Measuring the level of agreement between directly measured blood pressure and pressure readings obtained with a veterinary-specific oscillometric unit in anesthetized dogs

Authors

  • Mark J. Acierno MBA, DVM, DACVIM,

    Corresponding author
    • From the Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA
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  • Erika Fauth BS, DVM,

    1. From the Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA
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  • Mark A. Mitchell DVM, MS, PhD, DECZM,

    1. the Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Illinois, Urbana, IL
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  • Anderson da Cunha DVM, MS, DACVA

    1. From the Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA
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  • Financial support: Equipment evaluated in this study was provided by Ramsey Medical. Dr. Fauth received a summer research scholar stipend from the Morris Animal Foundation for this study.

  • The authors declare no other conflict of interest.

  • Presented in part at the 2011 Merck Merial Summer Scholars meeting.

Address correspondence and reprint requests to

Mark Acierno, Department of Veterinary Clinical Sciences, School of Veterinary Medicine Louisiana State University, Baton Rouge, LA 70803, USA. Email: macierno@vetmed.lsu.edu

Abstract

Objective

To determine if an oscillometric device optimized for use in dogs produces systolic, diastolic, and mean arterial pressures (MAPs) measurements that are in good agreement with directly obtained pressures

Design

Prospective study.

Setting

University teaching hospital.

Animals

Twenty-one dogs under general anesthesia for surgical procedures.

Interventions

A 20-Ga catheter was placed into the dorsal pedal artery and systolic, diastolic, and MAPs were directly measured using a validated blood pressure measurement system. Indirect blood pressure measurements were collected using a widely available veterinary oscillometric blood pressure unit. Results obtained by the 2 methods were then compared.

Measurements and Main Results

Agreement between the directly and indirectly measured pressure demonstrated a bias of 9.9 mm Hg and limits of agreement (LOA) 73.7 to −53.9, a bias of −8.9 mm Hg and LOA 23.3 to −41.2, and a bias of −6.3 mm Hg and LOA 28.2 to −40.8 for systolic, diastolic, and MAP, respectively.

Conclusions

There was poor agreement between the direct and indirect measured blood pressure measurement systems. Therefore, use of the oscillometric blood pressure unit evaluated in this study for monitoring patients under anesthesia cannot be recommended at this time.

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