Abstract
Study objective: The present study aimed to validate the Nexfin (R) monitor and to assess the accuracy compared to classical sphygmomanometry (Riva-Rocci/Korotkoff (RRK)) blood pressure (BP) measurements in patients with obesity scheduled for bariatric surgery.
Design: Validation study.
Setting: Outpatient clinic for bariatric surgery.
Patients: 33 patients scheduled for bariatric surgery.
Measurements: The validation process was done according to the protocols developed by the European Society of Hypertension from 2010. The Nexfin (R) monitor (Edwards Lifesciences/BMEYE B.V., Amsterdam, The Netherlands) calculates beat-to-beat blood pressure from finger pulse wave analysis. Measurements of systolic and diastolic BP were obtained using classical sphygmomanometry and the Nexfin (R) alternatingly.
Main results: In total 99 pairs of BP measurements were used. The device failed pass phase 1 as 65 systolic readings fell within 5 mm Hg (73 required). And 61, 76 and 90 diastolic readings fell within 5, 10 and 15 mm Hg respectively. Finally, it failed to pass phase 2 as 23 patients for systolic and 25 for diastolic had at least 2/3 of their comparisons falling within 5 mm Hg (24 required) but 10 subjects for systolic and 8 for diastolic had all three comparisons more than 5 mm Hg different from the RRK readings (zero allowed). Mean differences were 7.8 +/- 6.9 mm Hg for SBP and 8.0 +/- 7.2 mm Hg for DBP.
Conclusion: Using the revised protocol, the Nexfin (R) device was not able to pass validation. However using the original protocol, the Nexfin (R) device passed phase 1 and 2.1 of the validation process and failed to pass phase 2.2. (C) 2017 Elsevier Inc. All rights reserved.
Original language | English |
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Pages (from-to) | 89-95 |
Number of pages | 7 |
Journal | Journal of Clinical Anesthesia |
Volume | 39 |
DOIs | |
Publication status | Published - Jun 2017 |
Keywords
- Bariatric surgery
- Blood pressure monitoring
- Nexfin
- Cardiac physiology
- Hemodynamics
- HYPERTENSION-INTERNATIONAL-PROTOCOL
- FINGER ARTERIAL-PRESSURE
- EUROPEAN-SOCIETY
- MEASURING DEVICES
- CUFF SIZE
- FINAPRES
- REVISION
- SURGERY
- ADULTS