• Hiroaki Watanabe and Shin-Ichi Yagi.
• Department of Anesthesiology, School of Medicine, Sapporo Medical University, South-1, West-16, Chuo-ku, Sapporo, 060-8543, Japan. hwatanab@sapmed.ac.jp.
• J Anesth. 2020 Dec 1; 34 (6): 898-903.

PurposeThe dynamic response of pressure monitoring circuits must be evaluated to obtain true invasive blood pressure values. Since Gardner's recommendations in 1981, the natural frequency and the damping coefficient have become standard parameters for anesthesiologists. In 2006, we published a new dynamic response evaluation method (step response analysis) that can plot frequency spectrum curves instantly in clinical situations. We also described the possibility of the defect of the standard parameters. However, the natural frequency and the damping coefficient are considered the gold standard and are even included in a major anesthesiology textbook. Therefore, we attempted to clarify the issues of these parameters with easy-to-understand pressure waves and basic numerical formulae.MethodsA blood pressure wave calibrator, a single two-channel pressure amplifier, and personal computer were used to analyze blood pressure monitoring circuits. All data collection and analytical processes were performed using our step response analysis program.ResultsWe compared two different circuits with almost the same natural frequency and damping coefficients. However, their amplitude spectrum curves and input/output pressure values were significantly different.ConclusionsThe natural frequency and the damping coefficient are inadequate for the dynamic response evaluation. These parameters are primarily obtained from the phase spectrum curve and not from the amplitude spectrum curve. We strongly recommend an evaluation using the amplitude spectrum curve with our step response analysis method. It is crucial to maintain an amplitude gain of 1 (input amplitude = output amplitude) in the pressure wave frequency range of 0-20 Hz.

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