Validation of oscillometric blood pressure measurement using a Datex S/5 Compact multiparameter monitor in anaesthetized adult dogs.

OBJECTIVE: To compare noninvasive (NIBP) with invasive blood pressure (IBP) measurements from a Datex S/5 Compact monitor in anaesthetized adult dogs, and to evaluate it according to the American College of Veterinary Internal Medicine (ACVIM) and the Association for the Advancement of Medical Instrumentation (AAMI) criteria. STUDY DESIGN: Prospective clinical study. ANIMALS: A group of 34 client-owned adult dogs. METHODS: Dogs were anaesthetized for different surgical procedures using different anaesthetic protocols. IBP was measured using a catheter placed in a dorsal pedal artery. A blood pressure cuff was placed over the contralateral dorsal pedal artery for NIBP measurement. Data were recorded using the Datex iCollect program, and paired readings were matched every 3 minutes for 60 minutes. Bland-Altman and error grid analyses were used to estimate the agreement between IBP and NIBP measurements, and its clinical significance, respectively. Data were reported as mean bias [lower, upper limits of agreement (LoA)]. RESULTS: The Datex S/5 monitor conformed to most ACVIM criteria. The correlation coefficient was less than 0.9 for systolic, diastolic, and mean arterial pressures (MAP). The best agreement between the noninvasive and invasive methods was observed for MAP, with LoA (-17 to 13 mmHg) and higher percentage of NIBP readings within 5 (55.6%), 10 (81.7%) and 20 (98.6%) mmHg of the IBP values. The Datex S/5 NIBP technology did not meet the AAMI validation criteria and less than 95% of the paired measurements were found within the green zone of the error grid analysis. CONCLUSIONS AND CLINICAL RELEVANCE: The Datex S/5 monitor conformed to most ACVIM criteria but not with the more rigorous AAMI standards. Despite good agreement between IBP and NIBP for MAP measurements, care must be taken when using this device to guide therapeutic interventions of blood pressure in anaesthetized healthy adult dogs.

Disciplina o transdisciplina: hacia una visión de futuro de la psicología comunitaria / Discipline or transdisciplinarity: towards a vision of community psychology

Estimuladas por debates recientes sobre la viabilidad, pertinencia y objeto de estudio de la Psicología Comunitaria (PC) iniciamos una reflexión sobre la situación actual y el futuro de la disciplina en el Caribe y América Latina. En este proceso hemos focalizado en tres dimensiones centrales: límites disciplinarios, valores y adiestramiento/formación. Con este objetivo hemos revisado desarrollos recientes en la disciplina y consultamos de diversas maneras a colegas en Puerto Rico. Los resultados sugieren una percepción entre lo/as participantes de una desfase entre sus áreas prioritarias de trabajo y las áreas en las que fueron adiestrado/as, la preocupación de un sector significativo con las opciones de empleo disponible, el traslapo con el quehacer de otras disciplinas, el rol que debiera jugar el Estado como posible fuente de empleo y la falta de consenso en cuanto a su futuro. A partir de los resultados esbozamos una visión de futuro con énfasis en la transdisciplinariedad, el acercamiento a la teoría política y la legitimación de los saberes generados por las comunidades.