BP cuff, A-line or VitalStream noninvasive hemodynamic monitor?
October 7, 2024
Should you use a blood pressure cuff, arterial line or VitalStream to monitor your perioperative patients? Learn the about the strengths and weaknesses of each.
| Goal | Blood pressure cuff | Arterial line | VitalStream noninvasive monitor |
|---|---|---|---|
| Hypotension detection | Limited. BP is a late indicator of decline and blind spots can cause further delay intervention. | Offers continuous BP. | Enables early detection of decline with continuous monitoring of BP, SV, CO, SVR and more. |
| Tailored treatment strategy | Does not offer insight into the root cause of hypotension which can result in suboptimal outcomes. | Does not offer insight into the root cause of hypotension which can result in suboptimal outcomes. | Allows for personalized treatment that targets the root cause of hypotension. (With fluid, vasopressors & inotropes). |
| Personalized fluid management | Fluid needs are not assessed. Can lead to over or under hydration and result in complications. | Fluid needs are not assessed. Can lead to over or under hydration and result in complications. | Can assess and guide optimal fluid management with the touch of a button. |
| OR efficiency | Quick setup. | Can take 15+ minutes for set up. | Can be set up in preop in under 90 seconds. |
| Seamless monitoring | Can be used throughout care settings with significant blind spots/gaps in data. | Continuous monitoring but not typically used outside the OR and ICU. | Can be used for seamless and continuous monitoring from intake through discharge. |
| Patient satisfaction | Can be uncomfortable for patients and restrict movement. | Invasive, uncomfortable and restricts movement. | Offers a comfortable, low pressure finger sensor and a wireless form factor that allows for ambulation. |
| Cost containment | Decisions based on limited data can lead to high complication costs and penalties. | Decisions based on limited data can lead to high complication costs and penalties. | Enables more informed decisions that can reduce preventable complications, and drive VBC and optimal reimbursement. |
| Health equity | Decisions made with incomplete information. Can be inaccurate on high BMI patients. | Decisions made with incomplete information. Can be unsuccessful with high BMI patients. | Enables data-based decisions. Tested on patients with a BMI of 50.1 Demonstrated a 19% greater monitoring success rate when compared to an A-line.1 Has been successful on patients with a perfusion index below 1.4.1,* |
| Ease of use | Easy to use. | Procedure must be performed by a skilled provider. | Easy to use. Can be quickly learned with minimal instruction. |
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