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Lee JH, Kim JM, Ahn KR, et al. Study for the discrepancy of arterial blood pressure in accordance with method, age, body part of measurement during general anesthesia using sevoflurane. Korean J Anesthesiol. 2011;60(5):323-8doi: 10.4097/kjae.2011.60.5.323.
Lee, J. H., Kim, J. M., Ahn, K. R., Kim, C. S., Kang, K. S., Chung, J. H., Chung, J. W., & Yoo, S. H. (2011). Study for the discrepancy of arterial blood pressure in accordance with method, age, body part of measurement during general anesthesia using sevoflurane. Korean journal of anesthesiology, 60(5), 323-8. https://doi.org/10.4097/kjae.2011.60.5.323
Lee, Ji Ho, et al. "Study for the discrepancy of arterial blood pressure in accordance with method, age, body part of measurement during general anesthesia using sevoflurane." Korean journal of anesthesiology vol. 60,5 (2011): 323-8. doi: https://doi.org/10.4097/kjae.2011.60.5.323
Lee JH, Kim JM, Ahn KR, Kim CS, Kang KS, Chung JH, Chung JW, Yoo SH. Study for the discrepancy of arterial blood pressure in accordance with method, age, body part of measurement during general anesthesia using sevoflurane. Korean J Anesthesiol. 2011 May;60(5):323-8. doi: 10.4097/kjae.2011.60.5.323. Epub 2011 May 31. PMID: 21716961; PMCID: PMC3110289.
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Korean J Anesthesiol. 2011 May;60(5):323-8. doi: 10.4097/kjae.2011.60.5.323. Epub 2011 May 31.

Study for the discrepancy of arterial blood pressure in accordance with method, age, body part of measurement during general anesthesia using sevoflurane.

Korean journal of anesthesiology

Ji Ho Lee, Joung-Min Kim, Ki Ryang Ahn, Chun Sook Kim, Kyu Sik Kang, Jin Hun Chung, Ji-Won Chung, Sie Hyeon Yoo

Affiliations

  1. Department of Occupational and Environmental Medicine, College of Medicine, Ulsan University Hospital, Ulsan, Korea.

PMID: 21716961 PMCID: PMC3110289 DOI: 10.4097/kjae.2011.60.5.323

Abstract

BACKGROUND: Many pieces of previous research on measuring blood pressure (BP) using different methods focused on the disparity in the results. However, none of them dealt with the disparity caused by the difference in age and inhalation anesthetics. We attempted to find the variance in accordance with age, body part, and measuring methods (invasive vs noninvasive) and also studied how sevoflurane influences BP as the operation progresses.

METHODS: In sixty patients, we measured the arterial BP in the upper and lower limbs by noninvasive methods before inducing anesthesia. After induction, we used sevoflurane to maintain anesthesia, and injected catheters into the radial artery and dorsalis pedis artery to measure arterial pressure at every ten minute by both invasive and noninvasive methods.

RESULTS: The patients who were 40 or older showed significantly higher values in the systolic BP than the patients younger than 40. The values of systolic and diastolic BP measured by a noninvasive oscillometric method were meaningfully higher than those measured by an invasive method. As the operations progressed, the lower limbs showed higher systolic pressure than the upper limbs regardless of measuring methods, whereas the opposite is true for diastolic pressure.

CONCLUSIONS: The values in the arterial BP were measured high by noninvasive method. Systolic BP were estimated significantly high in the older patients and in the lower leg. Due to the effect of sevoflurane, the diastolic BP in the lower limbs becomes lower than that of upper limbs regardless of measuring methods, as the operation progresses.

Keywords: Blood pressure; Dorsalis pedis artery; Radial artery; Sevoflurane

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