{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T15:21:19Z","timestamp":1787671279955,"version":"build-2736575974"},"reference-count":12,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T00:00:00Z","timestamp":1717372800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"Objective<\/jats:title>The primary aim of this study was to compare non-invasive blood pressure (NIBP) measurement using the automated oscillometric method with invasive blood pressure (IBP) measurement using peripheral arterial line insertion in critically ill children receiving vasoactive agents.<\/jats:p><\/jats:sec>Design<\/jats:title>Single-centre, prospective cohort study.<\/jats:p><\/jats:sec>Setting<\/jats:title>Tertiary care 15 bedded Pediatric ICU in Urban Indian city.<\/jats:p><\/jats:sec>Subjects<\/jats:title>All critically ill children between the ages of 1 month to 16 years with shock on vasoactive medications and with IBP monitoring.<\/jats:p><\/jats:sec>Results<\/jats:title>Forty children with 1,072 paired BP measurements were incorporated in the final analysis. Among all normotensive children (Total number of paired measurements\u2009=\u2009623) receiving vasoactive agents, Bland\u2013Altman analysis revealed an acceptable agreement between Invasive mean blood pressure (MBP) and non-invasive MBP with a bias of \u22122.10\u2005mmHg (SD 11.35). The 95% limits of agreement were from \u221224.34 to 20.14 mmHg. In children with hypotension (Total number of paired measurements\u2009=\u2009449), Bland\u2013Altman analysis showed disagreement between Invasive MBP and non-invasive MBP i.e., a bias of \u22128.44\u2005mmHg (SD 9.62). The 95% limits of agreement were from \u221227.29 to 10.41 mmHg.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>A limited agreement exists between invasive blood pressure (IBP) and non-invasive blood pressure (NIBP) measurements in critically ill children requiring vasoactive agents. This discrepancy can lead to either an underestimation or an overestimation of blood pressure. While NIBP can serve as a screening tool for hemodynamically stable children, those who are hemodynamically unstable and necessitate the initiation of vasoactive agents should undergo IBP monitoring.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fped.2024.1376327","type":"journal-article","created":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T09:51:31Z","timestamp":1717408291000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":6,"title":["Comparison of invasive blood pressure monitoring vs. non-invasive blood pressure monitoring in critically ill children receiving vasoactive agents\u2014a prospective observational study"],"prefix":"10.3389","volume":"12","author":[{"given":"Sachin","family":"Shah","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amita","family":"Kaul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohini","family":"Nagarkar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amol","family":"Thorat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,6,3]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1097\/PCC.0b013e3182230f43","article-title":"Which pressure to believe? A comparison of direct arterial with indirect blood pressure measurement techniques in the pediatric intensive care unit","volume":"12","author":"Holt","year":"2011","journal-title":"Pediatr Crit Care Med"},{"key":"B2","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1186\/s13054-016-1354-x","article-title":"The accuracy of blood pressure measured by arterial line and non-invasive cuff in critically ill children","volume":"20","author":"Joffe","year":"2016","journal-title":"Crit Care"},{"key":"B3","doi-asserted-by":"publisher","first-page":"548","DOI":"10.1055\/s-0039-1683981","article-title":"Correlation between invasive and noninvasive blood pressure measurements in extremely low gestational age newborns","volume":"37","author":"Umapathi","year":"2020","journal-title":"Am J Perinatol"},{"key":"B4","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1097\/PCC.0000000000002873","article-title":"2022 society of critical care medicine clinical practice guidelines on prevention and management of pain, agitation, neuromuscular blockade, and delirium in critically ill pediatric patients with consideration of the ICU environment and early mobility.","volume":"23","author":"Smith","year":"2022","journal-title":"Pediatr Crit Care Med"},{"key":"B5","doi-asserted-by":"publisher","first-page":"665","DOI":"10.1001\/jama.2024.0179","article-title":"International consensus criteria for pediatric sepsis and septic shock","volume":"331","author":"Schlapbach","year":"2024","journal-title":"JAMA"},{"key":"B6","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1016\/j.jpeds.2020.02.072","article-title":"Method of blood pressure measurement in neonates and infants: a systematic review and analysis","volume":"221","author":"Dionne","year":"2020","journal-title":"J Pediatr"},{"key":"B7","doi-asserted-by":"publisher","first-page":"803","DOI":"10.1093\/ajh\/3.10.803","article-title":"What is blood pressure\u202f?","volume":"3","author":"O'Rourke","year":"1990","journal-title":"Am J Hypertens"},{"key":"B8","doi-asserted-by":"publisher","first-page":"683","DOI":"10.1161\/HYPERTENSIONAHA.117.10050","article-title":"New clinical practice guideline for the management of high blood pressure in children and adolescents","volume":"70","author":"Flynn","year":"2017","journal-title":"Hypertension"},{"key":"B9","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1007\/s13312-018-1271-y","article-title":"Correlation between blood pressure measurement by non-invasive and invasive methods in critically-ill children","volume":"55","author":"Krishna","year":"2018","journal-title":"Indian Pediatr"},{"key":"B10","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1109\/JSEN.2021.3109763","article-title":"Advances in non-invasive blood pressure monitoring","volume":"21","author":"Quan","year":"2021","journal-title":"Sensors"},{"key":"B11","doi-asserted-by":"publisher","first-page":"794","DOI":"10.1016\/j.jpedsurg.2017.08.057","article-title":"Pediatric arterial catheters: complications and associated risk factors","volume":"53","author":"Hebal","year":"2018","journal-title":"J Pediatr Surg"},{"key":"B12","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1097\/PCC.0b013e318172d94f","article-title":"Complications associated with arterial catheterization in children","volume":"9","author":"King","year":"2008","journal-title":"Pediatr Crit Care Med"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2024.1376327\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T10:17:11Z","timestamp":1721384231000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2024.1376327\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,3]]},"references-count":12,"alternative-id":["10.3389\/fped.2024.1376327"],"URL":"https:\/\/doi.org\/10.3389\/fped.2024.1376327","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,3]]},"article-number":"1376327"}}