A comparative study of invasive and oscillometric methods of arterial blood pressure measurement in the anesthetized rabbit.
BACKGROUND
The aim of this project was to evaluate the reliability and accuracy of direct, using the central ear artery (CEA), and oscillometric, using limb-cuffs, methods of arterial blood pressure (AP) measurement in the anesthetized rabbit.


METHODS
New Zealand rabbits were anesthetized using a xylazine-ketamine-isoflurane protocol. Using the abdominal aorta (ABA) as direct "gold standard" for AP measurements, ABA pressure readings, via femoral artery catheterization, were compared with those made simultaneously from the ascending aorta after median sternotomy. Thereafter, direct CEA as well as forelimb-(FL) and hindlimb-(HL) cuff oscillometric readings were compared with those made simultaneously from ABA.


RESULTS
The blood pressure in the ABA correlated with that from ascending aorta. Furthermore, CEA correlated with the ABA readings. Nevertheless, at high pressures, their divergence from "true" pressure tended to increase. Oscillometric readings at the FL site correlated well with "true" pressure while those at the HL site did not. Their divergence tended to increase at high pressures when using the FL site, while it varied when using the HL site. The accuracy of measurements was moderate for the FL site while poor for the HL site.


CONCLUSIONS
Our results suggest that the CEA can be readily used with high reliability and accuracy for direct AP measurements in the anesthetized rabbit. On the other hand, the FL-cuff oscillometric method should only be used for the evaluation of AP at low and normal pressure ranges.
Ypsilantis
P
P
Laboratory of Experimental Surgery, Medical School, Democritus University of Thrace, Alexandroupolis, Greece. pipsil@med.duth.gr
Didilis
V N
VN
Politou
M
M
Bougioukas
I
I
Bougioukas
G
G
Simopoulos
C
C
D000768:Anesthesia, General / Q000662:veterinary; D000818:Animals; D001794:Blood Pressure / Q000502:physiology; D001795:Blood Pressure Determination / Q000379:methods / Q000662:veterinary*; D016015:Logistic Models; D009991:Oscillometry / Q000662:veterinary; D011817:Rabbits / Q000502:physiology*