A Comparative Study of the Measurement of Mean Arterial Blood Pressure Using Automatic Oscillometers, Arterial Cannulation and Auscultation
Abstract
Mean brachial artery pressures determined by five different non-invasive automatic oscillometric and one auscultatory preferred (oscillometric back-up) blood pressure (BP) monitors were compared with mean arterial pressures (MAP) obtained by cannulation of the radial artery of the same arm. The devices tested all performed similarly, showing a wide range of variation (+40% to −29%) compared with the directly measured MAP, and all tended to over-read at low values and under-read at high values. Trend information was generally acceptable, but occasionally was misleading. In addition, using one of the devices, systolic and diastolic blood pressure measurements were compared with those obtained by auscultation. This gives a range of differences from +22 to −25 mmHg for systolic and +20 to −12 mmHg for diastolic BP measurements. (The average fell within 1.0 mmHg of the auscultatory measurement, with a standard deviation of 10 mmHg.) Thus, the automatic oscillometric BP monitors tested were comparable in accuracy to auscultatory BP measurement, and are satisfactory for routine use in the appropriate clinical context. However, in settings where significance is to be attached to individual BP readings rather than to trends, or where a high degree of accuracy is required, automatic oscillometric machines cannot be regarded as satisfactory alternatives to arterial cannulation.
References
1. Amaranath L., Burke P., Kreul J., Kirilcuk F., Gravenstein J.S. Why monitor? In: Gravenslein J.S., Newbower R.S., Ream A.K., Smith N.T., Barden J eds. Monitoring Surgical Patients in the Operating Room. Thomas, Springfield 1979.
2. Van Bergen F.H., Weatherhead D.S., Treloar A.E., Doblein A.B., Buckley J.J. Comparison of indirect and direct methods of measuring arterial blood pressure. Circulation 1954; 10: 481–490.
3. Berliner K., Fujiy H., Ho Lee D., Yildiz M., Gamier B. The accuracy of blood pressure determinations. A comparison of direct and indirect measurements. Cardiologia 1960; 37: 118–128.
4. Cohn J.N. Blood pressure measurement in shock. JAMA 1967; 199: 972–976.
5. Geddes L.A. The direct and indirect measurement of blood pressure. Year Book Medical Publishers Inc, Chicago 1970; 46–66.
6. Runciman W.B., Rutten A.J., Ilsley A.H. An evaluation of blood pressure measurement. Anaesth Intens Care 1981; 9: 314–325.
7. Gardner R.M. Direct blood pressure measurement — dynamic response requirements. Anesthesiology 1981; 54: 227–236.
8. Ramsey M. Non-invasive automatic determination of mean arterial pressure. Med Biol Eng Comput 1979; 17: 11–18.
9. Gravlee G.P., Pauca A.L., Cordell A.R., Mills S.A., Hudspeth A.S. Comparison of brachial, radial and aortic arterial pressure monitoring during cardiac surgery. Anesthesiology 1984; 61, 3A: A69.
10. Sy W.P. Ulnar nerve palsy possibly related to use of automatically cycled blood pressure cuff. Anesthesia and Analgesia 1981; 60: 687–688.
11. Hutton P., Dye J., Prys-Roberts C. An assessment of the Dinamap 845. Anaesthesia 1984; 39: 261–267.
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Article first published: February 1986
Issue published: February 1986
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PubMed: 3954015
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