Korean J Anesthesiol.  2002 Jul;43(1):10-14. 10.4097/kjae.2002.43.1.10.

The Effect of the Radius and Longitude of a Catheter in Continuous Arterial Blood Pressure Monitoring

Affiliations
  • 1Department of Anesthesiology, Yonsei University College of Medicine, Seoul, Korea. ylkwak@yumc.yonsei.ac.kr
  • 2Department of Anesthesiology, Ajou University College of Medicine, Suwon, Korea.

Abstract

BACKGROUND: Continuous arterial blood pressure monitoring is a highly effective method in an operation and the intensive care unit. However, the accuracy of the monitoring system could be influenced by the radius and longitude of the catheter. This study was executed to examine the effects of the radius and longitude of a catheter.
METHODS
Forty-two pediatric patients scheduled to undergo open heart surgery were selected. After induction of anesthesia, the radial artery pressure was measured by a 22-gauge (1 inch) catheter and the femoral artery pressure was measured by a 20-gauge (1.16 inch) catheter, 22-gauge catheter and 20-gauge (12 cm) catheter in succession. Influences of the radius and longitude were analysed respectively. All values are expressed as mean +/- SD and analysed using the paired t-test; P < 0.05 was considered significant.
RESULTS
The systolic pressure of the 20-gauge (1.16 inch) catheter was higher than that of the 22- gauge (1 inch) catheter. The systolic pressure of the 20-gauge (1.16 inch) catheter was higher than that of the 20-gauge (12 cm) catheter. Mean and diastolic pressures were low in the 20-gauge (1.16 inch) catheter, compared with the 20-gauge (12 cm) catheter.
CONCLUSIONS
Shorter and/or larger radius catheters could increase the pulse pressure in pediatric patients.

Keyword

Arterial blood pressure; arterial catheters

MeSH Terms

Anesthesia
Arterial Pressure*
Blood Pressure
Catheters*
Femoral Artery
Humans
Intensive Care Units
Radial Artery
Radius*
Thoracic Surgery
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