic status and enteral feeding. METHODS: Data were collected in a 12-bed medical respiratory intensive care unit for 2 months. A protractor was used to measure the elevation of the head of the bed. Hemodynamic status was defined by systolic, diastolic, and mean arterial blood pressure measurements retrieved from each patient's flow sheet. RESULTS: The sample included 347 measurements of 52 patients. Mean backrest elevation was 22.9 degrees, and 86% of patients were supine. Backrest position differed significantly (P = .005) among nursing shifts (days, evenings, nights) but not for systolic (r = -0.04, P = .49), diastolic (r = 0.01, P = .83), or mean arterial blood pressure (r = -0.01, P = .84). Backrest elevation did not differ significantly between patients who were receiving enteral feedings and patients who were not (P = .23) or between patients receiving intermittent versus continuous nutrition (P = .22). CONCLUSIONS: Use of higher levels of backrest elevation (&gt; or = 30 degrees) is minimal and is not related to use of enteral feeding or to hemodynamic status. The rationale for using lower backrest positions for critically ill patients may be based on convenience, the patient's comfort, or usual patterns in the unit. However, the dangers of supine positioning and its relationship to aspiration and ventilator-associated pneumonia should not be minimized.

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