CNAP文献的摘要翻译

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1、Acomparisonofacontinuousnoninvasivearterialpressure(CNAP™)monitorwithaninvasivearterialbloodpressuremonitorinthecardiacsurgicalICUAMJagadeesh,NaveenGSingh,SubramanyamMahankaliDepartmentofCardiacAnaesthesiology,SriJayadevaInstituteofCardiovascularSciencesandResearch,Jayanagar,Bangalore,IndiaAbst

2、ractAccuratemeasurementanddisplayofarterialbloodpressureisessentialforrationalmanagementofadultcardiacsurgicalpatients.Becauseofthelowerriskofcomplications,noninvasivemonitoringmethodsgainimportance.Anewlydevelopedcontinuousnoninvasivearterialbloodpressure(CNAP™)monitorisavailableandhasbeenvali

3、datedperioperatively.InaprospectivestudywecomparedtheCNAP™monitoringdevicewithinvasivearterialbloodpressure(IAP)measurementin30patientsinacardiacsurgicalIntensiveCareUnit(ICU).Patientswereeithermechanicallyventilatedorspontaneouslybreathing,withorwithoutinotropes.CNAP™wasappliedontwofingersofth

4、ehandcontralateraltotheIAPmonitoringcatheter.Systolic,diastolicandmeanpressuredatawererecordedeveryminutefor2hsimultaneouslyforbothIAPandCNAP™.StatisticalanalysisincludedconstructionofmountainplotandBlandAltmanplotsforassessinglimitsofagreementandbias(accuracy)calculation.Threethousandandsixhun

5、dredpairsofdatawereanalyzed.TheCNAP™systolicarterialpressurebiaswas10.415mmHgandtheCNAP™diastolicarterialpressurebiaswas−5.3386mmHg;themeanarterialpressure(MAP)ofCNAP™wasclosetotheMAPofIAP,withabiasof0.03944mmHg.TheBlandAltmanplotshowedauniformdistributionandagoodagreementofallarterialbloodpres

6、surevaluesbetweenCNAP™andIAP.Percentagewithinlimitsofagreementwas94.5%,95.1%and99.4%forsystolic,diastolicandMAP.Calculatedlimitsofagreementwere−4.60to25.43,−13.38to2.70and−5.95to6.03mmHgforsystolic,diastolicandmeanBP,respectively.ThemountainplotshowedsimilarresultsastheBlandAltmanplots.Weconclu

7、deCNAP™isareliable,noninvasive,continuousbloodpressuremonitorthatprovidesreal-timeestimatesofarterialpressurecomparabletothosegeneratedbyaninvasivearterialcathetersystem.CNAP™canbeusedasanalternativetoIAP.Keywords:Arterialbloodpre