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dc.contributor.author전종헌-
dc.date.accessioned2018-03-13T05:55:02Z-
dc.date.available2018-03-13T05:55:02Z-
dc.date.issued2013-12-
dc.identifier.citationSHOCK, 권: 40, 호: 6, 페이지: 527-531en_US
dc.identifier.issn1073-2322-
dc.identifier.urihttps://journals.lww.com/shockjournal/Abstract/2013/12000/Radial_to_Femoral_Arterial_Blood_Pressure.13.aspx-
dc.identifier.urihttp://hdl.handle.net/20.500.11754/46012-
dc.description.abstractObjectives: The accuracy of arterial blood pressure (ABP) monitoring is crucial in treating septic shock patients. Clinically significant differences in central to peripheral ABP could develop into sepsis during vasopressor therapy. The aim of this study was to investigate the difference between radial (peripheral) and femoral (central) ABP in septic shock patients receiving high-dose norepinephrine (NE) therapy. Methods and Results: This prospective observational study comparing simultaneous intra-arterial measurements of radial and femoral ABP was performed at a university-affiliated, tertiary referral center between October 2008 and March 2009. Patients with septic shock who needed continuous blood pressure monitoring and high-dose NE therapy 0.1 mu g/kg per minute or greater to maintain mean arterial pressure (MAP) of 65 mmHg or greater were included. Statistical analysis was conducted using the Bland-Altman method for comparison of repeated measures. In total, 250 sets of systolic, mean, and diastolic femoral and radial ABP were recorded at baseline and after NE titration. Arterial blood pressure readings from the radial artery were underestimated compared with those from the femoral artery. Overall bias (mean difference between simultaneous measurements) between radial and femoral MAP was +4.9 mmHg; however, during high-dose NE therapy, the bias increased to +6.2 mmHg (95% limits of agreement: -6.0 to +18.3 mmHg). Clinically significant radial-femoral MAP differences (MAP >= 5 mmHg) occurred in up to 62.2% of patients with high-dose NE therapy. Conclusions: Radial artery pressure frequently underestimates central pressure in septic shock patients receiving high-dose NE therapy. Femoral arterial pressure monitoring may be more appropriate when high-dose NE therapy is administered.en_US
dc.language.isoenen_US
dc.publisherLIPPINCOTT WILLIAMS & WILKINS, 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USAen_US
dc.subjectFemoral arteryen_US
dc.subjectradial arteryen_US
dc.subjectarterial pressure monitoringen_US
dc.subjectmeasurement techniquesen_US
dc.subjectvasoconstrictor agents; sepsisen_US
dc.titleRADIAL TO FEMORAL ARTERIAL BLOOD PRESSURE DIFFERENCES IN SEPTIC SHOCK PATIENTS RECEIVING HIGH-DOSE NOREPINEPHRINE THERAPYen_US
dc.typeArticleen_US
dc.relation.no6-
dc.relation.volume40-
dc.identifier.doi10.1097/SHK.0000000000000064-
dc.relation.page527-531-
dc.relation.journalSHOCK-
dc.contributor.googleauthorKim, Won Young-
dc.contributor.googleauthorJun, Jong Hun-
dc.contributor.googleauthorHuh, Jin Won-
dc.contributor.googleauthorHong, Sang Bum-
dc.contributor.googleauthorLim, Chae-Man-
dc.contributor.googleauthorKoh, Younsuck-
dc.relation.code2013012029-
dc.sector.campusS-
dc.sector.daehakCOLLEGE OF MEDICINE[S]-
dc.sector.departmentDEPARTMENT OF MEDICINE-
dc.identifier.pidjhjun-
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COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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