{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T10:45:59Z","timestamp":1792147559277,"version":"4.4.0"},"reference-count":18,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T00:00:00Z","timestamp":1688083200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Blood pressure measurement is a standard of monitoring during general anesthesia. Invasive measurement is considered the gold standard but is less commonly used than non\u2010invasive. Automated oscillometric blood pressure devices measure the mean arterial pressure (MAP) and use an algorithm to determine the systolic and diastolic pressures. Few devices have been validated in children, particularly during anesthesia. Few studies have assessed the agreement between invasive and non\u2010invasive blood pressure measurements in children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a multi\u2010center prospective observational study of children under 16\u2009years undergoing cardiac catheterization with general anesthesia. Paired invasive and non\u2010invasive blood pressure measurements were recorded for each patient during stable periods of the procedure. Correlation within and between sites was assessed with Pearson's correlation coefficient, and agreement was examined using Bland\u2013Altman methodology to determine bias. Agreement during episodes of hypotension and for age and weight was also determined. Bias greater than 5\u2009mmHg and standard deviation greater than 8\u2009mmHg was considered clinically significant. The primary end point was agreement of MAP measurements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 683 paired blood pressure values were collected from 254 children in three pediatric hospitals. Median [IQR] age and weight were 3 [1\u20137] years and 13.9 [8\u201323] Kg. The overall bias (SD) for mean arterial pressure values was 7.2 (11.4) mmHg. During hypotension (190 readings), the bias (SD) was 15 (11.0) mmHg. The non\u2010invasive MAP was frequently higher than invasive MAP during infancy, and lower in older children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Automated oscillometric blood pressure measurement is unreliable in anesthetized children during cardiac catheterization. Invasive pressure measurement should be considered for high\u2010risk cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pan.14723","type":"journal-article","created":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T02:09:27Z","timestamp":1688177367000},"page":"816-822","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["A prospective comparison of invasive and non\u2010invasive blood pressure in children undergoing cardiac catheterization"],"prefix":"10.1111","volume":"33","author":[{"given":"Richard","family":"Beringer","sequence":"first","affiliation":[{"name":"Bristol Royal Hospital for Children  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alastair","family":"Keith","sequence":"additional","affiliation":[{"name":"Bristol Royal Hospital for Children  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elin","family":"Jones","sequence":"additional","affiliation":[{"name":"Birmingham Children's Hospital  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2744-0976","authenticated-orcid":false,"given":"Tim","family":"Murphy","sequence":"additional","affiliation":[{"name":"Bristol Royal Hospital for Children  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7503-9896","authenticated-orcid":false,"given":"Paul","family":"White","sequence":"additional","affiliation":[{"name":"University of the West of England  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,30]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12967"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e3182908bcb"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e3181c9f927"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000001340"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000002619"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.117.10237"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.116.08553"},{"key":"e_1_2_9_9_1","unstructured":"WaxDB LinH\u2010M LeibowitzAB.Invasive and Concomitant Noninvasive Intraoperative Blood Pressure Monitoring Observed Differences in Measurements and Associated Therapeutic Interventions.2011."},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.14020"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000000984"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.111.171504"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1515\/ijb\u20102015\u20100039"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000001310"},{"key":"e_1_2_9_15_1","unstructured":"ISO 81060\u20102:2018(en).Non\u2010invasive sphygmomanometers \u2014 Part 2: Clinical investigation of intermittent automated measurement type.https:\/\/www.iso.org\/obp\/ui\/#iso:std:iso:81060:\u20102:ed\u20103:v1:en"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2020.02.072"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(86)90837-8"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2018.03.001"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.14328"}],"container-title":["Pediatric Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pan.14723","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T08:07:11Z","timestamp":1694419631000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pan.14723"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,30]]},"references-count":18,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1111\/pan.14723"],"URL":"https:\/\/doi.org\/10.1111\/pan.14723","archive":["Portico"],"relation":{},"ISSN":["1155-5645","1460-9592"],"issn-type":[{"value":"1155-5645","type":"print"},{"value":"1460-9592","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,30]]},"assertion":[{"value":"2023-04-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}