Comparison of the ClearSight™ finger cuff monitor versus invasive arterial blood pressure measurement in elective cardiac surgery patients: a prospective observational study

Rogge DE, Nicklas JY, Schon G, et al. Continuous noninvasive arterial pressure monitoring in obese patients during bariatric surgery: an evaluation of the vascular unloading technique (ClearSight system). Anesth Analg 2019; 128: 477–83. https://doi.org/10.1213/ane.0000000000003943

Article  PubMed  Google Scholar 

Dahan A, Engberts DP, Niesters M. Arterial line placement: safety first. Anesthesiology 2016; 124: 528–9. https://doi.org/10.1097/aln.0000000000000968

Article  PubMed  Google Scholar 

Paxiuta J, Lobao MJ, Carvalho L. Radial artery pseudoaneurysm: rare complication of a frequent procedure. BMJ Case Rep 2017; 2017: bcr2016218313. https://doi.org/10.1136/bcr-2016-218313

Hohn A, Defosse JM, Becker S, Steffen C, Wappler F, Sakka SG. Non-invasive continuous arterial pressure monitoring with Nexfin does not sufficiently replace invasive measurements in critically ill patients. Br J Anaesth 2013; 111: 178–84. https://doi.org/10.1093/bja/aet023

Article  CAS  PubMed  Google Scholar 

Stover JF, Stocker R, Lenherr R, et al. Noninvasive cardiac output and blood pressure monitoring cannot replace an invasive monitoring system in critically ill patients. BMC Anesthesiol 2009; 9: 6. https://doi.org/10.1186/1471-2253-9-6

Article  PubMed  PubMed Central  Google Scholar 

Edwards Lifesciences Corp. ClearSight: noninvasive continuous hemodynamic monitoring. Available from URL: https://www.edwards.com/healthcare-professionals/products-services/hemodynamic-monitoring/clearsight-system (accessed May 2024).

American National Standard. Non-invasive sphygmomanometers—part 2: clinical validation of automated measurement type; 2013. Available from URL: https://webstore.ansi.org/standards/aami/ansiaamiiso810602013 (accessed May 2024).

Saugel B, Hoppe P, Nicklas JY, et al. Continuous noninvasive pulse wave analysis using finger cuff technologies for arterial blood pressure and cardiac output monitoring in perioperative and intensive care medicine: a systematic review and meta-analysis. Br J Anaesth; 125: 25–37. https://doi.org/10.1016/j.bja.2020.03.013

Klose P, Lorenzen U, Berndt R, et al. Continuous noninvasive monitoring of arterial pressure using the vascular unloading technique in comparison to the invasive gold standard in elderly comorbid patients: a prospective observational study. Health Sci Rep 2020; 3: e204. https://doi.org/10.1002/hsr2.204

Article  PubMed  PubMed Central  Google Scholar 

Schumann R, Meidert AS, Bonney I, et al. Intraoperative blood pressure monitoring in obese patients. Anesthesiology 2021; 134: 179–88. https://doi.org/10.1097/aln.0000000000003636

Article  PubMed  Google Scholar 

Tanioku T, Yoshida A, Aratani Y, Fujii K, Kawamata T. Validation of noninvasive continuous arterial pressure measurement by ClearSight System during induction of anesthesia for cardiovascular surgery. BMC Anesthesiol 2020; 20: 176. https://doi.org/10.1186/s12871-020-01091-x

Article  PubMed  PubMed Central  Google Scholar 

Gallacher KI, Jani BD, Hanlon P, Nicholl BI, Mair FS. Multimorbidity in stroke. Stroke 2019; 50: 1919–26. https://doi.org/10.1161/strokeaha.118.020376

Article  PubMed  Google Scholar 

Shu J, Santulli G. Update on peripheral artery disease: epidemiology and evidence-based facts. Atherosclerosis 2018; 275: 379–81. https://doi.org/10.1016/j.atherosclerosis.2018.05.033

Article  CAS  PubMed  PubMed Central  Google Scholar 

Cuschieri S. The STROBE guidelines. Saudi J Anaesth 2019; 13: S31–4. https://doi.org/10.4103/sja.sja_543_18

Article  PubMed  Google Scholar 

Stergiou GS, Alpert B, Mieke S, et al. A universal standard for the validation of blood pressure measuring devices: Association for the Advancement of Medical Instrumentation/European Society of Hypertension/International Organization for Standardization (AAMI/ESH/ISO) Collaboration Statement. J Hypertens 2018; 36: 472–8. https://doi.org/10.1097/hjh.0000000000001634

Article  CAS  PubMed  PubMed Central  Google Scholar 

Ludbrook J. Confidence in Altman–Bland plots: a critical review of the method of differences. Clin Exp Pharmacol Physiol 2010; 37: 143–9. https://doi.org/10.1111/j.1440-1681.2009.05288.x

Article  CAS  PubMed  Google Scholar 

Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986; 1: 307–10. https://doi.org/10.1016/s0140-6736(86)90837-8

Article  CAS  PubMed  Google Scholar 

Critchley LA, Critchley JA. A meta-analysis of studies using bias and precision statistics to compare cardiac output measurement techniques. J Clin Monit Comput 1999; 15: 85–91. https://doi.org/10.1023/a:1009982611386

Article  CAS  PubMed  Google Scholar 

Noto A, Sanfilippo F, De Salvo G, et al. Noninvasive continuous arterial pressure monitoring with Clearsight during awake carotid endarterectomy: a prospective observational study. Eur J Anaesthesiol 2019; 36: 144–52. https://doi.org/10.1097/eja.0000000000000938

Article  PubMed  Google Scholar 

Ilies C, Bauer M, Berg P, et al. Investigation of the agreement of a continuous non-invasive arterial pressure device in comparison with invasive radial artery measurement. Br J Anaesth 2012; 108: 202–10. https://doi.org/10.1093/bja/aer394

Article  CAS  PubMed  Google Scholar 

Columb MO. Clinical measurement and assessing agreement. Curr Anaesth Crit Care 2008; 19: 328–9. https://doi.org/10.1016/j.cacc.2008.07.001

Article  Google Scholar 

Lorne E, Diouf M, de Wilde RB, Fischer MO. Assessment of interchangeability rate between 2 methods of measurements: an example with a cardiac output comparison study. Medicine (Baltimore) 2018; 97: e9905. https://doi.org/10.1097/md.0000000000009905

Article  PubMed  Google Scholar 

Broch O, Bein B, Gruenewald M, et al. A comparison of continous non-invasive arterial pressure with invasive radial and femoral pressure in patients undergoing cardiac surgery. Minerva Anestesiol 2013; 79: 818–9.

CAS  PubMed  Google Scholar 

Eley V, Christensen R, Guy L, et al. ClearSight finger cuff versus invasive arterial pressure measurement in patients with body mass index above 45 kg/m2. BMC Anesthesiol 2021; 21: 152. https://doi.org/10.1186/s12871-021-01374-x

Article  CAS  PubMed  PubMed Central  Google Scholar 

Heusdens JF, Lof S, Pennekamp CW, et al. Validation of non-invasive arterial pressure monitoring during carotid endarterectomy. Br J Anaesth 2016; 117: 316–23. https://doi.org/10.1093/bja/aew268

Article  CAS  PubMed  Google Scholar 

Lee SW, Lee S, Kim H, Kim YJ, Kim M, Choi JH. Accuracy of noninvasive continuous arterial pressure monitoring using ClearSight during one-lung ventilation. Medicine (Baltimore) 2021; 100: e25152. https://doi.org/10.1097/md.0000000000025152

Article  PubMed  Google Scholar 

Sakai Y, Yasuo MT, Oyama T, Murakami C, Kakuta N, Tanaka K. Noninvasive continuous blood pressure monitoring by the ClearSight system during robot-assisted laparoscopic radical prostatectomy. J Med Invest 2018; 65: 69–73. https://doi.org/10.2152/jmi.65.69

Article  PubMed  Google Scholar 

Weiss E, Gayat E, Dumans-Nizard V, Le Guen M, Fischler M. Use of the Nexfin™ device to detect acute arterial pressure variations during anaesthesia induction. Br J Anaesth 2014; 113: 52–60. https://doi.org/10.1093/bja/aeu055

Article  CAS  PubMed  Google Scholar 

Yokose M, Mihara T, Takaya M, et al. The perfusion index measured by the pulse oximeter affects the agreement between ClearSight and the arterial catheter-based blood pressures: a prospective observational study. PLoS One 2019; 14: e0219511. https://doi.org/10.1371/journal.pone.0219511

Article  CAS  PubMed  PubMed Central  Google Scholar 

Ameloot K, Van De Vijver K, Van Regenmortel N, et al. Validation study of Nexfin® continuous non-invasive blood pressure monitoring in critically ill adult patients. Minerva Anestesiol 2014; 80: 1294–301.

CAS  PubMed  Google Scholar 

Fassaert LM, Plate JD, Westerink J, Immink RV, de Borst GJ. The ClearSight system for postoperative arterial blood pressure monitoring after carotid endarterectomy: a validation study. Am J Hypertens 2022; 35: 164–72. https://doi.org/10.1093/ajh/hpab140

Article  PubMed  Google Scholar 

Fischer MO, Avram R, Cârjaliu I, et al. Non-invasive continuous arterial pressure and cardiac index monitoring with Nexfin after cardiac surgery. Br J Anaesth 2012; 109: 514–21. https://doi.org/10.1093/bja/aes215

Article  CAS  PubMed 

Comments (0)

No login
gif