Abstract
Objectives
1) To determine which peripheral artery commonly used for invasive arterial blood
pressure (IBP) monitoring yields the least bias when compared with noninvasive blood
pressure (NIBP) values obtained at the antebrachium of the dog, and 2) to identify
and describe differences in systolic (SAP), mean (MAP) and diastolic arterial pressures
(DAP) among different anatomical locations.
Study design
Prospective experimental study.
Animals
Twenty adult hound dogs weighing 24.5 ± 1.1 kg (mean ± standard deviation).
Methods
Four peripheral arteries—dorsal pedal, median caudal, intermediate auricular and superficial
palmar arteries—were catheterized with 20 gauge, 3.8 cm catheters. One NIBP cuff was
placed in the middle third of the antebrachium. Four sets of IBP and NIBP measurements
were simultaneously collected every 2 minutes. A linear mixed model was performed
to analyze the collected data.
Results
IBP values varied depending on the arterial catheterization site. The difference was
greater for SAP. NIBP measured at the antebrachium had the best agreement with IBP
measured at the median caudal artery.
Conclusion and clinical relevance
IBP varies among anatomical locations. The smallest bias and narrowest limits of agreement
were obtained at the median caudal artery, providing the best overall agreement with
the equipment studied. The median caudal artery may be the preferable anatomical location
for clinical comparison studies between IBP and NIBP in dogs when the cuff is on the
antebrachium.
Keywords
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References
- Agreement between directly measured blood pressure and pressures obtained with three veterinary-specific oscillometric units in cats.J Am Vet Med Assoc. 2010; 237: 402-406
- Comparison of directly measured arterial blood pressure at various anatomic locations in anesthetized dogs.Am J of Vet Res. 2015; 76: 266-271
- Manual, electronic, or automated sphygmomanometers.Association for the Advancement of Medical Instruments, USA2008 (Last accessed February 2016)
- Comparison of ultrasonic Doppler flow monitor, oscillometric, and direct arterial blood pressure measurements in ill dogs.J Vet Emerg Crit Care (San Antonio). 2010; 20: 207-215
- Guidelines for the identification, evaluation, and management of systemic hypertension in dogs and cats.J Vet Int Med. 2007; 21: 542-558
- Measuring level of agreement between values obtained by directly measured blood pressure and ultrasonic Doppler flow detector in cats.J Vet Emerg Crit Care (San Antonio). 2014; 24: 272-278
- Agreement between two oscillometric blood pressure technologies and invasively measured arterial pressure in the dog.Vet Anaesth Analg. 2016; 43: 199-203
- Fluid flow.in: Davis P.D. Parbrook G.D. Kenny G.N.C. Basic Physics and Measurement in Anaesthesia. 5th edn. Butterworth-Heinemann, USA1995: 11-22
- Clinical evaluation of the Surgivet V60046, a non invasive blood pressure monitor in anaesthetized dogs.Vet Anaesth Analg. 2008; 35: 13-21
- Comparison of invasive versus noninvasive blood pressure measurements before and after hemorrhage in anesthetized greyhounds using the Surgivet V9203.J Vet Emerg Crit Care. 2013; 23: 523-531
- Agreement between direct, oscillometric and Doppler ultrasound blood pressures using three different cuff positions in anesthetized dogs.Vet Anaesth Analg. 2012; 39: 324-334
- Vascular distensibility and functions of the arterial and venous systems.in: Guyton A.C. Hall J.E. Textbook of Medical Physiology. 11th edn. Saunders/Elsevier, USA2006: 171-180
- Issues and pitfalls in method comparison studies.Vet Anaesth Analg. 2014; 41: 227-232
- Indirect measurement of systemic blood pressure in conscious dogs in a clinical setting.J Vet Med Sci. 2008; 70: 449-453
- Comparison of invasive and non-invasive blood pressure monitoring during clinical anaesthesia in dogs.Vet Res Commun. 2010; 34: 217-227
- Accuracy of an oscillometric blood pressure monitor during phenylephrine-induced hypertension in dogs.Am J Vet Res. 2006; 67: 1541-1545
- A clinical comparison between a non-invasive blood pressure monitor using high definition oscillometry (Memodiagnostic MD 15/90 Pro) and invasive arterial blood pressure measurement in anaesthetized dogs.Vet Anaesth Analg. 2013; 40: 503-511
- Comparison of forelimb and hindlimb systolic blood pressures and proteinuria in healthy Shetland Sheepdogs.J Vet Int Med. 2014; 28: 277-283
- Angiologia, Arteriae.in: Illustrated Veterinary Anatomical Nomenclature. 3rd edn. 2007: 242-337 (Enke, Germany)
- Comparison of high definition oscillometric and Doppler ultrasound devices with invasive blood pressure in anaesthetized dogs.Vet Anaesth Analg. 2013; 40: 21-27
- Evaluation of an indirect oscillometric blood pressure monitor in normotensive and hypotensive anesthetized dogs.J Vet Emerg Crit Care. 2010; 20: 313-318
- Evaluation of oscillometric and Doppler ultrasonic devices for blood pressure measurements in anesthetized and conscious dogs.Res Vet Sci. 2014; 97: 111-117
- Evaluation of high-definition and conventional oscillometric blood pressure measurement in anaesthetised dogs using ACVIM guidelines.J Small Anim Pract. 2010; 51: 318-324
Article info
Publication history
Published online: August 03, 2017
Accepted:
July 22,
2017
Received:
February 18,
2016
Identification
Copyright
Published by Elsevier Ltd on behalf of Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia.
