Ability of radial arterial palpation and observation of the pulse oximetry trace to estimate non-invasive systolic pressure in healthy volunteers and in women undergoing spinal anaesthesia for elective caesarean section.

Abstract:

:We assessed the ability of palpating the radial arterial pulse and observing the oximeter trace to estimate the automated non-invasive systolic pressure reading in 20 healthy female volunteers and 20 parturients undergoing spinal anaesthesia for elective caesarean section. Using real-time values of cuff pressure during inflation/deflation, the pressure was recorded when the manually palpated radial arterial pulse or pulse oximeter waveform disappeared and reappeared. The actual measured systolic pressure was noted and the results compared using Bland-Altman analysis. In the volunteers, the bias/precision for radial arterial palpation was -12.9/22.1 mmHg (inflation) and -9.7/16.7 mmHg (deflation), and for oximetry 29.5/18.8 mmHg (inflation) and -20.7/21.7 mmHg (deflation). In the parturients, the bias/precision was -19.0/47.6 mmHg (inflation) and -15.5/51.0 mmHg (deflation) for arterial palpation, and 22.6/16.1 mmHg (inflation) and -14.2/19.9 mmHg (deflation) for oximetry. Our results suggest that neither method is accurate at estimating the non-invasive systolic pressure, with all except oximetry (inflation) underestimating it by approximately 10-20 mmHg and with poor precision.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Sabharwal A,Strickland T,Yentis SM

doi

10.1111/j.1365-2044.2010.06586.x

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

20-4

issue

1

eissn

0003-2409

issn

1365-2044

journal_volume

66

pub_type

杂志文章
  • Appropriate laryngeal mask airway size for overweight and underweight children.

    abstract::The aim of this study was to compare conventional laryngeal mask airway sizing by weight with sizing by age in over- or underweight children. We studied 26 overweight (body mass index > 85th centile) and 26 underweight (body mass index < 15th centile) children. After general anaesthesia was induced, laryngeal mask air...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2009.06160.x

    authors: Kim HJ,Park MJ,Kim JT,Kim CS,Kim SD,Kim HS

    更新日期:2010-01-01 00:00:00

  • Adverse haemodynamic effects of high-dose aprotinin in a paediatric cardiac surgical patient.

    abstract::High-dose aprotinin for reduction of intra- and postoperative blood loss was associated with profound hypotension and flushing in a 3.5-year-old child who underwent cardiac surgery. Treatment with noradrenaline and intravenous fluid was required. Cardiovascular stability was restored after 10 minutes. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1990.tb14571.x

    authors: Böhrer H,Bach A,Fleischer F,Lang J

    更新日期:1990-10-01 00:00:00

  • Evoked potential monitoring in anaesthesia and analgesia.

    abstract::Electrophysiological monitoring of selected neural pathways of the brain, brainstem, spinal cord and peripheral nervous system has become mandatory in some surgery of the nervous system where preventable neural injury can occur. Evoked potentials are relatively simple methods of testing the integrity of various aspect...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2044.2000.01120.x

    authors: Kumar A,Bhattacharya A,Makhija N

    更新日期:2000-03-01 00:00:00

  • Evaluation of the Lamtec anaesthetic agent monitor.

    abstract::The Lamtec agent monitor is a compact anaesthetic analyser designed to measure halothane, isoflurane and enflurane. It shows good linearity and stability. The faster model can be used for end-tidal measurements up to 25 breaths per minute. Calibration using a standard of the gas to be measured is recommended. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1991.tb11690.x

    authors: Humphrey SJ,Luff NP,White DC

    更新日期:1991-06-01 00:00:00

  • Peri-operative management of an adult patient with type 2N von Willebrand's disease scheduled for coronary artery bypass graft.

    abstract::We describe a patient with type 2N von Willebrand's disease scheduled for elective coronary artery bypass graft for severe three-vessel coronary artery disease with involvement of the left main stem. He was given a pre-operative bolus of 3000 IU factor VIII/Willebrand factor concentrate (approximately 40 IU.kg(-1)), f...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2007.05001.x

    authors: Gerling V,Lahpor JR,Buhre W

    更新日期:2007-04-01 00:00:00

  • Initial experience with Minaxolone. A water-soluble steroid intravenous anaesthetic agent.

    abstract::Minaxolone has been used to induce anaesthesia, and in incremental doses to supplement nitrous oxide, in 100 patients undergoing minor surgical procedures. Half the patients received a small dose of fentanyl before induction. Minaxolone proved to be a satisfactory induction agent. The commonest complications were an i...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1980.tb03805.x

    authors: Punchihewa VG,Morgan M,Lumley J,Whitwam JG

    更新日期:1980-02-01 00:00:00

  • Is there a need for a new inhalational anaesthetic agent?

    abstract::New anaesthetic agents are continually being developed in an effort to prepare the ideal agent. Isoflurane is the first choice of many anaesthetists, although it clearly falls short of the ideal on a number of counts. The need and place for any new agent depends on comparing the properties of a theoretically ideal age...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1995.tb06181.x

    authors: Jones RM,Ward PM

    更新日期:1995-10-01 00:00:00

  • Peri-operative administration of tranexamic acid in lower limb arthroplasty: a multicentre, prospective cohort study.

    abstract::In the UK, tranexamic acid is recommended for all surgical procedures where expected blood loss exceeds 500 ml. However, the optimal dose, route and timing of administration are not known. This study aimed to evaluate current practice of peri-operative tranexamic acid administration. Patients undergoing primary total ...

    journal_title:Anaesthesia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/anae.15056

    authors: Lloyd TD,Neal-Smith G,Fennelly J,Claireaux H,Bretherton C,Carr AJ,Murphy M,Kendrick BJ,Palmer AJR,collaborators.

    更新日期:2020-08-01 00:00:00

  • Anterior mediastinal masses: an anaesthetic challenge.

    abstract::A patient with a large anterior mediastinal mass with minimal respiratory symptoms presented for a diagnostic biopsy of the mass. A pre-operative thoracic computed tomographic scan demonstrated narrowing of the distal trachea, and right and left main stem bronchi. An awake intubation was done. Thiopentone and muscle r...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2044.1999.00961.x

    authors: Goh MH,Liu XY,Goh YS

    更新日期:1999-07-01 00:00:00

  • Anaesthesia for Angelman syndrome.

    abstract::We describe the administration of anaesthesia to a patient with Angelman syndrome, which is characterised by an abnormality of chromosome 15, where a subunit of the GABA receptor is coded. This has far-reaching anaesthetic implications as many drugs used in anaesthesia are thought to act via GABA receptors. Our patien...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2008.05439.x

    authors: Ramanathan KR,Muthuswamy D,Jenkins BJ

    更新日期:2008-06-01 00:00:00

  • Haemodynamic effects of intravenous nimodipine following aneurysmal subarachnoid haemorrhage: implications for monitoring.

    abstract::Nimodipine is widely used in patients with aneurysmal subarachnoid haemorrhage for the prevention and treatment of delayed ischaemic neurological deficits. Intravenous nimodipine has significant vasodilatory properties and may compromise the achievement of haemodynamic targets in patients who receive hypertensive hype...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1365-2044.1997.112-az0105.x

    authors: Radhakrishnan D,Menon DK

    更新日期:1997-05-01 00:00:00

  • The effect of pre-induction glycopyrronium on the haemodynamic response of elderly patients to anaesthesia with propofol.

    abstract::This study investigated whether pretreatment with glycopyrronium can attenuate the hypotension caused by anaesthesia of the elderly with propofol. Twenty elderly patients (77.1 +/- 2.44 years, mean +/- SEM) of ASA physical status 2 or 3 scheduled for elective urological procedures were given glycopyrronium 0 (n = 10) ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1992.tb02341.x

    authors: Sneyd JR,Mayall R

    更新日期:1992-07-01 00:00:00

  • Intra-ocular pressure changes using the laryngeal mask airway and tracheal tube.

    abstract::Intra-ocular pressure was measured before and throughout airway establishment with either the laryngeal mask airway or tracheal tube. Similar measurements were made on removal of either airway and the amount of coughing noted in the first minute after removal. There was a significantly smaller increase in intra-ocular...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1991.tb09847.x

    authors: Holden R,Morsman CD,Butler J,Clark GS,Hughes DS,Bacon PJ

    更新日期:1991-11-01 00:00:00

  • Deliberate self-poisoning with dapsone. A case report and summary of relevant pharmacology and treatment.

    abstract::We report the case of a 14-year-old girl who deliberately ingested 8-9 g of dapsone and presented with severe methaemoglobinaemia and altered mental status. Prompt treatment with repeated doses of methylene blue and organ support brought about control of the methaemoglobinaemia and averted organ failure. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1997.98-az0094b.x

    authors: Ferguson AJ,Lavery GG

    更新日期:1997-04-01 00:00:00

  • Calculation of inspired oxygen fraction during anaesthesia based on awake oxygen saturation.

    abstract::One hundred ASA grade 1 or 2 patients were studied to assess the use of awake oxygen saturation to determine the necessary inspired oxygen fraction during anaesthesia. The inspired oxygen fraction was adjusted gradually to the lowest possible value to maintain the pre-operative oxygen saturation at a constant level. N...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1994.tb04411.x

    authors: Mandal P,Chaudhary S

    更新日期:1994-08-01 00:00:00

  • Profound hypocalcaemia in a patient being anticoagulated with citrate for continuous renal replacement therapy.

    abstract::Citrate, as an anticoagulant for continuous renal replacement therapy in critically ill patients, has some potential advantages over heparin, including a prolonged dialysis filter life and reduced risk of bleeding. The key parameter involved in monitoring the adequacy and safety of citrate anticoagulation during conti...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2009.06078.x

    authors: Morgan DJ,Ho KM

    更新日期:2009-12-01 00:00:00

  • Intra-operative collapse or death related to the use of acrylic cement in hip surgery.

    abstract::Six intra-operative deaths and two episodes of near-fatal hypotension occurred in 52 consecutive Hastings procedures (insertion of metal prosthesis grouted in acrylic cement) for subcapital fracture of the femoral neck. This high complication rate was identified by a system of clinical audit undertaken by members of t...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1989.tb11168.x

    authors: Duncan JA

    更新日期:1989-02-01 00:00:00

  • The absence of teratogenic effects of some analgesics used in anaesthesia. Additional evidence from a mouse model.

    abstract::The possibility exists that agents used in anaesthesia may have adverse teratogenic effects on staff, patients, and developing fetuses. It has been shown that a range of neurotropic drugs, when injected into pregnant mice on the 9th day of gestation, produce a characteristic group of central nervous system malformatio...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1992.tb02267.x

    authors: Martin LV,Jurand A

    更新日期:1992-06-01 00:00:00

  • Nifedipine and surgical removal of phaeochromocytoma.

    abstract::The management of five patients with phaeochromocytoma undergoing surgical removal is described. Pre-operative preparation with phenoxybenzamine and nifedipine for 7 days before surgery prevented excessive fluctuations in cardiovascular parameters in the peri-operative period and resulted in an uneventful recovery. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1988.tb05761.x

    authors: Chari P,Katariya RN,Venkataraman RK,Trikha A

    更新日期:1988-09-01 00:00:00

  • Peri-operative anaesthetic management of cytoreductive surgery with hyperthermic intraperitoneal chemotherapy.

    abstract::Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC) is a long and complex procedure with significant blood and fluid loss during debulking and important pathophysiological alterations during the HIPEC phase. We performed a retrospective analysis of 78 consecutive patients undergoing cytoreduct...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2007.05380.x

    authors: Schmidt C,Creutzenberg M,Piso P,Hobbhahn J,Bucher M

    更新日期:2008-04-01 00:00:00

  • Evaluation of cardiac output in intensive care using a non-invasive arterial pulse contour technique (Nexfin(®)) compared with echocardiography.

    abstract::In this prospective study, cardiac output was measured in 38 intensive care unit patients before and after a fluid challenge, using both pulse contour analysis (Nexfin(®); BMEYE, Amsterdam, the Netherlands) and transthoracic echocardiography. The ability of the Nexfin device to detect significant changes in the veloci...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.12341

    authors: Taton O,Fagnoul D,De Backer D,Vincent JL

    更新日期:2013-09-01 00:00:00

  • Viral gastroenteritis--a danger to the patient, a danger to the staff.

    abstract::Viral gastroenteritis is usually a mild, self-limiting illness. We report a case of a previously well 74-year-old woman who suffered a grave complication of this common condition, and caused a significant outbreak of illness amongst staff involved in her care. This case highlights the risks of Hospital Acquired Infect...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2003.03621.x

    authors: Appelboam R,Hammond E

    更新日期:2004-03-01 00:00:00

  • Anaesthesia in a patient with Noonan's syndrome and cardiomyopathy.

    abstract::A 5-year-old girl with Noonan's syndrome and a hypertrophic cardiomyopathy presented for myelography and subsequently, laminectomy. The anaesthetic management of the patient is described and the potential problems of the facial, cardiovascular and skeletal abnormalities associated with the condition are discussed. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1992.tb02010.x

    authors: Campbell AM,Bousfield JD

    更新日期:1992-02-01 00:00:00

  • Effect of different surgical positions on the cerebral venous drainage: a pilot study using healthy volunteers.

    abstract::Excessive neck flexion and rotation in certain surgical positions may cause kinking of the internal jugular vein that obstructs cerebral venous blood flow and results in elevated intracranial pressure. The objective of this study was to measure internal jugular vein flow and identify potential impediments to venous fl...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13494

    authors: Yeoh TY,Tan A,Manninen P,Chan VW,Venkatraghavan L

    更新日期:2016-07-01 00:00:00

  • A prospective randomised study of a rigid video-stylet vs. conventional lightwand intubation in cervical spine-immobilised patients.

    abstract::Compared with a lightwand which is used blind, Optiscope™ , a rigid video-stylet, can provide direct imaging of airway structures, potentially offering improved conditions in cervical spine-immobilised patients. We randomly assigned 168 patients who required cervical immobilisation during tracheal intubation to use of...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/anae.13606

    authors: Seo H,Kim E,Son JD,Ji S,Min SW,Park HP

    更新日期:2016-11-01 00:00:00

  • A thermographic study of paravertebral analgesia.

    abstract::Six patients undergoing paravertebral blocks for chronically painful conditions of the chest wall were thermographically imaged so that the extent of cutaneous vasodilatation and hence sympathetic block could be correlated with the distribution of the somatic block. All blocks were performed by a single experienced op...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1995.tb15092.x

    authors: Cheema SP,Ilsley D,Richardson J,Sabanathan S

    更新日期:1995-02-01 00:00:00

  • Comparison of propofol and thiopentone as anaesthetic agents for electroconvulsive therapy.

    abstract::Propofol and thiopentone were compared as anaesthetic agents for electroconvulsive therapy in 31 patients on four occasions in a repeated measure crossover study. Discomfort on injection was significantly more common with propofol (51.6% of anaesthetics) compared to thiopentone (1.6% of anaesthetics). The duration of ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1990.tb14383.x

    authors: Boey WK,Lai FO

    更新日期:1990-08-01 00:00:00

  • A randomised placebo-controlled trial of the effects of midazolam premedication on children's postoperative cognition.

    abstract::This randomised, placebo-controlled study assessed the effects of midazolam premedication on children's postoperative cognition and physical morbidity. In all, 179 children aged 5-10 years were randomly assigned to receive buccal midazolam (0.2 mg x kg(-1)) or placebo before sevoflurane-nitrous oxide anaesthesia for m...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2007.05148.x

    authors: Millar K,Asbury AJ,Bowman AW,Hosey MT,Martin K,Musiello T,Welbury RR

    更新日期:2007-09-01 00:00:00

  • Free-standing vaporizers. Another hazard.

    abstract::A previously unreported hazard of free-standing 'Tec' type vaporizers relating to their positioning downstream of the oxygen flush is presented. Three Enfluratec Mark III vaporizers were studied; measurement of delivered enflurane concentration was performed at a flow rate of 8 litres/minute, during and after the appl...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1985.tb10946.x

    authors: Kelly DA

    更新日期:1985-07-01 00:00:00

  • The effect of a heat and moisture exchanger on gas flow in a Mapleson F breathing system during inhalational induction.

    abstract::Heat and moisture exchangers (HMEs) humidify, warm and filter inspired gas, protecting patients and apparatus during anaesthesia. Their incorporation into paediatric anaesthetic breathing systems is recommended. We experienced delays in inhalational induction whilst using a Mapleson F breathing system with an HME. We ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2000.01521.x

    authors: Da Fonseca JM,Wheeler DW,Pook JA

    更新日期:2000-06-01 00:00:00