Optimizing cuff width for noninvasive measurement of blood pressure

Marks, Lloyd A.; Groch, A.J.

doi:10.1097/00126097-200006000-00002

Cited by 71 publications

(39 citation statements)

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“…A recent study comparing intra-arterial and auscultatory blood pressure concluded that the error is minimized with a cuff width of 46% of the arm circumference. 84 The recommended cuff sizes are:…”

Section: Cuff Sizementioning

confidence: 99%

Recommendations for Blood Pressure Measurement in Humans and Experimental Animals

Pickering¹,

Hall²,

Appel³

et al. 2005

Hypertension

2,040

963

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Abstract-Accurate measurement of blood pressure is essential to classify individuals, to ascertain blood pressure-related risk, and to guide management. The auscultatory technique with a trained observer and mercury sphygmomanometer continues to be the method of choice for measurement in the office, using the first and fifth phases of the Korotkoff sounds, including in pregnant women. The use of mercury is declining, and alternatives are needed. Aneroid devices are suitable, but they require frequent calibration. Hybrid devices that use electronic transducers instead of mercury have promise. The oscillometric method can be used for office measurement, but only devices independently validated according to standard protocols should be used, and individual calibration is recommended. They have the advantage of being able to take multiple measurements. Proper training of observers, positioning of the patient, and selection of cuff size are all essential. It is increasingly recognized that office measurements correlate poorly with blood pressure measured in other settings, and that they can be supplemented by self-measured readings taken with validated devices at home. There is increasing evidence that home readings predict cardiovascular events and are particularly useful for monitoring the effects of treatment. Twenty-four-hour ambulatory monitoring gives a better prediction of risk than office measurements and is useful for diagnosing white-coat hypertension. There is increasing evidence that a failure of blood pressure to fall during the night may be associated with increased risk. In obese patients and children, the use of an appropriate cuff size is of paramount importance.

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Section: Cuff Sizementioning

confidence: 99%

Recommendations for Blood Pressure Measurement in Humans and Experimental Animals

Pickering¹,

Hall²,

Appel³

et al. 2005

Hypertension

2,040

963

View full text Add to dashboard Cite

show abstract

“…The study that examined this issue was published by Marks and Groch, 4 who measured blood pressure directly from the radial artery and indirectly from the brachial artery in 50 subjects who were in an intensive care unit and had intra-arterial lines as part of their routine care. The average arm circumference of these patients was 29.7 cm, and the published figure show that the highest circumference was 37 cm.…”

mentioning

confidence: 99%

Response to Recommendations for Blood Pressure Measurement in Human and Experimental Animals; Part 1: Blood Pressure Measurement in Humans and Miscuffing: A Problem With New Guidelines: Addendum

Pickering¹,

Hall²,

Appel³

et al. 2006

Hypertension

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“…The most commonly encountered difficulty is use of an improper size oscillometric upper arm cuff. Any reliable measurement NIBP is strictly dependent on the choice of a correct-sized cuff [7]. It is particularly important to place the center of the bladder over the brachial artery pulse.…”

Section: Arterial Line or Non-invasivementioning

confidence: 99%

Which Intraoperative Monitors are Essential for the Obese Surgical Patient?

Miotto

Pellis

2012

Controversies in the Anesthetic Management of the Obese Surgical Patient

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There is limited evidence on anesthetic management of obese and in particular of morbidly obese patients. Little is known of the pharmacokinetics (PK) and pharmacodynamics (PD) of anesthetic agents in obese. The anesthetic conduct is mainly adapted from that of normal weight subjects. Furthermore the modest knowledge acquired on obese patients is used to infer strategies for morbidly obese. The profound changes in body composition and organ function impose strict monitoring preoperatively. Monitoring is therefore the key to fill the gap between knowledge and patient safety. This chapter will discuss the controversial issue of what anesthetic monitor should be regarded as essential. Although formal recommendations are lacking, modifications in pathophysiology imposed by various degrees of obesity, along with modifications in PK and PD, suggest the need for additional monitoring. The rationale and available evidence are discussed.

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Optimizing cuff width for noninvasive measurement of blood pressure

Cited by 71 publications

References 0 publications

Recommendations for Blood Pressure Measurement in Humans and Experimental Animals

Recommendations for Blood Pressure Measurement in Humans and Experimental Animals

Response to Recommendations for Blood Pressure Measurement in Human and Experimental Animals; Part 1: Blood Pressure Measurement in Humans and Miscuffing: A Problem With New Guidelines: Addendum

Which Intraoperative Monitors are Essential for the Obese Surgical Patient?

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