History Of Continuous Noninvasive Arterial Pressure
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History Of Continuous Noninvasive Arterial Pressure
The article reviews the evolution of continuous noninvasive arterial pressure measurement (CNAP). The historical gap between ease of use, but intermittent upper arm instruments and bulky, but continuous “pulse writers” (sphygmographs) is discussed starting with the first efforts to measure pulse, published by Jules Harrison in 1835. Such sphygmographs led a shadowy existence in the past, while Riva Rocci's upper arm blood pressure measurement started its triumphant success over 100 years ago. In recent times, CNAP measurement introduced by Jan Penáz in 1973 enabled the first recording of noninvasive beat-to-beat blood pressure resulting in marketed products such as the Finapres™ device and its successors. Recently, a novel method for CNAP monitoring has been designed for patient monitoring in perioperative, critical and emergency care, where blood pressure needs to be measured repeatedly or even continuously to facilitate the best care for patients. Early sphygmographs Pr ...
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Continuous Noninvasive Arterial Pressure
Continuous noninvasive arterial pressure (CNAP) is the method of measuring beat-to-beat arterial blood pressure in real-time without any interruptions (continuously) and without cannulating the human body (noninvasive). Benefit of CNAP technology Continuous noninvasive arterial blood pressure measurement (CNAP) combines the advantages of the following two clinical “gold standards”: it measures blood pressure (BP) continuously in real-time like the invasive arterial catheter system (IBP) and it is non-invasive like the standard upper arm sphygmomanometer (NBP). Latest developments in this field show promising results in terms of accuracy, ease of use and clinical acceptance. Clinical requirements For the use in clinical environment a CNAP system must provide the following blood pressure information: # Absolute blood pressure obtained from a proximal artery (e.g. arteria brachialis) # Blood pressure changes in order to detect hemodynamic instabilities # Physiological rhythm ...
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Austria
Austria, , bar, Östareich officially the Republic of Austria, is a country in the southern part of Central Europe, lying in the Eastern Alps. It is a federation of nine states, one of which is the capital, Vienna, the most populous city and state. A landlocked country, Austria is bordered by Germany to the northwest, the Czech Republic to the north, Slovakia to the northeast, Hungary to the east, Slovenia and Italy to the south, and Switzerland and Liechtenstein to the west. The country occupies an area of and has a population of 9 million. Austria emerged from the remnants of the Eastern and Hungarian March at the end of the first millennium. Originally a margraviate of Bavaria, it developed into a duchy of the Holy Roman Empire in 1156 and was later made an archduchy in 1453. In the 16th century, Vienna began serving as the empire's administrative capital and Austria thus became the heartland of the Habsburg monarchy. After the dissolution of the H ...
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Cardiovascular Physiology
Cardiovascular physiology is the study of the cardiovascular system, specifically addressing the physiology of the heart ("cardio") and blood vessels ("vascular"). These subjects are sometimes addressed separately, under the names cardiac physiology and circulatory physiology. Although the different aspects of cardiovascular physiology are closely interrelated, the subject is still usually divided into several subtopics. Heart * Cardiac output (= heart rate * stroke volume. Can also be calculated with Fick principle,palpeting method.) ** Stroke volume (= end-diastolic volume − end-systolic volume) ** Ejection fraction (= stroke volume / end-diastolic volume) ** Cardiac output is mathematically ` to systole ** Inotropic, chronotropic, and dromotropic states ** Cardiac input (= heart rate * suction volume Can be calculated by inverting terms in Fick principle) ** Suction volume (= end-systolic volume + end-diastolic volume) ** Injection fraction (=suction volume / end-systolic ...
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Blood Pressure
Blood pressure (BP) is the pressure of circulating blood against the walls of blood vessels. Most of this pressure results from the heart pumping blood through the circulatory system. When used without qualification, the term "blood pressure" refers to the pressure in the large arteries. Blood pressure is usually expressed in terms of the systolic pressure (maximum pressure during one heartbeat) over diastolic pressure (minimum pressure between two heartbeats) in the cardiac cycle. It is measured in millimeters of mercury ( mmHg) above the surrounding atmospheric pressure. Blood pressure is one of the vital signs—together with respiratory rate, heart rate, oxygen saturation, and body temperature—that healthcare professionals use in evaluating a patient's health. Normal resting blood pressure, in an adult is approximately systolic over diastolic, denoted as "120/80 mmHg". Globally, the average blood pressure, age standardized, has remained about the same since 1 ...
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Jan Peňáz
Jan, JaN or JAN may refer to: Acronyms * Jackson, Mississippi (Amtrak station), US, Amtrak station code JAN * Jackson-Evers International Airport, Mississippi, US, IATA code * Jabhat al-Nusra (JaN), a Syrian militant group * Japanese Article Number, a barcode standard compatible with EAN * Japanese Accepted Name, a Japanese nonproprietary drug name * Job Accommodation Network, US, for people with disabilities * ''Joint Army-Navy'', US standards for electronic color codes, etc. * '' Journal of Advanced Nursing'' Personal name * Jan (name), male variant of ''John'', female shortened form of ''Janet'' and ''Janice'' * Jan (Persian name), Persian word meaning 'life', 'soul', 'dear'; also used as a name * Ran (surname), romanized from Mandarin as Jan in Wade–Giles * Ján, Slovak name Other uses * January, as an abbreviation for the first month of the year in the Gregorian calendar * Jan (cards), a term in some card games when a player loses without taking any tricks or scoring ...
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Anesthesia
Anesthesia is a state of controlled, temporary loss of sensation or awareness that is induced for medical or veterinary purposes. It may include some or all of analgesia (relief from or prevention of pain), paralysis (muscle relaxation), amnesia (loss of memory), and unconsciousness. An individual under the effects of anesthetic drugs is referred to as being anesthetized. Anesthesia enables the painless performance of procedures that would otherwise cause severe or intolerable pain in a non-anesthetized individual, or would otherwise be technically unfeasible. Three broad categories of anesthesia exist: * General anesthesia suppresses central nervous system activity and results in unconsciousness and total lack of sensation, using either injected or inhaled drugs. * Sedation suppresses the central nervous system to a lesser degree, inhibiting both anxiety and creation of long-term memories without resulting in unconsciousness. * Regional and local anesthesia, which blo ...
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Harold Barnard
Harold may refer to: People * Harold (given name), including a list of persons and fictional characters with the name * Harold (surname), surname in the English language * András Arató, known in meme culture as "Hide the Pain Harold" Arts and entertainment * ''Harold'' (film), a 2008 comedy film * ''Harold'', an 1876 poem by Alfred, Lord Tennyson * ''Harold, the Last of the Saxons'', an 1848 book by Edward Bulwer-Lytton, 1st Baron Lytton * ''Harold or the Norman Conquest'', an opera by Frederic Cowen * ''Harold'', an 1885 opera by Eduard Nápravník * Harold, a character from the cartoon ''The Grim Adventures of Billy & Mandy'' *Harold & Kumar, a US movie; Harold/Harry is the main actor in the show. Places ;In the United States * Alpine, Los Angeles County, California, an erstwhile settlement that was also known as Harold * Harold, Florida, an unincorporated community * Harold, Kentucky, an unincorporated community * Harold, Missouri, an unincorporated community ;E ...
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Leonard Erskine Hill
Sir Leonard Erskine Hill FRS (2 June 1866, in Bruce Castle, Tottenham – 30 March 1952, in Corton, Suffolk) was a British physiologist. He was elected a Fellow of the Royal Society in 1900 and was knighted in 1930. One of his sons was the epidemiologist and statistician Austin Bradford Hill. His father was George Birkbeck Hill, the famous scholar and commentator on the works of Samuel Johnson, who at the time of his birth was headmaster of Bruce Castle School. Education Sir Leonard Erskine Hill attended Haileybury College. He later received his MB from University College, London in 1890. In 1931, he received an honorary LLD from the University of Aberdeen. Medicine Hill's work on blood pressure led him to believe "the arterial pressure can be taken in man as rapidly, simply, and accurately as the temperature can be taken with the clinical thermometer". This work developed into the Hill's sign. Hill was the second recipient of the T. K. Sidey Medal, set up by the Ro ...
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Diastolic Blood Pressure
Blood pressure (BP) is the pressure of circulating blood against the walls of blood vessels. Most of this pressure results from the heart pumping blood through the circulatory system. When used without qualification, the term "blood pressure" refers to the pressure in the large arteries. Blood pressure is usually expressed in terms of the systolic pressure (maximum pressure during one heartbeat) over diastolic pressure (minimum pressure between two heartbeats) in the cardiac cycle. It is measured in millimeters of mercury ( mmHg) above the surrounding atmospheric pressure. Blood pressure is one of the vital signs—together with respiratory rate, heart rate, oxygen saturation, and body temperature—that healthcare professionals use in evaluating a patient's health. Normal resting blood pressure, in an adult is approximately systolic over diastolic, denoted as "120/80 mmHg". Globally, the average blood pressure, age standardized, has remained about the same since 1 ...
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Nikolai Korotkov
Nikolai Sergeyevich Korotkov (also romanized Korotkoff; russian: Никола́й Серге́евич Коротко́в) ( – 14 March 1920) was a Russian Empire surgeon, a pioneer of 20th-century vascular surgery, and the inventor of auscultatory technique for blood pressure measurement. Biography Nikolai Korotkov was born to a merchant family at 40 Milenskaia Street in Kursk on February 26, 1874. He attended the Kursk Gymnasium (secondary school). He entered the medical faculty of Kharkiv University in 1893 and transferred to Moscow University in 1895, where he graduated with distinction in 1898. He was appointed resident intern to professor Alexander Bobrov at the surgical clinic of Moscow University. Korotkov was given leave of absence to serve with the Russian military forces in the Far East during the Boxer Rebellion in China 1900. He was attached to the Red Cross in the Iversh Community under Aleksinskii (a pupil of prof. Bobrov). The journey to the Far East entailed ...
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Systolic Blood Pressure
Blood pressure (BP) is the pressure of circulating blood against the walls of blood vessels. Most of this pressure results from the heart pumping blood through the circulatory system. When used without qualification, the term "blood pressure" refers to the pressure in the large arteries. Blood pressure is usually expressed in terms of the systolic pressure (maximum pressure during one heartbeat) over diastolic pressure (minimum pressure between two heartbeats) in the cardiac cycle. It is measured in millimeters of mercury ( mmHg) above the surrounding atmospheric pressure. Blood pressure is one of the vital signs—together with respiratory rate, heart rate, oxygen saturation, and body temperature—that healthcare professionals use in evaluating a patient's health. Normal resting blood pressure, in an adult is approximately systolic over diastolic, denoted as "120/80 mmHg". Globally, the average blood pressure, age standardized, has remained about the same since 1 ...
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