Arterial tonometry for noninvasive, continuous blood pressure monitoring during anesthesia.

Abstract:

:Arterial tonometry is a technique used to measure arterial blood pressure noninvasively. The authors developed a new tonometer system containing an array of 15 piezoresistive pressure transducers, a mechanical positioning system, signal conditioning and multiplexing electronics, and a display and control console. The authors evaluated the accuracy, reliability, and clinical acceptability of this system by comparing tonometric blood pressure measurements with intraarterial blood pressure measurements in 60 anesthetized patients. Blood pressure was measured intraarterially in either the right or left radial artery by a Gould P23XL calibrated transducer, whereas blood pressure was measured by tonometer at the radial artery of the other arm. The tonometric waveform was similar to the intraarterial waveform. Simultaneous tonometer and intraarterial systolic blood pressures of the 60 patients (3,036 data sets) had an overall regression coefficient, r = 0.97, and an equation, regression equation = 0.95X + 5.8. Similar values were obtained for mean and diastolic pressures. Regression analyses of the paired tonometric and intraarterial blood pressure values showed good correlations in both sexes and in ages ranging from 8 to 82 yr (r = 0.94-0.97). Mean absolute values of error (precision) for the systolic, mean, and diastolic measurements did not differ significantly among the five systolic, five mean, and four diastolic pressure groups and ranged from 3.6 to 6.6 mmHg, with negligible bias, with intraarterial pressure used as the reference. Bias for the various pressure groups was small: -0.9-3.6 mmHg for systolic; -3.0-0.7 mmHg for mean; and -2.1-4.5 mmHg for diastolic. The "limits of agreement" (mean difference +/- two standard deviations) were within an acceptable range for clinical anesthesia.(ABSTRACT TRUNCATED AT 250 WORDS)

journal_name

Anesthesiology

journal_title

Anesthesiology

authors

Kemmotsu O,Ueda M,Otsuka H,Yamamura T,Winter DC,Eckerle JS

doi

10.1097/00000542-199108000-00023

subject

Has Abstract

pub_date

1991-08-01 00:00:00

pages

333-40

issue

2

eissn

0003-3022

issn

1528-1175

journal_volume

75

pub_type

杂志文章
  • Direct assessments of the antioxidant effects of propofol medium chain triglyceride/long chain triglyceride on the brain of stroke-prone spontaneously hypertensive rats using electron spin resonance spectroscopy.

    abstract:BACKGROUND:Antioxidant anesthetics such as propofol (2,6-diisopropylphenol) directly inhibit lipid peroxidation via the generation of reactive oxygen species. Currently, there are no other studies regarding the direct effects of propofol medium chain triglyceride/long chain triglyceride (MCT/LCT) on reactive oxygen spe...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e318182a903

    authors: Kobayashi K,Yoshino F,Takahashi SS,Todoki K,Maehata Y,Komatsu T,Yoshida K,Lee MC

    更新日期:2008-09-01 00:00:00

  • Isoflurane depresses membrane currents associated with contraction in myocytes isolated from guinea-pig ventricle.

    abstract::The influence of isoflurane on membrane currents, action potentials, and contraction was investigated in single cells isolated from guinea-pig ventricle. Isoflurane (1.65-4.45%) reduced the action potential duration at 20% and 90% repolarization times. When step depolarizations were applied under voltage-clamp conditi...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198811000-00017

    authors: Terrar DA,Victory JG

    更新日期:1988-11-01 00:00:00

  • Binding of thiopental to plasma proteins: effects on distribution in the brain and heart.

    abstract::Thiopental-14C (30 mg and 10 muCi/kg) was injected intravenously into rats 36-48 hours following bilateral nephrectomy and one minute after pretreatment with sulfadimethoxine (30 mg/kg, iv). Control groups of normal and sham-operated animals were used. The distributions of radioactivity in plasma, brain, and heart 1, ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-197612000-00008

    authors: Ghoneim MM,Pandya HB,Kelley SE,Fischer LJ,Corry RJ

    更新日期:1976-12-01 00:00:00

  • Lumbosacral cerebrospinal fluid volume is the primary determinant of sensory block extent and duration during spinal anesthesia.

    abstract:UNLABELLED:BACKGROUND. Injection of local anesthetic into cerebrospinal fluid (CSF) produces anesthesia of unpredictable extent and duration. Although many factors have been identified that affect the extent of spinal anesthesia, correlations are relatively poor and the extent of spread remains unpredictable. This stud...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199807000-00007

    authors: Carpenter RL,Hogan QH,Liu SS,Crane B,Moore J

    更新日期:1998-07-01 00:00:00

  • Adsorption characteristics of volatile anesthetics on activated carbons and performance of carbon canisters.

    abstract::The adsorption characteristics, such as the adsorption capacity, the nature of the mass transfer zone, and heats of adsorption, are important for evaluating the performances of carbon canisters for removal of waste anesthetic vapors. The adsorption capacities and the natures of the mass transfer zones were measured fo...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-197703000-00001

    authors: Kim BM,Sircar S

    更新日期:1977-03-01 00:00:00

  • Regional differences in left ventricular wall motion in the anesthetized dog.

    abstract::Data regarding left ventricular function suggest that the extent of shortening may differ between regions. This study was undertaken to determine the effects of negative inotropic drugs used during anesthesia on different areas of the left ventricle. Forty mongrel dogs were anesthetized and instrumented for measuremen...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198901000-00017

    authors: Diedericks J,Leone BJ,Foëx P

    更新日期:1989-01-01 00:00:00

  • Intrathecal adenosine: interactions with spinal clonidine and neostigmine in rat models of acute nociception and postoperative hypersensitivity.

    abstract:BACKGROUND:Spinal adenosine receptor agonists exert antinociception in animal models of acute and chronic pain, but adenosine itself has not been examined. The authors tested the antinociceptive and antihypersensitivity interactions of intrathecal adenosine and its interactions with intrathecal clonidine and neostigmin...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199905000-00026

    authors: Chiari AI,Eisenach JC

    更新日期:1999-05-01 00:00:00

  • Developmental effects of neonatal isoflurane and sevoflurane exposure in rats.

    abstract:BACKGROUND:The general anesthetics, isoflurane and sevoflurane, cause developmental abnormalities in neonatal animal models via incompletely understood mechanisms. Despite many common molecular targets, isoflurane and sevoflurane exhibit substantial differences in their actions. The authors sought to determine whether ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e318291c04e

    authors: Seubert CN,Zhu W,Pavlinec C,Gravenstein N,Martynyuk AE

    更新日期:2013-08-01 00:00:00

  • A single subanesthetic dose of ketamine relieves depression-like behaviors induced by neuropathic pain in rats.

    abstract:BACKGROUND:Chronic pain is associated with depression. In rodents, pain is often assessed by sensory hypersensitivity, which does not sufficiently measure affective responses. Low-dose ketamine has been used to treat both pain and depression, but it is not clear whether ketamine can relieve depression associated with c...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e31822f16ae

    authors: Wang J,Goffer Y,Xu D,Tukey DS,Shamir DB,Eberle SE,Zou AH,Blanck TJ,Ziff EB

    更新日期:2011-10-01 00:00:00

  • Ultra-long-duration local anesthesia produced by injection of lecithin-coated methoxyflurane microdroplets.

    abstract::This study was designed to evaluate a new drug delivery system. The authors undertook to determine if microdroplets prepared by encapsulating volatile anesthetics with a membrane of lecithin could be used for local anesthesia. Local anesthesia was determined by monitoring the response of the rat to tail clamping and e...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198511000-00004

    authors: Haynes DH,Kirkpatrick AF

    更新日期:1985-11-01 00:00:00

  • Sub-Tenon anesthesia: a prospective study of 6,000 blocks.

    abstract:BACKGROUND:An initial pilot study of 300 sub-Tenon local anesthetic blocks (STBs) for intraocular surgery established the effectiveness and patient acceptability of the technique. Following this, a decision was made in 1995 to change from sharp needle techniques to STB for all eye surgeries performed during local anest...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章

    doi:10.1097/00000542-200304000-00025

    authors: Guise PA

    更新日期:2003-04-01 00:00:00

  • The effects of halothane on voltage-dependent calcium channels in isolated Langendorff-perfused rat heart.

    abstract:BACKGROUND:Halothane has been previously shown in vitro to decrease both the inward calcium current in isolated cells and the density of calcium antagonist binding sites in cardiac sarcolemmal membranes prepared from several species, including humans, presumably contributing to the negative inotropic effects seen with ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199411000-00015

    authors: Lee DL,Zhang J,Blanck TJ

    更新日期:1994-11-01 00:00:00

  • Adaptive support ventilation: an appropriate mechanical ventilation strategy for acute respiratory distress syndrome?

    abstract:BACKGROUND:Adaptive support ventilation (ASV) allows the clinician to set a maximum plateau pressure (PP) and automatically adjusts tidal volume to keep PP below the set maximum. METHODS:ASV was compared to a fixed tidal volume of 6 ml/kg. ASV determined the respiratory rate and tidal volume based on its algorithms. M...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3181b55f8f

    authors: Sulemanji D,Marchese A,Garbarini P,Wysocki M,Kacmarek RM

    更新日期:2009-10-01 00:00:00

  • Bicitra (sodium citrate) and metoclopramide in outpatient anesthesia for prophylaxis against aspiration pneumonitis.

    abstract::To evaluate the effect of Bicitra (Willen Drug Company, Baltimore, Maryland), a commercial preparation of sodium citrate and metoclopramide, on gastric contents 150 elective outpatients allocated into six groups with 25 patients in each group were studied. Patients in Group 1 served as controls. Patients in Groups 2, ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198510000-00006

    authors: Manchikanti L,Grow JB,Colliver JA,Hadley CH,Hohlbein LJ

    更新日期:1985-10-01 00:00:00

  • Relationship between invasive and noninvasive measurements of gas exchange in anesthetized infants and children.

    abstract::Minute ventilation (VE), tidal volume (VT), carbon dioxide elimination (VCO2), and end-tidal (PETCO2) and arterial CO2 tensions (PaCO2) were measured in 39 anesthetized infants and children with body weights ranging from 3.1 to 31 kg. Eighteen children had normal cardiopulmonary function, seven had acyanotic congenita...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198702000-00010

    authors: Lindahl SG,Yates AP,Hatch DJ

    更新日期:1987-02-01 00:00:00

  • Effect of low-dose droperidol on the QT interval during and after general anesthesia: a placebo-controlled study.

    abstract:BACKGROUND:Since the effects of antiemetic doses of droperidol on the QT interval have not been previously studied, the authors designed a randomized, double-blind, placebo-controlled study to evaluate the intraoperative and postoperative effects of small-dose droperidol (0.625 and 1.25 mg intravenous) on the QT interv...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200506000-00007

    authors: White PF,Song D,Abrao J,Klein KW,Navarette B

    更新日期:2005-06-01 00:00:00

  • Caudal epidural morphine for control of pain following open heart surgery in children.

    abstract::The safety and efficacy of epidural morphine injected into the caudal space for control of postoperative pain following open cardiac surgery in children was studied. Thirty-two children between the ages of 2-12 yr for whom early postoperative tracheal extubation was anticipated were randomly assigned to control and st...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-198903000-00009

    authors: Rosen KR,Rosen DA

    更新日期:1989-03-01 00:00:00

  • Separate lung blood flow in anesthetized dogs: a comparative study between electromagnetometry and SF6 and CO2 elimination.

    abstract::Anesthetized, prone dogs were intubated with a double-lumen endobronchial tube, and the lungs were ventilated independently. Three methods of recording differential blood flow were compared during unilateral lung hypoxia: electromagnetic flow measurement, flow probes being fitted onto each main pulmonary artery after ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198708000-00015

    authors: Carlsson AJ,Hedenstierna G,Blomqvist H,Strandberg A

    更新日期:1987-08-01 00:00:00

  • Cerebrovascular and cerebral metabolic effects of N2O in unrestrained rats.

    abstract::There is controversy about whether N2O increases cerebral blood flow and cortical oxygen consumption (CMRO2) in rats. Cortical and subcortical blood flow and CMRO2 were measured in awake, unrestrained rats while awake and during 70% N2O administration using radioactive microspheres. In the awake state, cortical and su...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199008000-00014

    authors: Baughman VL,Hoffman WE,Miletich DJ,Albrecht RF

    更新日期:1990-08-01 00:00:00

  • Positive inotropic and lusitropic effects of triiodothyronine in conscious dogs with pacing-induced cardiomyopathy.

    abstract:BACKGROUND:The effects of triiodothyronine (T3) on systemic hemodynamics, myocardial contractility (preload recruitable stroke work slope; Mw), and left ventricular (LV) isovolumic relaxation (time constant; tau) were examined before and after the development of pacing-induced cardiomyopathy in conscious dogs. METHODS...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199707000-00014

    authors: Jamall IN,Pagel PS,Hettrick DA,Lowe D,Kersten JR,Tessmer JP,Warltier DC

    更新日期:1997-07-01 00:00:00

  • Disuse atrophy with resistance to pancuronium.

    abstract::To determine whether disuse atrophy of skeletal muscle results in resistance to pancuronium, the dose response to pancuronium was determined simultaneously in both gastrocnemius muscles of six dogs that had one hind limb immobilized in a plaster cast for one month. Muscle responses were evoked during pentobarbital-nit...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198111000-00012

    authors: Gronert GA

    更新日期:1981-11-01 00:00:00

  • Adrenergic vasoconstriction in peripheral nerves of the rabbit.

    abstract::The blood flow in the sciatic nerve of the rabbit was estimated from the wash out of intraneurally injected 133Xe. To avoid diffusion of the tracer into the surrounding muscular tissue, the nerve was covered by a gas-tight plastic film. Using this technique, the basal blood flow in the sciatic nerve was estimated to 3...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198501000-00002

    authors: Selander D,Månsson LG,Karlsson L,Svanvik J

    更新日期:1985-01-01 00:00:00

  • Pharmacokinetics, neuromuscular effects, and biodisposition of 3-desacetylvecuronium (Org 7268) in cats.

    abstract::The pharmacokinetics, biodisposition, and neuromuscular blocking properties of 3-desacetylvecuronium were studied in 17 adult cats. Animals were divided into three groups: five cats with kidney failure induced by bilateral ligation of the renal pedicles, six cats with galactosamine-induced fulminant hepatitis, and six...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199106000-00013

    authors: Segredo V,Shin YS,Sharma ML,Gruenke LD,Caldwell JE,Khuenl-Brady KS,Agoston S,Miller RD

    更新日期:1991-06-01 00:00:00

  • Enhanced cerebral blood flow autoregulation in the newborn piglet by d-tubocurarine and pancuronium but not by vecuronium.

    abstract::Neuromuscular blockers may affect cerebral blood flow (CBF) regulation in the newborn. We studied the effects of d-tubocurarine (0.1 mg.kg-1, n = 8), pancuronium (0.1 and 0.4 mg.kg-1, n = 6 and 7), and vecuronium (0.1 and 0.4 mg.kg-1, n = 6 and 7) on CBF measured over the same range of mean systemic blood pressure ([B...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199202000-00013

    authors: Chemtob S,Barna T,Beharry K,Aranda JV,Varma DR

    更新日期:1992-02-01 00:00:00

  • Effects of combining propofol and alfentanil on ventilation, analgesia, sedation, and emesis in human volunteers.

    abstract:BACKGROUND:Propofol and alfentanil frequently are administered together for intravenous sedation. This study investigated pharmacokinetic and pharmacodynamic interactions between propofol and alfentanil, at sedative concentrations, with specific regard to effects on ventilation, analgesia, sedation, and nausea. METHOD...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199601000-00004

    authors: Pavlin DJ,Coda B,Shen DD,Tschanz J,Nguyen Q,Schaffer R,Donaldson G,Jacobson RC,Chapman CR

    更新日期:1996-01-01 00:00:00

  • Cerebral and systemic effects of hypotension induced by adenosine or ATP in dogs.

    abstract::The authors evaluated the systemic and cerebral hemodynamic and metabolic effects of 1 h of hypotension to a mean arterial pressure of either 50 mmHg or 40 mmHg induced by intravenous adenosine or ATP in dogs maintained on 70% nitrous oxide and 0.1% halothane. Following the hypotensive period, brain biopsy specimens w...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198504000-00010

    authors: Newberg LA,Milde JH,Michenfelder JD

    更新日期:1985-04-01 00:00:00

  • Benefit versus Severe Side Effects of Opioid Analgesia: Novel Utility Functions of Probability of Analgesia and Respiratory Depression.

    abstract:BACKGROUND:Previous studies integrated opioid benefit and harm into one single function-the utility function-to determine the drug toxicity (respiratory depression) in light of its wanted effect (analgesia). This study further refined the concept of the utility function using the respiratory and analgesic effects of th...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000002138

    authors: Roozekrans M,van der Schrier R,Aarts L,Sarton E,van Velzen M,Niesters M,Dahan A,Olofsen E

    更新日期:2018-05-01 00:00:00

  • The neurologic and adaptive capacity score is not a reliable method of newborn evaluation.

    abstract:BACKGROUND:The Neurologic and Adaptive Capacity Score (NACS) is a multi-item scale that was published in 1982 to measure the effects of intrapartum drugs on the neonate. Although this scoring system has been widely used in obstetric anesthesia research, studies confirming its reliability have not been published. The pu...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章

    doi:10.1097/00000542-200106000-00007

    authors: Halpern SH,Littleford JA,Brockhurst NJ,Youngs PJ,Malik N,Owen HC

    更新日期:2001-06-01 00:00:00

  • Isoflurane postconditioning protects against reperfusion injury by preventing mitochondrial permeability transition by an endothelial nitric oxide synthase-dependent mechanism.

    abstract:BACKGROUND:The role of endothelial nitric oxide synthase (eNOS) in isoflurane postconditioning (IsoPC)-elicited cardioprotection is poorly understood. The authors addressed this issue using eNOS mice. METHODS:In vivo or Langendorff-perfused mouse hearts underwent 30 min of ischemia followed by 2 h of reperfusion in th...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3181c4a607

    authors: Ge ZD,Pravdic D,Bienengraeber M,Pratt PF Jr,Auchampach JA,Gross GJ,Kersten JR,Warltier DC

    更新日期:2010-01-01 00:00:00

  • Halothane and isoflurane alter the Ca2+ binding properties of calmodulin.

    abstract:BACKGROUND:Ca2+ plays an important role in signal transduction and anesthetic mechanisms. To date, no one has observed a direct effect of volatile anesthetics on a Ca(2+)-binding protein. We therefore examined the effects of halothane and isoflurane on the Ca(2+)-binding properties of bovine brain calmodulin. METHODS:...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199507000-00015

    authors: Levin A,Blanck TJ

    更新日期:1995-07-01 00:00:00