Charu Singh Tomar*
Introduction: Immune in shock measurement of blood pressure of neonates is very important to decide the treatment. Non-Invasive Blood Pressure (NIBP) measurement is commonly used when direct measurement is impractical. Invasively measured arterial Blood Pressure (IBP) measurement is done in critically ill patients. The present study aimed to find out the difference between IBP and NIBP values in neonates with predisposing factors for shock.
Materials and Methods: This was a hospital based prospective cross-sectional study conducted in year of 2022 in the department of pediatrics at Pt JNMCH, Raipur. The sample size calculated for the study was 120 thus 240 observations. Simultaneously 8-10 reading of IBP and NIBP were taken in all neonates with predisposing factors for shock such as birth asphyxia, prematurity. Blood investigations of neonates were done and written informed consent was taken from their parents.
Results: In present study the major risk factor for shock in neonates was prematurity (60.8%), birth asphyxia (26.7%) and sepsis (11.7%). The systolic and diastolic BP measurement value in IBP technique was 22.708 mmHg and 19.758 less than NIBP technique (p<0.01). In both techniques neonates with normal CRT values have higher BP values than those with prolonged CRT value. Sepsis was found in 5.83% neonates and 15% were died.
Conclusion: NIBP technique shows higher BP reading than actual BP therefore NIBP is better tool for screening. IBP technique shows actual BP, so IBP technique is more accurate for BP monitoring in intensive care unit, and it is safe and easily doable.
