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Tytuł:
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Evaluation of the agreement of two oscillometric blood pressure devices with invasive blood pressure in anaesthetized chimpanzees (Pan troglodytes).
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Autorzy:
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Moittié S; School of Veterinary Medicine and Science, University of Nottingham, Leicestershire, UK; Twycross Zoo, East Midland Zoological Society, Atherstone, UK. Electronic address: .
Dobbs P; Twycross Zoo, East Midland Zoological Society, Atherstone, UK.
Redrobe S; Twycross Zoo, East Midland Zoological Society, Atherstone, UK.
Liptovszky M; Twycross Zoo, East Midland Zoological Society, Atherstone, UK.
White K; School of Veterinary Medicine and Science, University of Nottingham, Leicestershire, UK.
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Źródło:
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Veterinary anaesthesia and analgesia [Vet Anaesth Analg] 2021 Sep; Vol. 48 (5), pp. 688-696. Date of Electronic Publication: 2021 May 24.
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Typ publikacji:
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Clinical Trial, Veterinary; Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: 2017- : New York, NY : Elsevier
Original Publication: Oxford, UK : Blackwell Science, c2000-
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MeSH Terms:
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Arterial Pressure*
Blood Pressure Determination*/veterinary
Pan troglodytes*
Animals ; Blood Pressure ; Blood Pressure Monitors/veterinary ; Prospective Studies
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Contributed Indexing:
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Keywords: anaesthesia; apes; invasive blood pressure; noninvasive blood pressure; primate; validation
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Entry Date(s):
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Date Created: 20210719 Date Completed: 20211027 Latest Revision: 20211027
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Update Code:
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20240105
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DOI:
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10.1016/j.vaa.2021.01.010
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PMID:
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34275756
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Objective: To evaluate the agreement of two noninvasive blood pressure devices: a human device with the cuff placed on the wrist (Omron R1) and a veterinary device with the cuff placed on the upper brachium (Surgivet Advisor Vital Signs Monitor) with invasive blood pressure (IBP) measurement in anaesthetized chimpanzees.
Study Design: Prospective clinical study.
Animals: A convenience sample of 11 adult chimpanzees undergoing anaesthesia for translocation and routine health checks.
Methods: Systolic (SAP) and diastolic arterial pressures (DAP) were continuously recorded via a transducer connected to a femoral artery cannula, and at 5 minute intervals from the two oscillometric devices. Agreement was explored using Bland-Altman analysis and bias defined as the mean difference between the two measurement methods. Spearman correlation coefficients were calculated. Significance was set at p < 0.05.
Results: Bias and standard deviation for the Surgivet compared with IBP were 8.6 ± 18 for SAP and 8.4 ± 9.9 for DAP, showing a significant underestimation of both variables. Limits of agreement (LOA) were from -27 to 44 for SAP and from -11 to 28 for DAP. Correlation coefficients between the Surgivet and IBP values were 0.86 for SAP and 0.85 for DAP (p < 0.0001). Bias and standard deviation for the Omron compared with the IBP were -21 ± 25 for SAP and -18 ± 15 for DAP, showing a significant overestimation of both variables. LOA were from -70 to -28 for SAP and from -47 to 11 for DAP. Spearman correlation coefficients between the Omron and IBP values were 0.64 for SAP and 0.72 for DAP (p < 0.0001).
Conclusions and Clinical Relevance: Although neither device met all the criteria for device validation, the Surgivet presented better agreement with IBP values than the Omron in adult anaesthetized chimpanzees.
(Copyright © 2021 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia. Published by Elsevier Ltd. All rights reserved.)
