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Principles of Pressure Measurements for Assessment of Lower Principles of Pressure Measurements for Assessment of Lower

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Several investigators have recommended using a three-cuff technique incorporating a wide thigh cuff (17–22cm width). Although this approach results in a thigh pressure measurement that accurately approximates the brachial systolic pressure, it prevents the ability to accurately differentiate inflow from outflow disease. These issues have prompted vascular practitioners to employ the four-cuff method in current clinical practice whenever possible (see Figure 2). This method is more specific in identifying disease locations. However, the use of a 12cm-wide cuff at high thigh in the four-cuff method more often than not results in ‘cuff artifact,’ except in very thin patients, because of the discrepancy between the cuff width and the limb diameter. This artifact is considered during SLP interpretation. Examination Luxury Leather BDSM Bondage Set, Restraint Fetish Kit, Hand Ankle Thigh Cuffs, Collar with Leash, Waist Belt, Bondage Set, Christmas Gift Pilates ankle cuff straps, reformer ankle cuff straps, pilates reformer cuffs straps, pilates cadillac straps, many colors available

Leg Bag,Waist Bag,Hip Bag,Sling Bag,Crossbody Bag,Leather Leg Bag,Leather Waist Bag,Leather Hip Bag with gift leather card holder Cuff size is measured as the circumference around the patient's bicep. For adults this will usually fall between around 25cm and 45cm. Which Cuff Sizes Are Available? Luxury BDSM set, collar and leash, ankle and wrist, for Restraints, BDSM Handcuffs, Leather BDSM Cuffs, wrist cuffs, Bondage set The PPG gain should be appropriately adjusted so that the opening arterial pulse pressure wave can be differentiated from artifact waves. A gain setting that is too high can cause artifacts that may mask the return of arterial pulsation during pressure-cuff deflation. Similar to ABI measurements, the leg pressure cuffs should be inflated to 10–15mmHg above the point where the Doppler or PPG signal is no longer discernable and the analog waveform tracing becomes flat-lined before initiating cuff deflation. This ensures that the artery is completely occluded—an important step since a significant difference can occur between the closing and opening pressures, or the points at which the arterial pulse ceases and reappears. The opening pressure obtained is used as the pressure value for each limb segment. Interpreting Segmental Limb Pressure Values