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Báo cáo y học: "Continuous Non-Invasive Arterial Pressure Technique Improves Patient Monitoring during Interventional Endoscopy"

Tuyển tập các báo cáo nghiên cứu khoa học ngành y học tạp chí Medical Sciences dành cho các bạn sinh viên ngành y tham khảo đề tài: Continuous Non-Invasive Arterial Pressure Technique Improves Patient Monitoring during Interventional Endoscopy. | Int. J. Med. Sci. 2009 6 37 International Journal of Medical Sciences 2009 6 1 37-42 Ivyspring International Publisher. All rights reserved Research Paper Continuous Non-Invasive Arterial Pressure Technique Improves Patient Monitoring during Interventional Endoscopy Sylvia Siebig Felix Rockmann Karl Sabel Ina Zuber-Jerger Christine Dierkes Tanja Brunnler and Christian E. Wrede Department of Internal Medicine I University of Regensburg Germany H Correspondence to Sylvia Siebig MD Department of Internal Medicine I University of Regensburg D-93042 Regensburg Germany Tel. 49-941 944-7010 Fax 49-941 944-7021 E-Mail Sylvia.siebig@klinik.uni-r.de Received 2008.11.17 Accepted 2009.01.10 Published 2009.01.20 Abstract Introduction Close monitoring of arterial blood pressure BP is a central part of cardiovascular surveillance of patients at risk for hypotension. Therefore patients undergoing diagnostic and therapeutic procedures with the use of sedating agents are monitored by discontinuous non-invasive BP measurement NIBP . Continuous non-invasive BP monitoring based on vascular unloading technique CNAP CN Systems Graz may improve patient safety in those settings. We investigated if this new technique improved monitoring of patients undergoing interventional endoscopy. Methods 40 patients undergoing interventional endoscopy between April and December 2007 were prospectively studied with CNAP in addition to standard monitoring NIBP ECG and oxygen saturation . All monitoring values were extracted from the surveillance network at one-second intervals and clinical parameters were documented. The variance of CNAP values were calculated for every interval between two NIBP measurements. Results 2660 minutes of monitoring were recorded mean 60.1 34.4 min patient . All patients were analgosedated with midazolam and pethidine and 24 40 had propofol infusion mean 90.9 70.3 mg . The mean arterial pressure for CNAP was 102.4 21.2 mmHg and 106.8 24.8 mmHg for NIBP. Based on the first NIBP