CLINICAL-EVALUATION OF THE OSCILLOMETRIC BLOOD-PRESSURE MONITOR IN ADULTS AND CHILDREN BASED ON THE 1992 AAMI SP-10 STANDARDS

被引：30

作者：

LING, J ^{[1
]}

OHARA, Y ^{[1
]}

ORIME, Y ^{[1
]}

NOON, GP ^{[1
]}

TAKATANI, S ^{[1
]}

机构：

[1] BAYLOR COLL MED,DEPT SURG,HOUSTON,TX 77030

来源：

JOURNAL OF CLINICAL MONITORING | 1995年 / 11卷 / 02期

关键词：

NONINVASIVE BLOOD PRESSURE MONITOR; OSCILLOMETRIC SPHYGMOMANOMETER; AUSCULTATORY BLOOD PRESSURE;

D O I：

10.1007/BF01617734

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Objective and Methods. A noninvasive blood pressure monitor, (model BP8800MS, Colin Medical Instruments Corp., San Antonio, TX) that uses the oscillometric principle was evaluated against the manual auscultatory method in 85 adults and 85 children following the requirements of the 1992 AAMI SP-10 standard. This was the first evaluation study of the electronic sphygmomanometers according to the new AAMI standards. Results. In adult subjects, the mean difference and standard deviation of the differences between the oscillometric and auscultatory methods were 2.81 +/- 5.35 mm Hg (mean +/- SD) for systolic and 0.04 +/- 4.90 mm Hg for diastolic; in children, they were 3.18 +/- 5.96 mm Hg for systolic and -0.82 +/- 5.24 mm Hg for diastolic. Excellent correlation between the oscillometric and auscultatory methods, particularly the diastolic pressure, is due to usage of the Phase V Korotkoff's sounds for auscultatory detection of the diastolic pressure, increased accuracy of the two observers' measurements, and proper selection of cuff sizes depending on the mid-arm circumference. Five different-sized cuffs were used in this study. The cuff-width-to-midarm circumference ratio was adjusted to be 0.4 or larger to minimize the measurement error associated with mismatch of cuff-size/arm-size relationship. The distribution of errors associated with each cuff was nearly the same. Conclusions. The 1992 AAMI SP-10 standards offer a thorough evaluation of the oscillometric sphygmomanometer by enforcing more stringent criteria an (1) agreement between two observers, (2) wide spectrum of blood pressure from hypertensive (above 180 mm Hg) to hypotensive, and (3) data analysis. The oscillometric blood pressure monitor evaluated in this study meets the specifications of the new AAMI SP-10 standards and can offer an accurate, automatic, and noninvasive measure of both systolic and diastolic blood pressure in adults and children. It can safely replace the manual or automatic auscultatory system in various clinical settings.

引用

页码：123 / 130

页数：8

共 16 条

[1]

Osterziel K.J., Dietz R., Lemmer R., Circadian rhythm of blood pressure in congestive heart failure and effects of ACE inhibitors, Chronobio Int, 8, pp. 420-431, (1991)

[2]

Mallion J.M., de -Gaudemairis R., Siche J.P., Et al., Day and night blood pressure values in normotensive and essential hypertensive subjects assessed by twenty-four-hour ambulatory monitoring, J Hypertens Suppl, 8, pp. s49-s55, (1990)

[3]

Bainbridge L.C., Simmons H.M., Elliot D., The use of automatic blood pressure monitors in the burned patient, Br J Plastic Surg, 43, pp. 322-324, (1990)

[4]

Salevsky F.C., Whalley D.G., Kalant D., Crawhall J., Epidural epinephrine and systemic circulation during peripheral vascular surgery, Can J Anesth, 37, pp. 160-165, (1990)

[5]

Metzlufft F.O., Heinrichs W., Brost F.R., Dick W., Monitoring critically ill patients during transport by helicopter using a patient with abdomen apertum as an example, Anesthetist, 38, pp. 89-94, (1989)

[6]

Imai Y., Sasaki S., Minami N., Et al., The accuracy and performance of the A&D TM 2421, a new ambulatory blood pressure monitoring device based on cuff-oscillometric method and the Korotkoff's sounds technique, Am J Hypertens, 5, 10, pp. 719-726, (1992)

[7]

Harrison D.W., Crews W.D., Takeda mode UA-751 blood pressure and pulse rate monitor, Biomed Instr Technol, 26, 4, pp. 325-327, (1992)

[8]

Kawahara M., Evaluation of the accuracy of noninvasive automatic blood pressure monitors, Anesth Progr, 37, 5, pp. 244-247, (1990)

[9]

Weaver M.G., Park M.K., Lee D.H., Differences in blood pressure levels obtained by auscultatory and oscillometric methods, Am J Dis Child, 144, pp. 911-914, (1990)

[10]

White W.B., Lund-Johansen P., McCabe E.J., Clinical evaluation of the Colin ABPM 630 at rest and during exercises: An ambulatory blood pressure monitor with gas powered cuff inflation, J Hypertens, 7, pp. 477-483, (1989)

← 1 2 →