Key messages

• Direct vascular pressure measurements can be safe, accurate, and reliable.

• Understanding the interaction of 'plumbing' and monitoring equipment is required if accurate pressure measurements are to be made.

• Zeroing the monitoring system is one of the most important steps taken in pressure monitoring.

• Simple plumbing set-ups, with short lengths of tubing and few stopcocks, provide the most optimal dynamic response and recording mechanism.

• Fast-flush testing to validate adequate dynamic response is essential for deriving accurate systolic and diastolic pressures.

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