Estimation of Target and Completion Pressure during the Cuff Inflation Phase in Blood Pressure Measurement

혈압측정시 가압 단계에서 목표압력 및 측정 종료압력 추정

  • Oh, Hong-Sic (Department of Biomedical Engineering, Hanyang University) ;
  • Lee, Jong-Shill (Department of Biomedical Engineering, Hanyang University) ;
  • Kim, Young-Soo (Department of Neurosurgery, College of Medicine, Hanyang University) ;
  • Shen, Dong-Fan (Department of Biomedical Engineering, Hanyang University) ;
  • Kim, In-Young (Department of Biomedical Engineering, Hanyang University) ;
  • Chee, Young-Joan (Department of Biomedical Engineering, Hanyang University)
  • 오홍식 (한양대학교 의용생체공학과) ;
  • 이종실 (한양대학교 의용생체공학과) ;
  • 김영수 (한양대학교 의과대학 신경외과) ;
  • 신동범 (한양대학교 의용생체공학과) ;
  • 김인영 (한양대학교 의용생체공학과) ;
  • 지영준 (한양대학교 의용생체공학과)
  • Published : 2008.10.31

Abstract

In blood pressure measurement, the oscillometric method detects and analyzes the pulse pressure oscillation while deflating the cuff around the arm. For its principle, one has to inflate cuff pressure above the subject's systolic pressure and deflate below the diastolic pressure. Most of the commercialized devices inflate until the fixed target pressure and deflate until the fixed completion pressure because there is no way to know the systolic and diastolic pressure before measurement. Too high target pressure makes stress to the subject and too low target pressure makes big error or long measurement time because of re-inflation. There are similar problems for inadequate completion pressure. In this study, we suggest new algorithm to set proper target and completion pressure for each subject by analyzing pressure waveform while inflating period. We compared our proposed method and auscultation method to see the errors of estimation. The differences between the two measurements were -4.02$\pm$4.80mmHg, -10.50$\pm$10.57mmHg and -0.78$\pm$5.l7mmHg for mean arterial pressure, systolic pressure and diastolic pressure respectively. Consequently, we could set the target pressure by 30 mmHg higher than our estimation and we could stop at 20mmHg lower than our estimated diastolic pressure. Using this method, we could reduce the measurement time.

Keywords

References

  1. Geddes, L.A., V. Chaffee, S.W. Whistler, J.D. Bourland, and W.A. Tacker. Indirect mean blood pressure on the anesthetized pony. Am. J. Vet. Res. 28:2055-2057, 1977
  2. Ramsey, M. Noninvasive automatic determination of mean arterial pressure. Med. Biol. Eng. Comput. 17:17-18, 1979
  3. Geddes, L.A. and A.G. Moore. The efficient detection of Korotkoff sounds. Med. Biol. Eng. 6161:603-609, 1968
  4. D.K. Roh, Y.S. Lee, J.H. Jie, S.B. Park, K.H. Lee, H.K. Kim, "Design of the Blood Pressure Measurement System Using The Inflation Oscillometric Method", J. Biomed. Eng. Res. Vol.24, 4:281-286, 2003
  5. National High Blood Pressure Education Program, The Seventh Report of the Joint National Committe on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure
  6. N. Morioka, M. Ozaki, K. Ozaki, Di Sessler, T. Matsukawa, H. Suzuki, Measurement of Non-Invasive Oscillometric Blood PRessure During Cuff Inflation, Rather than Deflation, Anesthesiology, Vol.87, pp.A431, 1997 https://doi.org/10.1097/00000542-199709001-00431
  7. L.A.Geddes, M.Voelz. C.Combs. D.Reiner, C.F.Babbs, "Characterization of the oscillometric method for measuring indirect blood pressure", Ann Biomed Eng.1892, 10:271-280
  8. Alan M. Gross, "Confidence Intervals for Bisquare Regression Estimates", J. American statistical Association, Vol.72, No. 358(Jun.,1977), pp. 341-354 https://doi.org/10.2307/2286799
  9. Chemla D, Hebert JL, Zamani K, Coirault C, Lecarpentier Y. A new formula for estimating mean aortic pressure. Lancet 1999; 353: 1069-70
  10. Eoin O'Brien, Neil Atkins. "validation and Reliability of Blood Pressure Monitors". Clinical Hypertension and Vascular Disease, Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics 2nd Edition
  11. Jiri Jilek, Teiichiro Fukushima, "Oscillometric Blood Pressure Measurement : The Methodology, Some Observations, and Suggestions", Biomedical Instrumentation & Technology 2005; 39:237-241
  12. Razminia M, Trivedi A, Molnar J, Elbzour M, Guerrero M, Salem Y, Ahmed A, Khosla S, Lubell DL. "Validation of a new formula for mean arterial pressure calculation: The new formula is superior to the standard formula", Catheter Cardiovasc Interv. 2004 Dec;63(4):419-25 https://doi.org/10.1002/ccd.20217