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Optimizing peripheral venous pressure waveforms in an awake pediatric patient by decreasing signal interference

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Abstract

The purpose of this technological notes paper is to describe our institution's experience collecting peripheral venous pressure (PVP) waveforms using a standard peripheral intravenous catheter in an awake pediatric patient. PVP waveforms were collected from patients with hypertrophic pyloric stenosis. PVP measurements were obtained prospectively at two time points during the hospitalization: admission to emergency department and after bolus in emergency department. Data was collected from thirty-two patients. Interference in the PVP waveforms data collection was associated with the following: patient or device motion, system set-up error, type of IV catheter, and peripheral intravenous catheter location. PVP waveforms can be collected in an awake pediatric patient and adjuncts to decrease signal interference can be used to optimize data collection.

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Acknowledgements

Arkansas Children’s Research Institute. The authors would like to thank Ms. Jacqueline Aguilar-Vega for help with illustrations.

Funding

The funding for this project described was supported by the Translational Research Institute (TRI), Grant 1U54TR001629-01A1 through the National Center for Advancing Translational Sciences of the National Institutes of Health (NIH). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. Kevin W Sexton is supported by the UAMS Clinician Scientist Program. Jeffrey M Burford is supported by the Marion B. Lyon New Scientist Development Award. Morten O. Jensen is supported by the Arkansas Research Alliance.

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Correspondence to Patrick C. Bonasso.

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This manuscript was written in compliance with ethical standards. The authors have no potential conflicts of interest.

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The research involves data from human articipants and informed consent was obtained at time of study enrollment from each participant’s care giver.

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Bonasso, P.C., Dassinger, M.S., Jensen, M.O. et al. Optimizing peripheral venous pressure waveforms in an awake pediatric patient by decreasing signal interference. J Clin Monit Comput 32, 1149–1153 (2018). https://doi.org/10.1007/s10877-018-0124-5

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  • DOI: https://doi.org/10.1007/s10877-018-0124-5

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