Comparative accuracies of a finger blood pressure monitor and an oscillometric blood pressure monitor

Richard H. Epstein, Suzanne Huffnagle, Richard R. Bartkowski

Research output: Contribution to journalArticlepeer-review

32 Scopus citations

Abstract

A noninvasive blood pressure monitor (Finapres) that uses the methodology of Peňaz to continuously display the arterial waveform from the finger has been introduced recently. The Finapres monitor overestimated systolic pressure by 5.8±11.9 mm Hg, while the Dinamap monitor underestimated systolic pressure by -6.9±9.2 mm Hg (P=0.003). Dinamap mean and diastolic pressure biases were less than 2 mm Hg, while the Finapres biases for these variables were significantly greater (7.7±10.0 and 8.2±9.8 mm Hg, respectively). There was no difference in systolic or mean pressure precision between the two devices (approximately 10 mm Hg), but the diastolic precision of the Dinamap unit was superior to that of the Finapres. While in most patients the Finapres monitor provided continuous blood pressure data equivalent to the data from the radial artery, marked bias (>15 mm Hg) was exhibited in 2 patients for all three pressure variables. Despite this bias, blood pressure changes were tracked closely in these 2 patients. We conclude that, in its current form, the Finapres monitor cannot be relied upon independently to accurately measure blood pressure in patients undergoing general anesthesia. Since the Dinamap monitor measures mean pressure reliably and accurately, we suggest that mean blood pressure values between the Finapres and Dinamap monitors be compared to guide one in interpreting Finapres data.

Original languageEnglish (US)
Pages (from-to)161-167
Number of pages7
JournalJournal of Clinical Monitoring
Volume7
Issue number2
DOIs
StatePublished - Apr 1991
Externally publishedYes

Keywords

  • Anesthesia, general
  • Equipment: monitors, blood pressure
  • Measurement techniques: blood pressure
  • Monitoring: blood pressure

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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