000			03137nam a22003617a 4500
008			210218s20212021 xxu||||| |||| 00| 0 eng d
022			_a2169-7574
024			_a10.1097/GOX.0000000000003284 [doi]
024			_aPMC7859175 [pmc]
040			_aOvid MEDLINE(R)
099			_a33564567
245			_aIntraoperative Invasive Blood Pressure Monitoring in Flap-Based Breast Reconstruction: Does It Change Outcomes?.
251			_aPlastic and Reconstructive Surgery - Global Open. 9(1):e3284, 2021 Jan.
252			_aPlast. reconstr. surg., Glob. open. 9(1):e3284, 2021 Jan.
253			_aPlastic and reconstructive surgery. Global open
260			_c2021
260			_fFY2021
265			_sepublish
266			_d2021-02-18
520			_aConclusion: Our findings highlight the need for more definitive guidance regarding the use of intra-arterial monitoring in patients undergoing PMBR. Copyright (c) 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.
520			_aDespite the lack of guidelines regarding the use of intra-arterial lines in postmastectomy breast reconstruction (PMBR), they continue to be used in this setting. In this study of patients undergoing PMBR, we aimed to (1) identify factors associated with intra-arterial line placement, (2) analyze the correlation between intra-arterial monitoring and noninvasive blood pressure (NIBP) monitoring, and (3) investigate whether hemodynamic management differs significantly between patients undergoing intra-arterial blood pressure monitoring versus NIBP.
520			_aMethods: All patients undergoing flap-based PMBR between 2017 and 2019 were retrospectively reviewed. Patients were pair-matched based on flap donor site, BMI, and age to identify factors associated with intra-arterial line placement. Methods described by Bland and Altman1 were utilized to determine agreement between intra-arterial line measurements and NIBP.
520			_aResults: Thirty-two patients were included with 16 patients in the intra-arterial line group and 16 in the NIBP group. None of the factors studied were significantly related to the likelihood of intra-arterial line placement. Agreement analysis demonstrated that mean arterial pressures calculated from intra-arterial line readings were as much as 23 points lower or 12 points higher than those from NIBP. Bias calculations with this extent of difference suggest poor correlation between intra-arterial line readings and NIBP. There was no difference between groups in rate of administration of blood-pressure altering medications (hypertensive: n = 3, 18.8%, P = 1.000; hypotensive: n = 7, 3.8%, P = 1.000).
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
651			_aMedStar Washington Hospital Center
656			_aSurgery/Plastic Surgery
657			_aJournal Article
700			_aFan, Kenneth L
790			_aBekeny JC, Dekker PK, Fan KL, Lavin C, Noe N, Song DH, Zolper EG
856			_uhttps://dx.doi.org/10.1097/GOX.0000000000003284 _zhttps://dx.doi.org/10.1097/GOX.0000000000003284
942			_cART _dArticle
999			_c6169 _d6169