Noninvasive automatic monitoring of instantaneous arterial blood pressure using the vascular unloading technique

Abstract

For the noninvasive monitoring of the beat-to-beat systolic and diastolic pressure and pressure waveform in the human finger, a new automated instrument was designed. This measurement is based on a principle called the vascular unloading technique. Using a hydraulic servocontrol system, the vascular volume change caused by intra-arterial pressure change can be compensated by applying counter pressure to maintain a constant vascular volume in the unloaded state. In this state the controlled counterpressure instantaneously follows the intra-arterial pressure. In this instrument all the necessary procedures, such as the setting of the reference value for the servocontrol, control of the servogain, processing and displaying of the data on a recorder, were carried out automatically. The simultaneous comparison of data with direct measurements and a few examples of the indirect pressure recordings by this instrument are shown and the principles, operation and evaluation of this method are described. This instrument was shown to permit the nonivasive and accurate tracking of instantaneous arterial pressure and to perform acceptably over a wide range of arterial pressure.