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Dinamap procare

Manufactured by GE Healthcare
Sourced in United States

The Dinamap ProCare is a vital signs monitoring device designed for use in healthcare settings. It is capable of automatically measuring and displaying a patient's blood pressure, pulse rate, and other vital parameters. The device is intended to provide reliable and accurate readings to support clinical decision-making.

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10 protocols using dinamap procare

1

Autonomic Function Assessment in Patients

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Patients were studied as inpatients in the Clinical Research Center at Vanderbilt University Medical Center and were fed a low‐monoamine, caffeine‐free diet containing 150 mEq sodium and 70 mEq potassium per day. Medications affecting BP, blood volume, and the autonomic nervous system, including fludrocortisone, pressor drugs, or antihypertensive medications, were withheld for ≥5 half‐lives before studies. All other medications were held constant during admission. The screening consisted of a medical history, physical examination, ECG, routine safety laboratory assessments, and standardized autonomic function tests, including orthostatic stress test, respiratory sinus arrhythmia, and Valsalva maneuver.20 BP and heart rate (HR) were obtained using an automated oscillometric sphygmomanometer (Dinamap ProCare, GE Healthcare), finger photoplethysmography (Nexfin, BMEYE), and continuous ECG. During the orthostatic test, blood samples were obtained for norepinephrine while patients were supine and upright, as described previously.7 Plasma norepinephrine was measured by high‐performance liquid chromatography with electrochemical detection.21 All patients were screened for nocturnal supine hypertension by assessing BP in duplicate at 2‐hour intervals from 8:00 pm to 8:00 am with an automated sphygmomanometer (Dinamap ProCare, GE Healthcare).
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2

Standardized Blood Pressure Measurements

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The Italian cohort measured systolic and diastolic BP twice on the dominant arm in the sitting position with an aneroid sphygmomanometer (Tema Certus, Milan, Italy), by using appropriate sized cuffs after the patient had rested for at least 15 minutes. The mean values were calculated and rounded to the nearest 5 mmHg value.
The German adolescents had their BP measured twice aneroidly (Bosch und Sohn boso medicus control, Juningen, Germany) in a sitting position at least five minutes after arriving in the medical department, using large cuff sizes on the mid‐upper dominant arm. The mean values were calculated.
In Norway, BP was measured using a Dinamap ProCare digital oscillometric device (GE Healthcare, Buckinghamshire, UK). BP measurements were performed in the sitting position using appropriate sized cuffs (the mid‐upper arm circumference was measured) four times on the dominant arm, and the average of the three last measurements was calculated.
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3

Autonomic Function Assessment Protocol

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Patients were admitted to the Clinical Research Center at Vanderbilt University and were fed a low-monoamine, methylxanthine-free diet containing 150-mEq sodium and 60 to 80 mEq potassium per day. Medications affecting BP, blood volume and the autonomic nervous system were withheld for ≥5 half-lives before admission. All other medications were held constant during admission. The screening consisted of a medical history, physical examination, 12-lead ECG, laboratory assessments, and standardized autonomic function tests, including orthostatic stress test, Valsalva maneuver, hyperventilation, cold pressor test, isometric handgrip and sinus arrhythmia.13 (link) BP and heart rate (HR) were obtained intermittently using an automated oscillometric sphygmomanometer (Dinamap ProCare, GE Healthcare), and continuously with finger photoplethysmographic volume-clamp BP device (Finometer, FMS, or Nexfin, BMEYE). HR was measured by continuous ECG. During the orthostatic test, blood samples were obtained for norepinephrine while patients were supine and upright, as described previously.14 (link) Plasma norepinephrine was measured by high-performance liquid chromatography with electrochemical detection.15 (link)
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4

Screening Protocol for Autonomic Dysfunction

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Patients were studied at the Vanderbilt Clinical Research Center on an inpatient basis. Medications affecting the autonomic nervous system, blood pressure, or volume were withheld at least 5 half-lives before admission (e.g. fludrocortisone, midodrine, anti-hypertensives). All other medications were held constant during admission. Patients received a low monoamine, methylxanthine-free, fixed 150 mEq sodium and 60–80 mEq potassium diet. Screening consisted of a comprehensive physical examination and medical history, 12-lead ECG, and routine safety laboratory tests (e.g. CBC, CMP, urinalysis). All patients had an overnight screening study to examine for supine hypertension, which consisted of arm cuff blood pressure measurement (Dinamap ProCare, GE Healthcare) in duplicate at two-hour intervals from 8:00 PM to 8:00 AM.
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5

Autonomic Function Assessment in Participants

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Patients were admitted to the Vanderbilt Clinical Research Center and were fed a methylxanthine‐free diet containing 150‐mEq sodium and 70‐mEq potassium per day. Medications affecting the autonomic nervous system, BP, HR, and blood volume were discontinued for ≥5 half‐lives before admission. All other medications were held constant during admission. All participants had a medical history, physical examination, 12‐lead ECG, laboratory assessments, and standardized autonomic function tests including a 30‐minute orthostatic stress test.30 BP and HR were obtained intermittently using an automated oscillometric sphygmomanometer (Dinamap ProCare, GE Healthcare) and continuously with a finger photoplethysmographic volume‐clamp BP device (Finometer, FMS, or Nexfin, BMEYE). HR was measured by continuous ECG. During the 30‐minute orthostatic stress test, blood samples were obtained for norepinephrine and epinephrine while patients were supine and upright, as described previously.31 If the participant was unable to stand for 30 minutes, samples were obtained when the participant had to sit down. Plasma catecholamines were measured by high‐performance liquid chromatography with electrochemical detection.32
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6

Autonomic Function Assessment in Patients

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Patients were admitted to the Clinical Research Center at Vanderbilt University Medical Center for the duration of their study participation. and were fed a low-monoamine, caffeine-free diet containing 150-mEq sodium and 70-mEq potassium per day. Medications affecting BP, blood volume and the autonomic nervous system were withheld for ≥5 half-lives before testing. The screening consisted of a medical history, physical examination, 12-lead ECG, laboratory assessments, and standardized autonomic function including orthostatic stress test, Valsalva maneuver, hyperventilation, cold pressor test, isometric handgrip and sinus arrhythmia.12 BP and heart rate (HR) were obtained using an automated oscillometric sphygmomanometer (Dinamap ProCare, GE Healthcare), finger photoplethysmography (Finometer, FMS, or Nexfin, BMEYE), and continuous ECG. During the orthostatic test, blood samples were obtained for norepinephrine while patients were supine and upright, as described previously.13 (link) Plasma norepinephrine was measured by high-performance liquid chromatography with electrochemical detection.14 (link)
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7

Automated Blood Pressure Measurement

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Systolic and diastolic blood pressure is measured in sitting position on the left upper arm after at least 5 min rest using an automated oscillography (DINAMAP® ProCare [GE Medical Systems, Tampa, Florida, USA]). Based on the recommendations of the American Heart Association, the mean of two readings with a one-minute interval between them are recorded [45 (link)]. If the difference between the two readings is >5 mmHg, another two readings are taken [45 (link)].
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8

Blood Pressure Measurement Protocol

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A Dinamap® ProCare oscillometric device (GE Healthcare, Tampa, Florida, USA) was used to measure systolic, diastolic, and mean arterial pressure and simultaneous heart rate in triplicate. Established guidelines for BP measurement were followed with measurements in the right arm using an appropriate cuff size with the arm at heart level after 5 min of rest with the participant seated (16 (link)). Oscillometric readings above the 90th percentile for gender, age and height were repeated with an auscultatory technique (17 ).
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9

Overnight CPAP Therapy Effects on BP, HR, and Orthostatic Tolerance

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We compared the effects of overnight therapy with CPAP versus placebo pill in a 2-night crossover study. Studies were conducted from 8 PM to 8 AM, and ≥2.5 hours after the last meal. Patients were instructed to remain supine throughout the night. Fluid intake was restricted to avoid the pressor effect of water drinking.18 (link) BP and HR were measured twice in a row at 2-hour intervals from 8 PM to 8 AM by an automated sphygmomanometer (Dinamap ProCare, GE Healthcare). Urine was collected throughout the night for determination of volume.
CPAP (REMstar Auto, Respironics Inc.) was applied with a full-face mask from 10 PM to 6 AM. The CPAP level was determined for each participant during an acute CPAP trial, similar to Protocol 1, as the highest tolerable CPAP level. The placebo pill was given at 8 PM with 50 mL of tap water. The following morning (8 AM), patients were asked to stand for ≤10 minutes. BP and HR were measured at 1, 3, 5, and 10 minutes of standing, or as tolerated, to assess morning orthostatic tolerance.
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10

Anthropometric and Blood Pressure Measurements

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Height was measured using Heightronic Digital Stadiometer® to the nearest 0.1 cm. Weight (kg) and body fat percentage was measured using Tanita bioimpedance body composition analyzer (BC-418, 8-polar, TANITA Corp., Tokyo, Japan). Waist circumference (WC) was measured using a standardized anthropometric tape, measuring the circumference at the midpoint between the top of the iliac crest and the lower part of the lateral rib cage to the nearest 0.1 cm. Waist to height ratio (WHtR) was calculated as WC (in cm) divided by height (in cm). BMI was converted to SDS by means of the current Norwegian growth references [32 (link)].
Systolic and diastolic blood pressure (SBP and DBP) were measured using a digital oscillimetric device, Dinamap ProCare (GE Healthcare). BP measurements were taken in the sitting position using appropriate sized cuffs (the mid-upper arm circumference was measured) four times on the dominant arm, and the average between the last three measurements was calculated.
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