Evidence map›Paper›PMID 35754365›Full record

ArticleObstetrics & gynecology science2022

Non-invasive continuous blood pressure monitoring using the ClearSight system for pregnant women at high risks of post-partum hemorrhage: comparison with invasive blood pressure monitoring during cesarean section.

Takuya Misugi, Takashi Juri, Koichi Suehiro, Kohei Kitada, Yasushi Kurihara, Mie Tahara, Akihiro Hamuro, Akemi Nakano, Masayasu Koyama, Takasi Mori and 1 more

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Obstetrics & gynecology science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05667584 (Comparisons of the Blood Pressure Control Ability Between Hypotension Prediction Index With Non-invasive Continuous Arterial Pressure Waveforms, Continuous Blood Pressure Monitoring With Non-invasive Continuous Arterial Pressure Waveforms, and Intermittent Blood Pressure Monitoring With Conventional Non-invasive Blood Pressureduring Neuraxial Anesthesia in Cesarean Section), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05667584 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Comparisons of the Blood Pressure Control Ability Between Hypotension Prediction Index With Non-invasive Continuous Arterial Pressure Waveforms, Continuous Blood Pressure Monitoring With Non-invasive Continuous Arterial Pressure Waveforms, and Intermittent Blood Pressure Monitoring With Conventional Non-invasive Blood Pressureduring Neuraxial Anesthesia in Cesarean Section: a Randomized Controlled Trial

TypeinterventionalSponsorNational Taiwan University HospitalRan2023 to 2024Enrolled255ConditionsIntraoperative Hypotension, Cesarean SectionArmshypotension prediction index derived from non-invasive arterial pressure waveforms, non-invasive arterial pressure waveforms
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Pearls and pitfalls of noninvasive continuous arterial blood pressure monitoring.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2026
    Article
  3. Review
  4. Article
  5. Observational
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Takuya MisugiDepartment of Obstetrics, and Gynecology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Takashi JuriDepartment of Anesthesiology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Koichi SuehiroDepartment of Anesthesiology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Kohei KitadaDepartment of Obstetrics, and Gynecology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Yasushi KuriharaDepartment of Obstetrics, and Gynecology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Mie TaharaDepartment of Obstetrics, and Gynecology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Akihiro HamuroDepartment of Obstetrics, and Gynecology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Akemi NakanoDepartment of Obstetrics, and Gynecology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Masayasu KoyamaDepartment of Obstetrics, and Gynecology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Takasi MoriDepartment of Anesthesiology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Daisuke TachibanaDepartment of Obstetrics, and Gynecology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Osaka Metropolitan University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to investigate the accuracy and precision of continuous, non-invasive blood pressure obtained using the ClearSight system by comparing it with invasive arterial blood pressure, and to assess the hemodynamic changes using invasive methods and the ClearSight system in patients undergoing cesarean section.

methodsArterial pressure was measured invasively with an intra-arterial catheter and non-invasively using the ClearSight system during cesarean section in patients with placenta previa or placenta accreta. Blood pressure measurements obtained using these two means were then compared.

resultsTotal 1,277 blood pressure measurement pairs were collected from 21 patients. Under Bland-Altman analysis, the ClearSight system demonstrated an acceptable accuracy with a bias and standard deviation of 8.8±13.4 mmHg for systolic blood pressure, -6.3±7.1 mmHg for diastolic blood pressure, and -2.7±8.0 mmHg for median blood pressure. Cardiac index levels were significantly elevated during fetal delivery and 5 minutes after placental removal, and systemic vascular resistance index levels were significantly decreased during fetal delivery and 40 minutes after placental removal.

conclusionIn patients undergoing cesarean section, the ClearSight system showed excellent accuracy and precision compared to that of the currently used invasive monitoring system.

Indexed as

Blood pressure monitorCesarean sectionPostpartum hemorrhageSpinal anesthesia

Identifiers

PMID35754365
PMCPMC9304436
OpenAlexW4283576297

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.