Prediction of Arterial Blood Pressure in the Premature Neonate Using the Oscillometric Method FREE

John A. Wareham, MD; Larry D. Haugh, PhD; Scott B. Yeager, MD; Jeffrey D. Horbar, MD

Accepted for publication Feb 3, 1987.

Reprint requests to the Department of Pediatrics, University of Vermont, College of Medicine, Given Building, Burlington, VT 05405 (Dr Wareham).

Am J Dis Child. 1987;141(10):1108-1110. doi:10.1001/archpedi.1987.04460100086034.

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ABSTRACT

ABSTRACT | REFERENCES

• The noninvasive oscillometric measurement of blood pressure (BP) in preterm neonates has become a common practice in intensive care nurseries. The method has gained acceptance primarily through its correlation with direct arterial measurement. In this study, the oscillometric method (using Dinamap 1846) was compared with direct intraarterial BP monitoring in 15 preterm infants. The 95% prediction intervals for individual oscillometric measurements were wide, ranging from 17mm Hg for the mean BP to 20 mm Hg for the systolic and diastolic BP. The oscillometric method also underestimated intra-arterial systolic and mean BP and overestimated diastolic BP. Caution must be used when oscillometrically measuring BP in premature neonates.

(AJDC 1987;141:1108-1110)

REFERENCES

ABSTRACT | REFERENCES

Darnall RA: Noninvasive blood pressur[ill] measurement in the neonate . Clin perinat[ill] 1985;;12:31-49.

Kimble KJ, Darnall RA, Yelderman M, et a[ill] An automated oscillometric technique for est[ill] mating mean arterial pressure in critically newborns . Anesthesiology 1981;;54:423-425.

Friesen RH, Lichtor JL: Indirect measur[ill] ment of blood pressure in neonates and infant[ill] utilizing an automatic noninvasive oscillometri[ill] monitor . Anesth Analg 1981;;60:742-745.

Pellegrini-Caliumi G, Agostino R, Nada[ill] G, et al: Evaluation of an automatic oscillometri[ill] method and of various cuffs for the measureme[ill] of arterial pressure in the neonate . Acta Paedia[ill] Scand 1982;;71:791-797.

Liu K, Doyle E, Buchanan N: Oscillometr[ill] and intra-arterial blood pressure measuremen[ill] in the neonate: A comparison of methods . Au[ill] Pediatr J 1982;;18:32-34.

Colan SD, Fujii A, Brow KM, et al: Noni[ill] vasive determination of systolic, diastolic an[ill] end-systolic blood pressures in neonates, infant[ill] and young children: Comparison with centr[ill] aortic pressure measurements . Am J Cardi[ill] 1983;;52:867-870.

Pilossoff V, Schober JB, Buhlmeyer K: No[ill] invasive oscillometric measurement of systolic[ill] mean and diastolic blood pressure in infants wit[ill] congenital heart defects after operation: A com[ill] parison with direct blood pressure measure ments . Eur J Pediatr 1985;;144:324-330.

Versmold HT, Kitterman JA, Phibbs RH[ill] et al: Aortic blood pressure during the first [ill] hours of life in infants with birth weight 610-420[ill] grams . Pediatrics 1981;;67:607-613.

Resner B: Fundamentals of Biostatistic[ill] Boston, PWS Publishers, 1982;.

Bland JM, Altman DG: Statistical method[ill] for assessing agreement between two methods [ill] clinical measurement . Lancet 1986;;1:307-310.

Diprose GK, Evans DH, Archer LNJ, et a[ill] Dinamap fails to detect hypotension in very lo[ill] birthweight infants . Arch Dis Child 1986;;6[ill] 771-773.

Briassoulis G: Arterial pressure measure ment in preterm infants . Crit Care Med 1986;;14[ill] 735-738.

Wu PYK, Edwards WB, Chan LS, et a[ill] Transcutaneous bilirubinometry: Factors affect[ill] ing the correlation of TcB index and seru[ill] bilirubin . J Perinatol 1985;;5:41-48.

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