Abstract:
OBJECTIVES:Maintenance of mean arterial pressure>65 mm Hg has been associated with improved clinical outcomes in many studies of critically ill patients. Current guidelines for the management of septic shock and guidelines for managing other critical illnesses suggest intra-arterial blood pressure measurement is preferred over automated oscillometric noninvasive blood pressure measurement. Despite these recommendations, anecdotal experience suggested that the use of noninvasive blood pressure measurement in our institution and others in preference to intra-arterial blood pressure measurement remained prevalent. DESIGN:We designed an online survey and sent it by e-mail. SETTING:Intensive care units. PATIENTS AND SUBJECTS:A randomly selected group from the membership of the Society for Critical Care Medicine. INTERVENTIONS:None. MEASUREMENTS AND MAIN RESULTS:Use of non-invasive and invasive blood pressure devices. Eight hundred eighty individuals received an invitation to complete the survey and 149 responded. We found that 71% (105 of 149) of intensivists estimated the correct cuff size rather than measuring arm circumference directly. In hypotensive patients, 73% of respondents (108 of 149) reported using noninvasive blood pressure measurement measurements for patient management. In patients on a vasopressor medication, 47% (70 of 149) of respondents reported using noninvasive blood pressure measurement for management. CONCLUSIONS:The use of noninvasive blood pressure measurement measurements in critically ill patients is common despite the paucity of evidence validating its accuracy in critically ill patients. Given this widespread use, accuracy and precision validation studies comparing noninvasive blood pressure measurement with intra-arterial blood pressure measurement in critically ill patients should be performed.
journal_name
Crit Care Medjournal_title
Critical care medicineauthors
Chatterjee A,DePriest K,Blair R,Bowton D,Chin Rdoi
10.1097/CCM.0b013e3181fa057fsubject
Has Abstractpub_date
2010-12-01 00:00:00pages
2335-8issue
12eissn
0090-3493issn
1530-0293journal_volume
38pub_type
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journal_title:Critical care medicine
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更新日期:2020-11-01 00:00:00
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doi:10.1097/CCM.0b013e31817e2ec5
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abstract::Vecuronium's short half-life and minimal cardiopulmonary side-effects make it a suitable drug for continuous infusion. Vecuronium is used frequently in critically ill patients to increase their total compliance and to minimize the adverse effects of mechanical ventilation. This crossover, prospective study evaluates t...
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1989-10-01 00:00:00
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journal_title:Critical care medicine
pub_type: 临床试验,杂志文章
doi:10.1097/00003246-199910000-00015
更新日期:1999-10-01 00:00:00
abstract:OBJECTIVE:To assess the number of adult critical care beds in Asian countries and regions in relation to population size. DESIGN:Cross-sectional observational study. SETTING:Twenty-three Asian countries and regions, covering 92.1% of the continent's population. PARTICIPANTS:Ten low-income and lower-middle-income eco...
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doi:10.1097/CCM.0000000000004222
更新日期:2020-05-01 00:00:00
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doi:10.1097/01.CCM.0000275271.77350.B6
更新日期:2007-08-01 00:00:00
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journal_title:Critical care medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00003246-200101000-00014
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVE:Granulocyte colony-stimulating factor is widely prescribed to hasten recovery from cancer chemotherapy-induced neutropenia and has been reported to induce pulmonary toxicity. However, circumstances and mechanisms of this toxicity remain poorly known. DESIGN:To reproduce a routine situation in cancer patients...
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pub_type: 杂志文章
doi:10.1097/00003246-200209000-00027
更新日期:2002-09-01 00:00:00
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更新日期:2004-02-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:1994-05-01 00:00:00
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doi:10.1097/00003246-199302001-00012
更新日期:1993-02-01 00:00:00
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pub_type: 杂志文章,多中心研究
doi:10.1097/CCM.0b013e31821e89c8
更新日期:2011-08-01 00:00:00
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更新日期:2017-11-01 00:00:00
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更新日期:2014-06-01 00:00:00
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更新日期:2016-06-01 00:00:00
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doi:10.1097/00003246-199711000-00015
更新日期:1997-11-01 00:00:00
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更新日期:2001-06-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1993-10-01 00:00:00
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更新日期:2008-01-01 00:00:00
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更新日期:2020-07-01 00:00:00
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pub_type: 杂志文章
doi:10.1097/00003246-198011000-00011
更新日期:1980-11-01 00:00:00
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更新日期:2012-08-01 00:00:00
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doi:
更新日期:1992-10-01 00:00:00
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pub_type: 临床试验,杂志文章
doi:10.1097/00003246-200301000-00045
更新日期:2003-01-01 00:00:00
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更新日期:2008-06-01 00:00:00
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更新日期:2020-10-01 00:00:00
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更新日期:2015-10-01 00:00:00
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更新日期:2005-10-01 00:00:00