Document Detail


Brachial blood pressure monitoring versus ankle monitoring during colonoscopy.
MedLine Citation:
PMID:  15558917     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To compare ankle and brachial blood pressure monitoring before and during colonoscopy using automated noninvasive blood pressure (NIBP) monitors. METHODS: Forty-five consecutive patients who presented for outpatient colonoscopy had both ankle and brachial blood pressure monitoring with automated NIBP using an appropriately sized cuff for arm or leg size. Three baseline measurements were obtained, and then measurements were taken at 5-minute intervals during conscious sedation, with brachial blood pressure being the standard. RESULTS: The average of all of the ankle blood pressures was significantly higher for all systolic and mean arterial blood pressure readings. Diastolic blood pressure readings were higher at baseline, but not significantly different during the procedure. CONCLUSIONS: Ankle systolic and mean arterial blood pressures using automated NIBP monitoring for conscious sedation are significantly higher than brachial blood pressures. Ankle NIBP monitoring should only be used if brachial NIBP monitoring is not feasible, taking into consideration that ankle NIBP pressures are generally higher than brachial.
Authors:
Jason M Wilkes; Jack A DiPalma
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article    
Journal Detail:
Title:  Southern medical journal     Volume:  97     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-11-22     Completed Date:  2004-12-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  939-41     Citation Subset:  AIM; IM    
Affiliation:
Division of Gastroenterology, University of South Alabama College of Medicine, Mobile, AL 36693, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Ankle
Blood Pressure Determination / methods*
Brachial Artery
Colonoscopy
Conscious Sedation
Female
Humans
Male
Middle Aged
Monitoring, Physiologic
Prospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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