loading page

Equivalence Between Invasive and Oscillometric Blood Pressure Measurements in a Controlled Haemorrhage Model in Dorsally-Recumbent Isoflurane-Anaesthetised Horses
  • +3
  • Colleen Hickey,
  • Alonso Guedes,
  • Jessica Byrne,
  • Eduardo Hatschbach,
  • Brian Walters,
  • Caitlin Tearney
Colleen Hickey
University of Minnesota Twin Cities Department of Veterinary Clinical Sciences

Corresponding Author:[email protected]

Author Profile
Alonso Guedes
University of Minnesota Twin Cities Department of Veterinary Clinical Sciences
Author Profile
Jessica Byrne
University of Minnesota Twin Cities Department of Veterinary Clinical Sciences
Author Profile
Eduardo Hatschbach
University of Minnesota Twin Cities Department of Veterinary Clinical Sciences
Author Profile
Brian Walters
University of Minnesota Twin Cities Department of Veterinary Clinical Sciences
Author Profile
Caitlin Tearney
University of Minnesota Twin Cities Department of Veterinary Clinical Sciences
Author Profile

Abstract

Background: Defining the reliability of oscillometry (NIBP) for measuring mean arterial pressure (MAP) during normotension and hypovolemic hypotension could help with cardiovascular monitoring in horses anaesthetised in dorsal recumbency. Objectives: To assess equivalence between NIBP and invasive MAP during normotension and hypovolemic hypotension in dorsally recumbent, anaesthetised horses. Study Design: Prospective experimental study using 9 cardiovascularly healthy mature horses. Methods: Under isoflurane anaesthesia, blood was removed every 10 minutes at 5 ml/kg bwt increments up to 25 ml/kg bwt and returned. Paired NIBP and invasive MAP measurements (facial, transverse facial, and metatarsal arteries; FA, TFA, MT) were obtained prior to and during blood removal/return and tested for equivalence using linear mixed-effects model. Sensitivity and specificity of NIBP to detect hypotension (MAP < 70 mmHg) were calculated, and an optimum NIBP MAP cut-off for hypotension was estimated. Results: A total of 257 paired NIBP and invasive MAP were compared. NIBP was equivalent to invasive MAP measured at the FA ( p = 0.3; M = -1, 95% CI [-3, 0.5]), with 88% sensitivity and 73% specificity to detect hypotension (defined as MAP < 70 mmHg in the FA). NIBP and MAP measurements from the FA remained equivalent when a standard 27 mmHg heart level correction was used ( p = 0.4; M = 1, 95% CI [-1, 3]). NIBP MAP < 80 mmHg using a heart level correction of 27 mmHg (or MAP < 107 mmHg without correction) is the optimum value defining hypotension (best balance between sensitivity, 95%, and specificity, 65%). Main limitations: Only adult horses in dorsal recumbency were studied. Conclusions: NIBP, as studied here, was equivalent to invasive MAP in the FA under normotension and hypovolemic hypotension. A NIBP MAP < 80 mmHg after 27 mmHg heart level correction appears to be the optimum value defining hypotension.
24 Jan 2024Editorial Decision: Revise Minor
27 Feb 20241st Revision Received
27 Feb 2024Assigned to Editor
27 Feb 2024Submission Checks Completed
27 Feb 2024Review(s) Completed, Editorial Evaluation Pending
27 Feb 2024Reviewer(s) Assigned
29 Mar 2024Reviewer(s) Assigned