PMID- 34943492
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240404
IS  - 2075-4418 (Print)
IS  - 2075-4418 (Electronic)
IS  - 2075-4418 (Linking)
VI  - 11
IP  - 12
DP  - 2021 Dec 2
TI  - Measurement of Blood Pressure by Ultrasound-The Applicability of Devices, 
      Algorithms and a View in Local Hemodynamics.
LID - 10.3390/diagnostics11122255 [doi]
LID - 2255
AB  - OBJECTIVE: Due to ongoing technical progress, the ultrasonic measurement of blood 
      pressure (BP) as an alternative to oscillometric measurement (NIBP) or the 
      continuous non-invasive arterial pressure method (CNAP) moves further into focus. 
      The US method offers several advantages over NIBP and CNAP, such as deep tissue 
      penetration and the utilization of different arterial locations. APPROACH: Ten 
      healthy subjects (six female, aged 30.9 +/- 4.6 years) volunteered in our 
      investigation. In the ultrasonic BP measurement, we differentiated between the 
      directly measured (pulsatile diastolic and systolic vessel diameter) and 
      indirectly calculated variables at three different artery locations on both arms, 
      with two different ultrasound devices in the transversal and longitudinal 
      directions of the transducer. Simultaneously, NIBP monitoring served as reference 
      BP, while CNAP monitored the steady state condition of the arm under 
      investigation. The Moens-Korteweg algorithm (MKE) and the algorithm of the 
      working group of San Diego (SanD) were selected for the indirectly calculated 
      ultrasonic BP data. MAIN RESULTS: With US, we were able to measure the BP at each 
      selected arterial position. Due to the investigation setup, we found small but 
      significant interactions of the main effects. Bland and Altman analysis revealed 
      that US-BP measurement was similar to NIBP, with superior accuracy when compared 
      to the established CNAP method. In addition, US-BP measurement showed that the 
      measurement accuracy of both arms can be regarded as identical. In a detailed 
      comparison of the selected arterial vascular sections, systematic discrepancies 
      between the right and left arm could be observed. CONCLUSION: In our pilot study, 
      we measured BP effectively and accurately by US using two different devices. Our 
      findings suggest that ultrasonic BP measurement is an adequate alternative for 
      live and continuous hemodynamic monitoring.
FAU - Meusel, Moritz
AU  - Meusel M
AUID- ORCID: 0000-0002-8473-3601
AD  - Department of Cardiology, Angiology and Intensive Care Medicine, University 
      Medical Center Schleswig-Holstein, Campus Luebeck, 23538 Luebeck, Germany.
FAU - Wegerich, Philipp
AU  - Wegerich P
AD  - Department of Anaesthesiology and Intensive Care Medicine, University Medical 
      Center Schleswig-Holstein, Campus Luebeck, 23538 Luebeck, Germany.
AD  - Institute of Biomedical Engineering, University of Luebeck, 23562 Luebeck, 
      Germany.
FAU - Bode, Berit
AU  - Bode B
AD  - Department of Anaesthesiology and Intensive Care Medicine, University Medical 
      Center Schleswig-Holstein, Campus Luebeck, 23538 Luebeck, Germany.
FAU - Stawschenko, Elena
AU  - Stawschenko E
AD  - Department of Anaesthesiology and Intensive Care Medicine, University Medical 
      Center Schleswig-Holstein, Campus Luebeck, 23538 Luebeck, Germany.
FAU - Kusche-Vihrog, Kristina
AU  - Kusche-Vihrog K
AD  - Institute of Physiology, University of Luebeck, 23562 Luebeck, Germany.
FAU - Hellbruck, Horst
AU  - Hellbruck H
AUID- ORCID: 0000-0001-7619-8015
AD  - Department of Electrical Engineering and Computer Science, Technical University 
      of Applied Sciences Luebeck, 23562 Luebeck, Germany.
FAU - Gehring, Hartmut
AU  - Gehring H
AD  - Department of Anaesthesiology and Intensive Care Medicine, University Medical 
      Center Schleswig-Holstein, Campus Luebeck, 23538 Luebeck, Germany.
LA  - eng
GR  - GE 986/3-1/Deutsche Forschungsgemeinschaft/
GR  - HE 5637/6-1/Deutsche Forschungsgemeinschaft/
PT  - Journal Article
DEP - 20211202
PL  - Switzerland
TA  - Diagnostics (Basel)
JT  - Diagnostics (Basel, Switzerland)
JID - 101658402
PMC - PMC8700406
OTO - NOTNLM
OT  - arterial
OT  - blood pressure
OT  - dynamic
OT  - measurement
OT  - monitoring
OT  - noninvasive
OT  - ultrasound
COIS- The authors declare no conflict of interest.
EDAT- 2021/12/25 06:00
MHDA- 2021/12/25 06:01
PMCR- 2021/12/02
CRDT- 2021/12/24 01:02
PHST- 2021/11/09 00:00 [received]
PHST- 2021/11/26 00:00 [revised]
PHST- 2021/11/26 00:00 [accepted]
PHST- 2021/12/24 01:02 [entrez]
PHST- 2021/12/25 06:00 [pubmed]
PHST- 2021/12/25 06:01 [medline]
PHST- 2021/12/02 00:00 [pmc-release]
AID - diagnostics11122255 [pii]
AID - diagnostics-11-02255 [pii]
AID - 10.3390/diagnostics11122255 [doi]
PST - epublish
SO  - Diagnostics (Basel). 2021 Dec 2;11(12):2255. doi: 10.3390/diagnostics11122255.