scholarly journals The accuracy of undergraduate paramedic students in measuring blood pressure: A pilot study

2014 ◽  
Vol 11 (2) ◽  
Author(s):  
Malcolm Boyle ◽  
Brett Williams ◽  
Simon Sawyer
Keyword(s):  
Blood Pressure ◽  
Pilot Study ◽  
Measurement Accuracy ◽  
Prospective Observational Study ◽  
Random Number ◽  
Study Data ◽  
Convenience Sample ◽  
Significant Difference ◽  
Random Number Table ◽  
Clinical Measures

IntroductionMeasurement of a blood pressure (BP) in the prehospital setting is one of many basic skills required of a paramedic.  Assessment of BP is also one of several clinical measures that determines the patient’s treatment and possibly the receiving hospital. The objective of this study was to determine the accuracy of undergraduate paramedic students in taking a BP in a non-clinical setting.MethodsThis was a prospective observational study using the Laerdal VitalSim mannequin with the BP volume and strength set at mid range values to test the accuracy of BP measurement.  There were 62 third year Monash University paramedic students available for the study.  We used three different BP ranges, a low, normal and high BP.  Each student was randomly assigned the first and second BP by using a random number table.  Each student was permitted one practice BP prior to the study data collection commencing.  Ethics approval was granted.ResultsA convenience sample of 26 (42%) third year undergraduate paramedic students participated.  69% were female, with 46% being between 21 and 25 years of age.  Two students, nurses, had previous BP measurement experience.  There were six, four and four students who accurately measured the high, normal and low BP respectively.  There was a statistical significant difference between the actual and student measured BP for the high systolic BP (p=0.004), normal systolic BP (p=0.023), and low systolic (p=0.019) and diastolic (p=0.004) BP.ConclusionThis pilot study has highlighted that third year Monash University paramedic student’s lack BP measurement accuracy in a non-clinical setting.  This pilot study has highlighted the need for a review of how the teaching of BP measurement is undertaken within the curriculum.

scholarly journals COMPARISON OF ANXIETY LEVEL, BLOOD PRESSURE AND PULSE PARAMETERS OF PATIENTS WITH AND WITHOUT CORONARY ANGIOGRAPHY EXPERIENCE: A CROSS-SECTIONAL STUDY

2021 ◽  
Vol 54 (1) ◽  
pp. 107-115
Author(s):  
Yasemin Altınbaş ◽  
Emine Derya Derya Ister
Keyword(s):  
Blood Pressure ◽  
Coronary Angiography ◽  
Trait Anxiety ◽  
Blood Pressure Measurement ◽  
Cross Sectional Study ◽  
Study Data ◽  
Cross Sectional ◽  
Significant Difference ◽  
State And Trait Anxiety ◽  
The Mean

Objective: The study aimed to compare state and trait anxiety, blood pressure, and heart rate of patients with and without coronary angiography experience who undergo coronary angiography intervention. Methodology: This study is cross-sectional comparative research. A total of 160 patients, including 80 patients undergo for the first time coronary angiography and 80 patients with at least one experience of coronary angiography were included in the sample of the study. In the study, data were collected using 'Patient Information Form' and 'State-Trait Anxiety Inventory', blood pressure measurement device, and pulse oximeter. Results: The mean of state anxiety scores of the patients with and without CA experience were 39.35±5.31 and 39.98±4.04, respectively; (p=0.395). The mean of trait anxiety scores of the patients with and without CA experience were 44.73±6.84 and 44.51±6.05, respectively (p=0.826).  There was no statistically significant difference observed in state and trait anxiety between two groups. Before the CA procedure, the systolic and diastolic blood pressure average of the patients with CA experience were statistically higher than those without CA experience (p<0.05). Conclusion: The anxiety levels of the patients before the CA were observed to be similar and moderate, regardless of their CA experience. It was observed that patients with CA experience before CA procedure had higher systolic and diastolic blood pressures compared to the group without experience.

Effects of different concentrations of desflurane on the index of cardiac electrophysiological balance in gynecologic surgery patients

2020 ◽  
Vol 98 (5) ◽  
pp. 332-335 ◽  
Author(s):  
Yanqiu Liu ◽  
Xiaokui Fu ◽  
Hong Gao ◽  
Yimin Ren ◽  
Huayu Li ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Operating Room ◽  
Qt Interval ◽  
Random Number ◽  
Minimum Alveolar Concentration ◽  
Gynecologic Surgery ◽  
Qtc Interval ◽  
Significant Difference ◽  
Random Number Table ◽  
Group D

The objectives were to observe the effects of different concentrations of desflurane on QT, QTc, Tp-e, Tp-e/QT, and the index of cardiac electrophysiological balance (iCEB). Sixty patients were randomly divided into group D1, group D2, and group D3 by using a random number table, 20 in each group. After entering the operating room, patients received 10 mL/kg hydroxyethyl starch, 0.1 mg/kg midazolam, 0.1 mg/kg vecuronium, 3 μg/kg fentanyl, and 0.3 mg/kg etomidate intravenously and then accepted intubation and mechanical ventilation. The desflurane evaporator was opened. The concentrations of desflurane in the D1, D2, and D3 groups were maintained at 0.6, 1.3, and 2.0 minimum alveolar concentration (MAC), respectively. Twelve-lead ECGs were recorded at time before induction (T1) and at 20 min after desflurane reached the required concentration (T2). HR and MAP were recorded measure and the QT interval, QTc interval, Tp-e interval, Tp-e/QT ratio, and iCEB were calculated. Compared with before inhalation (T1), the QTc interval was prolonged in the D1, D2, and D3 groups after inhalation of different concentrations of desflurane for 20 min (T2) (P < 0.05) and the Tp-e/QT ratio decreased in the D1 and D2 groups at T2 (P < 0.05). Compared with the D1 and D2 groups, the Tp-e/QT ratio of the D3 group increased at T2 (P < 0.05). There was no significant difference in Tp-e interval and iCEB at any time (P > 0.05). The study suggested that inhalation of desflurane at a normal concentration cannot cause arrhythmogenic characteristics and affect the cardiac electrophysiological stability.

scholarly journals Differences in brand versus generic esmolol in the treatment of perioperative supraventricular tachycardia and hypertension: A pilot study

2020 ◽  
Vol 8 ◽  
pp. 205031212096233
Author(s):  
Diamanto Aretha ◽  
Panagiotis Kiekkas ◽  
Nektarios Sioulas ◽  
Fotini Fligou
Keyword(s):  
Blood Pressure ◽  
Mean Arterial Pressure ◽  
Pilot Study ◽  
Adverse Events ◽  
Arterial Pressure ◽  
Systolic Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Supraventricular Tachycardia ◽  
Brand Name ◽  
Significant Difference

Background: Once a patent expires, generic analogue drugs are alternatives to brand name drugs. Because bioequivalence/biodistribution problems have been reported for many generic analogue drugs, we prospectively evaluated 31 patients to reveal the differences in the doses used and the efficacy and adverse events of two different intravenous esmolol formulations. Methods: This was a prospective observational pilot study. Our aim was to reveal the possible differences in the required doses between two different formulations (brand name drug vs generic analogue drug) of intravenous esmolol in beats per minute, systolic blood pressure, diastolic blood pressure and mean arterial pressure in intra- and postoperative patients with supraventricular tachycardia and hypertension. The patients were categorised into two groups according to the medication they received (brand name drug or generic analogue drug). Results: Esmolol was given to 31 patients (16 generic analogue drug and 15 brand name drug). Although there was a statistically significant difference in bolus (mg/kg) and continued (mg/kg/h) drug dose used (brand name drug/generic analogue drug, mean (standard deviation), 0.3 (0.1) vs 0.38 (0.1), p = 0.03 for bolus dose, and 0.22 (0.09) vs 0.29 (0.08) for continued dose at 10 min (p = 0.03), 0.19 (0.06) vs 0.24 (0.05) at 20 min (p = 0.01) and 0.14 (0.05) vs 0.18 (0.05) at 30 min (p = 0.02)), there were no time-related statistical significant differences in the reduction rates of the two drugs (p = 0.47). There were no time-related statistically significant differences between the two groups in systolic blood pressure, diastolic blood pressure, mean arterial pressure and beats per minute, nor in their adverse events. Conclusion: In this pilot study, smaller doses were given for controlling the patient’s haemodynamics when a brand name drug was used. Because there were no significant time-related differences in the reduction rates of the two drugs nor in any haemodynamic differences between the two groups, optimal titration of the drug used could effectively control the patient’s haemodynamics. The adverse events were also similar in both groups.

scholarly journals COMPARISON OF TREATMENT OUTCOME OF ANTIHYPERTENSIVE DRUGS IN THE MANAGEMENT OF PREGNANCY INDUCED HYPERTENSION

2017 ◽  
Vol 9 (3) ◽  
pp. 287
Author(s):  
Sivakumar Velusamy
Keyword(s):  
Blood Pressure ◽  
Treatment Outcome ◽  
Pregnancy Outcome ◽  
Prospective Observational Study ◽  
Antihypertensive Drugs ◽  
Drug Group ◽  
Pregnancy Induced Hypertension ◽  
Significant Difference ◽  
Specialty Hospital ◽  
Induced Hypertension

This study was aimed to find out the differences in the pregnancy outcome of PIH women treated with the antihypertensive drugs methyldopa and nifedipine. The prospective observational study was conducted in a multi specialty hospital at Coimbatore with 161 PIH diagnosed women. Women were categorised into the no-drug group, methyldopa group, nifedipine group and methyldopa with nifedipine group. All the women were monitored from diagnosis to delivery. The maternal and neonatal data were collected and analysed. The drugs were significantly controlled the blood pressure (BP) from base to end (P<0.001). There was no significant difference in the reduction of BP between the drugs. Cesarean delivery (>90%) and preterm delivery were high across all the groups. No significant difference was seen between these groups. The AGA (Average for gestational age) babies were significantly higher with a no-drug group (83%) and lower with nifedipine group (40%). Two women were reported with HELLP syndrome in methyldopa with nifedipine group. No significant difference was found in terms of pregnancy outcome between these groups except for eclampsia and AGA. Eclampsia was affected more with 14% in methyldopa with nifedipine group. We found similar outcomes; there were no significant changes between methyldopa, nifedipine, and the no-drug treatment. The antihypertensive drugs nifedipine and methyldopa both were significantly reduced the BP. The maternal and neonatal complications were similar between these two drugs. No beneficial effect can be identified one over another.

scholarly journals EVALUATION OF CAUSATIVE FACTORS IN AMLODIPINE INDUCED PEDAL EDEMA

2016 ◽  
Vol 8 (11) ◽  
pp. 303
Author(s):  
Kiran Shetty ◽  
Ranjan Shetty K. ◽  
Pragna Rao ◽  
Vivek G. ◽  
Naveenchandra G. S. ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Mandelic Acid ◽  
Prospective Observational Study ◽  
Serum Proteins ◽  
Causative Factor ◽  
Hypertensive Patients ◽  
Causative Factors ◽  
Significant Difference ◽  
Vanillyl Mandelic Acid ◽  
Pedal Edema

Objective: To study the edema causing factors in hypertensive, amlodipine-induced pedal edema patients.Methods: The present was a prospective, observational study. A total of one hundred and twenty-four essential hypertensive patients, of either gender attending the outpatient department of cardiology and medicine, were recruited for this study. Out of the 124 patients, 62 were of the amlodipine-induced pedal edema [AIPE] group and other 62 patients were amlodipine-treated non-edema [ATNE] group. All the patients were receiving a dosage of amlodipine 5 mg/day. All recruited patients completed the study. The present study conducted at Kasturba Hospital, Manipal.Results: The vanillyl mandelic acid (VMA) (mean±SD) 7.08±2.3 mg/24 h and 4.9±1.7 mg/24 h in AIPE and ATNE groups respectively. Blood pressure (BP) and VMA was higher in AIPE group than the ATNE group (p<0.001). Pulse rate (PR), serum proteins, creatinine, sodium, osmolality, did not show any significant difference between the two study groups.Conclusion: In essential hypertensive patients with AIPE group presented with a higher VMA level than the ATNE group. The elevated catecholamine’s possibly the causative factor for AIPE.

scholarly journals Assessing the Relationship between Digit Ratio as a Marker for Prenatal Androgen Exposure and Different Blood Pressure Components among North Indian Males: A Pilot Study

2021 ◽  
Author(s):  
Arjun Maitra ◽  
Vinita Ailani ◽  
Nitin Srivastava ◽  
Sajjan Lal Verma
Keyword(s):  
Blood Pressure ◽  
Pilot Study ◽  
Cardiovascular Diseases ◽  
Systolic Pressure ◽  
Aortic Pressure ◽  
Digit Ratio ◽  
Adult Males ◽  
Cross Sectional ◽  
Normal Limits ◽  
Significant Difference

Introduction: Digit ratio (2D:4D) has been associated with cardiovascular diseases using association with surrogate markers. Studies showing an association of digit ratio with cardiovascular parameters within normal limits are scarce. Aim: To explore the relation between different blood pressure components and digit ratio in normal young males within physiological range. Materials and Methods: In this cross-sectional pilot study, 25 apparently healthy male volunteers were included. Digit ratio (2D:4D) was measured. Body Mass Index (BMI) was estimated. Peripheral blood pressure, central aortic blood pressure and all four limb blood pressures were measured using periscope arterial health and cardiovascular analysis system. Blood pressure was measured using oscillometric method from all peripheral sites and estimated central aortic pressure by a validated transfer function. Pearson’s correlation studies were performed to assess any preliminary association. Two groups were formed of low and high digit ratio and Student’s t-test was performed to assess any significant difference between the groups. Results: Digit ratio of both hands correlated best with peripheral Diastolic Blood Pressure (DBP) (Right 2D:4D r=0.43, p<0.05/Left 2D:4D r=0.40, p<0.05). No significant association observed for peripheral systolic pressure (p>0.05) and digit ratio of both hands. Significant association observed for all four limb blood pressure components and digit ratio. Pulse pressure components did not show any association with digit ratio. Significant difference of blood pressure components was observed when low and high digit ratio groups were compared. It was observed that blood pressure components were on higher side within the normal limits among the subjects with high digit ratio. Conclusion: Preliminary observations from this pilot study suggests that in normal young adult males digit ratio associate positively with different blood pressure components in normotensive males and has the potential to be used as a potent marker for early changes in cardiovascular diseases.

scholarly journals A Pilot Study: The Efficacy of Virgin Coconut Oil as Ocular Rewetting Agent on Rabbit Eyes

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Haliza Abdul Mutalib ◽  
Sharanjeet Kaur ◽  
Ahmad Rohi Ghazali ◽  
Ng Chinn Hooi ◽  
Nor Hasanah Safie
Keyword(s):  
Pilot Study ◽  
Coconut Oil ◽  
Study Data ◽  
Eye Drops ◽  
Virgin Coconut Oil ◽  
Open Label ◽  
Palpebral Conjunctiva ◽  
Significant Difference ◽  
Measurable Parameter ◽  
Corneal Staining

Purpose. An open-label pilot study of virgin coconut oil (VCO) was conducted to determine the safety of the agent as ocular rewetting eye drops on rabbits.Methods. Efficacy of the VCO was assessed by measuring NIBUT, anterior eye assessment, corneal staining, pH, and Schirmer value before instillation and at 30 min, 60 min, and two weeks after instillation. Friedman test was used to analyse any changes in all the measurable variables over the period of time.Results. Only conjunctival redness with instillation of saline agent showed significant difference over the period of time (P<0.05). However, further statistical analysis had shown no significant difference at 30 min, 60 min, and two weeks compared to initial measurement (P>0.05). There were no changes in the NIBUT, limbal redness, palpebral conjunctiva redness, corneal staining, pH, and Schirmer value over the period of time for each agent (P>0.05).Conclusion. VCO acts as safe rewetting eye drops as it has shown no significant difference in the measurable parameter compared to commercial brand eye drops and saline. These study data suggest that VCO is safe to be used as ocular rewetting agent on human being.

Abstract 296: The Effect of Migration on Cognitive Representations, Blood Pressure Level, and Dietary Habits in African Immigrant Women

Hypertension ◽  
2012 ◽  
Vol 60 (suppl_1) ◽  
Author(s):  
Olubunmi Daramola ◽  
Magaret Scisney-Matlock
Keyword(s):  
Blood Pressure ◽  
Immigrant Women ◽  
Cognitive Representation ◽  
Convenience Sample ◽  
Cognitive Representations ◽  
Dash Diet ◽  
Increased Risk ◽  
Significant Difference ◽  
Regulation Model ◽  
The U.S

Migration has been associated with increased risk of hypertension(HTN) through stressors associated with cultural change and health behavior. Like other immigrants, women arriving in good health have experienced health declines with increased time in the U.S. The purpose of this study was to determine the effects of migration to, and residence in, the U.S. on the development and perceptions of HTN and dietary behavior (Dietary Approach to Stop Hypertension (DASH Diet)) using the Self-Regulation Model (SRM) of Leventhal et al. . This cross-sectional correlation research used two survey instruments (Women’s & Men’s hypertension Experiences & Emerging Lifestyle Survey (WHEELS) and Acculturative Stress Scale for International Students (ASSIS)) with a convenience sample of 91 Nigerian immigrant women (NIW) and a secondary data analysis of 38 African American women (AAW) from the WHEELS Study of 2008/2009 for comparison. Descriptive analysis was done on salient demographic variables for NIW and AAW. A t-test and ANOVA compared NIW and AAW and duration of residency in the U.S. with dependent variables (cognitive representations, blood pressure, and BMI). An important finding was that 63.7% (58 of 91) of NIW had BMI > 30 and 61.5% (56 of 91) had pre-HTN (SBP 120 to 139mmHg). Knowledge of HTN (HTNKNOW) and Cognitive Representation of Hypertension (CRHTN) were significantly increased in NIW by years of residency (p= .001 and .027 respectively). AAW had significantly higher HTNKNOW than NIW (p= .021). No significant differences were found for the CRHTN or Cognitive Representation of DASH Diet (CRDD) between AAW and NIW. However a significant difference was found in the CRDD dimension of perception representing knowledge ( p= .002). No differences were found in CRDD or its dimensions by years in the U.S. for NIW. An association exists between HTNKNOW and CRHTN and years of residence in the U.S., with none found with CRDD. Knowledge of the DASH diet was present in the NIW but there was no reflection of this in their BMI. There is a need to educate new immigrants of risk factors associated with HTN/CVD. A longitudinal study initiated on immigrants’ arrival in the U.S. is recommended to understand the trajectory of chronic illnesses such as hypertension.

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