{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T07:42:06Z","timestamp":1696232526998},"reference-count":20,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2016,8,20]],"date-time":"2016-08-20T00:00:00Z","timestamp":1471651200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Anesthetic management for patients undergoing surgical repair of aortic coarctation (CoA) should include constant blood pressure monitoring of the right upper extremity and a lower extremity. The delayed or absent pulse in the lower limbs often leads to unsuccessful arterial cannulation in infants and the oscillometric technique used for blood pressure measurement. The aim of this study was to evaluate the agreement between the oscillometric method and intra\u2010arterial technique for blood pressure monitoring in the lower limbs of infants undergoing CoA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 45 infants diagnosed with isolated CoA were initially enrolled in this study and five were excluded because of cannulation failure. Thus, 40 patients had their blood pressure measured simultaneously by both oscillometric technique on the thigh and femoral artery catheterization. After induction and intubation, five pairs of blood pressure readings from each patient were collected in an interval of 3 min. Statistical analysis was accomplished by revised Bland\u2013Altman analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a strong correlation between oscillometric and invasive blood pressure measurements [systolic blood pressure (<jats:styled-content style=\"fixed-case\">SBP<\/jats:styled-content>) <jats:italic>r<\/jats:italic> = 0.771, diastolic blood pressure (<jats:styled-content style=\"fixed-case\">DBP<\/jats:styled-content>) <jats:italic>r<\/jats:italic> = 0.704 and mean artery pressure (<jats:styled-content style=\"fixed-case\">MAP<\/jats:styled-content>) <jats:italic>r<\/jats:italic> = 0.850]. The mean difference and 95% limits of agreement (95% <jats:styled-content style=\"fixed-case\">LOA<\/jats:styled-content>) between oscillometric and femoral artery blood pressure readings was 3.830 mmHg (\u221219.297, 26.957) for <jats:styled-content style=\"fixed-case\">SBP<\/jats:styled-content>, \u22128.725 mmHg (\u221226.236, 8.786) for <jats:styled-content style=\"fixed-case\">DBP<\/jats:styled-content>, and \u22123.235 mmHg (\u221218.842, 12.372) for <jats:styled-content style=\"fixed-case\">MAP<\/jats:styled-content>. There were only one pair of <jats:styled-content style=\"fixed-case\">MAP<\/jats:styled-content> (1\/40) and two pairs of <jats:styled-content style=\"fixed-case\">SBP<\/jats:styled-content> readings (2\/40) out of range (95% <jats:styled-content style=\"fixed-case\">LOA<\/jats:styled-content>), and all of paired <jats:styled-content style=\"fixed-case\">DBP<\/jats:styled-content> readings were within 95% <jats:styled-content style=\"fixed-case\">LOA<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There was a good agreement between oscillometric and invasive blood pressure measurements of lower extremities in infants with isolated CoA statistically. However, the oscillometry\u2010measured <jats:styled-content style=\"fixed-case\">SBP<\/jats:styled-content> showed a tendency to overestimate the intra\u2010arterial blood pressure reference, while oscillometry\u2010measured <jats:styled-content style=\"fixed-case\">DBP<\/jats:styled-content> underestimated its reference. <jats:styled-content style=\"fixed-case\">MAP<\/jats:styled-content> measurement provided the most accurate and reliable results in this study.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.12989","type":"journal-article","created":{"date-parts":[[2016,8,20]],"date-time":"2016-08-20T07:12:41Z","timestamp":1471677161000},"page":"1091-1096","source":"Crossref","is-referenced-by-count":2,"title":["The agreement between oscillometric and intra\u2010arterial technique for blood pressure monitoring in the lower extremities for infants and toddlers undergoing aortic coarctation repair"],"prefix":"10.1111","volume":"26","author":[{"given":"Zhe\u2010Zhe","family":"Peng","sequence":"first","affiliation":[{"name":"Pediatric Clinical Pharmacology Laboratory Shanghai Children's Medical Center School of Medicine Shanghai Jiao Tong University Shanghai China"},{"name":"Department of Anesthesiology Shanghai Children's Medical Center School of Medicine Shanghai Jiao Tong University Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ma\u2010Zhong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Pediatric Clinical Pharmacology Laboratory Shanghai Children's Medical Center School of Medicine Shanghai Jiao Tong University Shanghai China"},{"name":"Department of Anesthesiology Shanghai Children's Medical Center School of Medicine Shanghai Jiao Tong University Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying","family":"Sun","sequence":"additional","affiliation":[{"name":"Pediatric Clinical Pharmacology Laboratory Shanghai Children's Medical Center School of Medicine Shanghai Jiao Tong University Shanghai China"},{"name":"Department of Anesthesiology Shanghai Children's Medical Center School of Medicine Shanghai Jiao Tong University Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Bai","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Shanghai Children's Medical Center School of Medicine Shanghai Jiao Tong University Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hong\u2010Bin","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Shanghai Children's Medical Center School of Medicine Shanghai Jiao Tong University Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pei\u2010Pei","family":"Liu","sequence":"additional","affiliation":[{"name":"Pediatric Clinical Pharmacology Laboratory Shanghai Children's Medical Center School of Medicine Shanghai Jiao Tong University Shanghai China"},{"name":"Department of Anesthesiology Shanghai Children's Medical Center School of Medicine Shanghai Jiao Tong University Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min","family":"Li","sequence":"additional","affiliation":[{"name":"Pediatric Clinical Pharmacology Laboratory Shanghai Children's Medical Center School of Medicine Shanghai Jiao Tong University Shanghai China"},{"name":"Department of Anesthesiology Shanghai Children's Medical Center School of Medicine Shanghai Jiao Tong University Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mei\u2010Hua","family":"Cai","sequence":"additional","affiliation":[{"name":"Pediatric Clinical Pharmacology Laboratory Shanghai Children's Medical Center School of Medicine Shanghai Jiao Tong University Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,8,20]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"1729","article-title":"Coarctation of the aorta and its surgical treatment","volume":"90","author":"Tronc F","year":"1997","journal-title":"Arch Mal Coeur Vaiss"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(01)01572-8"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11886-005-0060-0"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MBP.0b013e32835026b0"},{"key":"e_1_2_10_6_1","first-page":"838","volume-title":"Understanding Anesthesia Equipment","author":"Dorsh JA","year":"2008"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/096228029900800204"},{"key":"e_1_2_10_8_1","unstructured":"AAMI.Association for the Advancement of Medical Instrumentation 2013. 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