Cross-sectional survey of non-invasive indirect blood pressure measurement practices in cats by veterinarians. Issue 12 (December 2022) - Navarro, Iliana
Objectives: This survey of small animal veterinarians endeavored to: (1) determine current methods of indirect blood pressure measurement; (2) detail techniques used to reduce situational hypertension; and (3) better understand the obstacles to performing blood pressure measurement in cats. Methods: An online survey was produced and circulated to members of the Veterinary Information Network. A total of 733 veterinarians who saw cats in their practice and had access to at least one indirect blood pressure device completed the entirety of the survey. Results: Ninety-six percent (703/733) of veterinarians who completed the survey reported measuring indirect blood pressure in cats in their practice, with veterinary technicians conducting most (600/703; 85.3%) of these measurements. Few veterinarians (30/733; 4.1%) did not measure blood pressure, with these veterinarians citing several obstacles including: difficulty interpreting results with the occurrence of fear, anxiety and stress in cats (20/30; 66.7%); difficulty performing measurements in cats (17/30; 56.7%); and technical staff being uncomfortable performing measurements (12/30; 40.0%). Most veterinarians (300/435; 69.0%) in this survey preferred an ultrasonic Doppler flow detector with sphygmomanometry, with many (272/300; 90.7%) perceiving that the results obtained with this device were more trustworthy compared with results obtained with oscillometry. Ninety percent (633/703) of veterinarians employed techniques to reduce situational hypertension in cats. Techniques perceived to be most helpful among veterinarians included: using a quiet location (454/633; 71.7%); minimizing restraint (316/633; 49.9%); performing blood pressure prior to other procedures (eg, phlebotomy, cystocentesis) (302/633; 47.7%); avoiding other animals (219/633; 34.6%); and allowing time for acclimation (167/633; 26.4%). Conclusions and relevance: This survey study of veterinarians helps clarify obstacles to routine blood pressure measurement in conscious cats. Veterinarians reported several strategies that they felt reduced situational hypertension in cats. The data inform modifications of techniques to increase the frequency and perceived reliability of blood pressure measurement in at-risk cats.