Document Detail


Neonatal blood pressure monitoring: visual assessment is an unreliable method for selecting cuff sizes.
MedLine Citation:
PMID:  23799976     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
AIM: To compare current practice of cuff size selection for non-invasive blood pressure measurement in a single centre tertiary level neonatal intensive care unit (visual assessment of bladder width/limb length closest to 2/3) with common recommendations for appropriate cuff selection.
METHODS: Visual assessment of the appropriate cuff size ('2/3 rule') for upper arm, forearm and calf in 103 neonates (309 cuff selections) was compared with the following recommendations: 1) Method A - guidelines of the cuff manufacturer, 2) Method B - cuff width/limb circumference ratio 0.44-0.60 and 3) Method C - cuff width/limb length ratio closest to 0.66.
RESULTS: The upper arm cuff size was correctly chosen in 84% of cases (Method A), 43% (Method B) and 56% (Method C). The forearm cuff size was correctly chosen in 94% of cases (Method A), 68% (Method B) and 54% (Method C). The calf cuff size was correctly chosen in 96% of cases (Method A), 72% (Method B) and 63% (Method C).
CONCLUSION: The accuracy of selecting cuff size by visual assessment is low. Further research on accurate cuff selection for neonates, including at the forearm and calf, is warranted. This article is protected by copyright. All rights reserved.
Authors:
A Devinck; H Keukelier; I De Savoye; L Desmet; K Smets
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-6-25
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  -     ISSN:  1651-2227     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-6-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
This article is protected by copyright. All rights reserved.
Affiliation:
Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
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