Evaluation of agreement between invasive and non-invasive blood pressure measurement using the PetMAP™ device in rabbits
BackgroundMeasurement of arterial blood pressure is recommended in anaesthetized animals to guide perioperative treatment. Invasive blood pressure measurement is considered the gold standard, however it is also technically challenging, requires specialised equipment and carries certain risks. For th...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-07-01
|
| Series: | Frontiers in Veterinary Science |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fvets.2023.1141480/full |
| _version_ | 1797784137541615616 |
|---|---|
| author | Jerneja Sredenšek Jurij Žel Attilio Rocchi Nina Gasparik-Küls |
| author_facet | Jerneja Sredenšek Jurij Žel Attilio Rocchi Nina Gasparik-Küls |
| author_sort | Jerneja Sredenšek |
| collection | DOAJ |
| description | BackgroundMeasurement of arterial blood pressure is recommended in anaesthetized animals to guide perioperative treatment. Invasive blood pressure measurement is considered the gold standard, however it is also technically challenging, requires specialised equipment and carries certain risks. For these reasons, non-invasive blood pressure measurement devices are commonly used and are expected to provide accurate and reliable results. This requirement is particularly true for rabbits, in whom peri-anaesthetic hypotension is commonly observed and in whom perioperative mortality remains disproportionally high. Several authors have compared different non-invasive devices with invasive measurements in rabbits and have reported contrasting results. However, to date no comparison between invasive measurements and the PetMAP™ device, that has been designed specifically for veterinary medicine, has been reported.Aim and hypothesisThe aim of the study was the comparison of invasive blood pressure measurement with PetMAP™ in rabbits. We hypothesised that PetMAP™ would show acceptable agreement with the invasive measurements according to the American College of Veterinary Internal Medicine guidelines.Materials and methodsSixteen client-owned rabbits presenting for various surgical interventions were included in the study. Invasive measurements were performed by cannulation of an auricular artery. The PetMAP™ cuff was applied distal to the elbow according to the manufacturer’s guidelines. For each measurement with PetMAP™, three invasive blood pressure values were recorded. The mean of the three invasive values was compared with one value measured with PetMAP™.ResultsData collected from 16 rabbits were used for statistical analysis. In the clinical setting, the PetMAP™ device showed significant overestimation of systolic, diastolic and mean arterial pressure, which were measured in the auricular artery. In addition, the bias was not constant, implying that the device poorly predicted changes in blood pressure.ConclusionThe PetMAP™ device did not meet any of the American College of Veterinary Internal Medicine recommendations. |
| first_indexed | 2024-03-13T00:35:41Z |
| format | Article |
| id | doaj.art-4d21eef42079491e8d9ee0c7c9d30ffe |
| institution | Directory Open Access Journal |
| issn | 2297-1769 |
| language | English |
| last_indexed | 2024-03-13T00:35:41Z |
| publishDate | 2023-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Veterinary Science |
| spelling | doaj.art-4d21eef42079491e8d9ee0c7c9d30ffe2023-07-10T04:37:34ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692023-07-011010.3389/fvets.2023.11414801141480Evaluation of agreement between invasive and non-invasive blood pressure measurement using the PetMAP™ device in rabbitsJerneja Sredenšek0Jurij Žel1Attilio Rocchi2Nina Gasparik-Küls3University Clinic for Companion Animals, Clinical Unit of Anaesthesiology and Perioperative Intensive-Care Medicine, University of Veterinary Medicine Vienna, Vienna, AustriaSmall Animal Clinic, Veterinary Faculty, University of Ljubljana, Ljubljana, SloveniaUniversity Clinic for Companion Animals, Clinical Unit of Anaesthesiology and Perioperative Intensive-Care Medicine, University of Veterinary Medicine Vienna, Vienna, AustriaUniversity Clinic for Companion Animals, Clinical Unit of Anaesthesiology and Perioperative Intensive-Care Medicine, University of Veterinary Medicine Vienna, Vienna, AustriaBackgroundMeasurement of arterial blood pressure is recommended in anaesthetized animals to guide perioperative treatment. Invasive blood pressure measurement is considered the gold standard, however it is also technically challenging, requires specialised equipment and carries certain risks. For these reasons, non-invasive blood pressure measurement devices are commonly used and are expected to provide accurate and reliable results. This requirement is particularly true for rabbits, in whom peri-anaesthetic hypotension is commonly observed and in whom perioperative mortality remains disproportionally high. Several authors have compared different non-invasive devices with invasive measurements in rabbits and have reported contrasting results. However, to date no comparison between invasive measurements and the PetMAP™ device, that has been designed specifically for veterinary medicine, has been reported.Aim and hypothesisThe aim of the study was the comparison of invasive blood pressure measurement with PetMAP™ in rabbits. We hypothesised that PetMAP™ would show acceptable agreement with the invasive measurements according to the American College of Veterinary Internal Medicine guidelines.Materials and methodsSixteen client-owned rabbits presenting for various surgical interventions were included in the study. Invasive measurements were performed by cannulation of an auricular artery. The PetMAP™ cuff was applied distal to the elbow according to the manufacturer’s guidelines. For each measurement with PetMAP™, three invasive blood pressure values were recorded. The mean of the three invasive values was compared with one value measured with PetMAP™.ResultsData collected from 16 rabbits were used for statistical analysis. In the clinical setting, the PetMAP™ device showed significant overestimation of systolic, diastolic and mean arterial pressure, which were measured in the auricular artery. In addition, the bias was not constant, implying that the device poorly predicted changes in blood pressure.ConclusionThe PetMAP™ device did not meet any of the American College of Veterinary Internal Medicine recommendations.https://www.frontiersin.org/articles/10.3389/fvets.2023.1141480/fullanaesthesiaagreementblood pressureoscillometricrabbits |
| spellingShingle | Jerneja Sredenšek Jurij Žel Attilio Rocchi Nina Gasparik-Küls Evaluation of agreement between invasive and non-invasive blood pressure measurement using the PetMAP™ device in rabbits Frontiers in Veterinary Science anaesthesia agreement blood pressure oscillometric rabbits |
| title | Evaluation of agreement between invasive and non-invasive blood pressure measurement using the PetMAP™ device in rabbits |
| title_full | Evaluation of agreement between invasive and non-invasive blood pressure measurement using the PetMAP™ device in rabbits |
| title_fullStr | Evaluation of agreement between invasive and non-invasive blood pressure measurement using the PetMAP™ device in rabbits |
| title_full_unstemmed | Evaluation of agreement between invasive and non-invasive blood pressure measurement using the PetMAP™ device in rabbits |
| title_short | Evaluation of agreement between invasive and non-invasive blood pressure measurement using the PetMAP™ device in rabbits |
| title_sort | evaluation of agreement between invasive and non invasive blood pressure measurement using the petmap™ device in rabbits |
| topic | anaesthesia agreement blood pressure oscillometric rabbits |
| url | https://www.frontiersin.org/articles/10.3389/fvets.2023.1141480/full |
| work_keys_str_mv | AT jernejasredensek evaluationofagreementbetweeninvasiveandnoninvasivebloodpressuremeasurementusingthepetmapdeviceinrabbits AT jurijzel evaluationofagreementbetweeninvasiveandnoninvasivebloodpressuremeasurementusingthepetmapdeviceinrabbits AT attiliorocchi evaluationofagreementbetweeninvasiveandnoninvasivebloodpressuremeasurementusingthepetmapdeviceinrabbits AT ninagasparikkuls evaluationofagreementbetweeninvasiveandnoninvasivebloodpressuremeasurementusingthepetmapdeviceinrabbits |