Manual Blood Pressure Measurement–Still the Gold Standard: Why and How to Measure Blood Pressure the Old-Fashioned Way

2003 ◽  
pp. 131-145 ◽  
Author(s):  
Carlene M. Grim ◽  
Clarence E. Grim
Keyword(s):  
Blood Pressure ◽  
Pressure Measurement ◽  
Gold Standard ◽  
Blood Pressure Measurement ◽  
Measure Blood Pressure ◽  
Manual Blood Pressure

Blood Pressure Measurement Error in Children: Lessons in Measurement Reliability

2019 ◽  
Vol 27 (1) ◽  
pp. 114-125 ◽  
Author(s):  
Esther J. Varney ◽  
Ashley M. Van Drunen ◽  
Emily F. Moore ◽  
Kristen Carlin ◽  
Karen Thomas
Keyword(s):  
Blood Pressure ◽  
Measurement Error ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
Pressure Measurements ◽  
Noninvasive Blood Pressure ◽  
Measure Blood Pressure ◽  
Noninvasive Blood Pressure Measurement ◽  
Manual Blood Pressure ◽  
Acceptable Agreement

Background and PurposeBlood pressure measurement represents the pressure exerted during heart ejection and filling. There are several ways to measure blood pressure and a valid measure is essential. The purpose of this study was to evaluate the approach to noninvasive blood pressure measurement in children.MethodsBlood pressure measurements were taken using the automatic Phillips MP30 monitor and compared against Welch Allyn blood pressure cuffs with Medline manual sphygmomanometers.ResultsA total of 492 measurements were taken on 82 subjects, and they demonstrated comparability between automatic and manual devices.ConclusionsAlthough our study indicated acceptable agreement between automatic and manual blood pressure measurement, it also revealed measurement error remains a concern, with sample size, study protocol, training, and environment all playing a role.

Study on Cuff-Less Blood Pressure Measurement Based on Electrocardiography and Photoplethysmography Signal

2019 ◽  
Vol 2 (3) ◽  
pp. 206-214
Author(s):  
Putri Indes Oktabriani ◽  
Fuad Ughi ◽  
Aulia Arif Iskandar
Keyword(s):  
Blood Pressure ◽  
Pressure Measurement ◽  
Blood Pressure Monitoring ◽  
Blood Pressure Measurement ◽  
Ecg Signal ◽  
Optimum Location ◽  
Blood Pressure Monitor ◽  
Pressure Monitor ◽  
Left Hand ◽  
Measure Blood Pressure

The continuous blood pressure measurement research is widely known for helpingthe development of ambulatory blood pressure monitoring where it measures blood pressureevery 15 to 30 minutes throughout the day. The cuff is a problem for the patient withAmbulatory Blood Pressure Monitor. It can make a person feel uncomfortable and must staystill when the cuff starts to inflate. It is limiting and disturbing their daily activity when thedevice is starting to measure the blood pressure. Blood pressure measurement without cuff isbeing proposed in this research, called cuff-less blood pressure measurement. It will be based onPhotoplethysmography (PPG) and Electrocardiography (ECG) signal analysis. ECG (Lead 1,Lead 2, and Lead 3) with PPG signal produced from index finger on the left hand are comparedand analyzed. Then the relation of PPG and ECG signal and the optimum location for daily usecan be obtained. The optimum location will be based on the electrode’s position that producedthe optimum ECG lead Signal to measure blood pressure. Based on the result, PPG and ECGsignal have a linear relation with Blood Pressure Measurement and Lead 1 is more stable inproducing the ECG signal. The equation from Lead 1 appeared as one of the optimum equationsfor measuring Systolic Blood Pressure (SBP) or Diastolic Blood Pressure (DBP).

scholarly journals How should we measure blood pressure? Implications of the fourth blood pressure measurement in office blood pressure

2020 ◽  
Author(s):  
Annina S. Vischer ◽  
Thenral Socrates ◽  
Clemens Winterhalder ◽  
Jens Eckstein ◽  
Michael Mayr ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
Office Blood Pressure ◽  
Measure Blood Pressure

Youtube as a source of information on "Manual Blood Pressure Measurement"

2021 ◽  
Author(s):  
Mehmet Fatih Yılmaz ◽  
Sedat Kalkan
Keyword(s):  
Blood Pressure ◽  
Pressure Measurement ◽  
Health Workers ◽  
Blood Pressure Measurement ◽  
Average Score ◽  
Educational Value ◽  
Manual Blood Pressure ◽  
The Individual ◽  
Source Of Information

Objectives: The aim of the study is to evaluate the quality and reliability of videos on manual blood pressure measurement on Youtube. Patients and Methods: In January 2021, the first 100 videos found as a result of a search with the keywords 'manual blood pressure measurement' on Youtube were watched and evaluated. According to exclusion criteria, 75 videos were included in the study. Duplicate videos, irrelevant videos, and videos in languages other than English were excluded from the study. Each video was scored according to the questions prepared based on the guidelines. The GQS score and the 'Reliability' score were used to assess the quality of the videos. Results: According to the checklist prepared according to the hypertension consensus report, the mean score of the videos was 8.33 ± 2.1. When the videos were evaluated according to their sources, the average score of the videos of the health sites was 9±2.5, the average score of the videos of the individual health workers was 8.66±1.8, the average score of the videos of the unidentified people was 7.54±2.1. Conclusion: Manual blood pressure measurement videos on Youtube have little educational value. Videos of health websites should be preferred for education.

Measuring Blood Pressure

Nursing OSCEs ◽  
2012 ◽  
Author(s):  
Kate Devis
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Pressure Measurement ◽  
Gold Standard ◽  
Blood Pressure Measurement ◽  
Maximum Pressure ◽  
Pressure Measurements ◽  
Health Care Settings ◽  
Pressure Cuff ◽  
The Uk

Blood pressure measurements are one part of a circulatory assessment (Docherty and McCallum 2009). Treatments for raised or low blood pressure may be initiated or altered according to blood pressure readings; therefore correct measurement and interpretation of blood pressure is an important nursing skill. Blood pressure should be determined using a standardized technique in order to avoid discrepancies in measurement (Torrance and Serginson 1996). Both manual and automated sphygmomanometers may be used to monitor blood pressure. The manual auscultatory method of taking blood pressure is considered the gold standard (MRHA 2006), as automated monitoring can give false readings (Coe and Houghton 2002), and automated devices produced by different manufacturers may not give consistent figures (MRHA 2006). So, although automated sphygmomanometers are in common use within health care settings in the UK, the skill of taking blood pressure measurement manually is still required by nurses. As a fundamental nursing skill, blood pressure measurement, using manual and automated sphygmomanometers, and interpretation of findings are often assessed via an OSCE. Within this chapter revision of key areas will allow you to prepare thoroughly for your OSCE, in terms of practical skill and understanding of the procedure of taking blood pressure. Blood pressure is defined as the force exerted by blood against the walls of the vessels in which it is contained (Docherty and McCallum 2009). A blood pressure measurement uses two figures—the systolic and diastolic readings. The systolic reading is always the higher figure and represents the maximum pressure of blood against the artery wall during ventricular contraction. The diastolic reading represents the minimum pressure of the blood against the wall of the artery between ventricular contractions (Doughetry and Lister 2008). You will need to be able to accurately identify systolic and diastolic measurements during your OSCE. When a blood pressure cuff is applied to the upper arm and inflated above the level of systolic blood pressure no sounds will be detected when listening to the brachial artery with a stethoscope. The cuff clamps off blood supply. As the cuff is deflated a noise, which is usually a tapping sound, will be heard as the pressure equals the systolic blood pressure —this is the first Korotkoff ’s sound.

scholarly journals Automated versus manual blood pressure measurement: A randomized crossover trial

2008 ◽  
Vol 14 (4) ◽  
pp. 296-302 ◽  
Author(s):  
Megan Heinemann ◽  
Ken Sellick ◽  
Claire Rickard ◽  
Pam Reynolds ◽  
Matthew McGrail
Keyword(s):  
Blood Pressure ◽  
Pressure Measurement ◽  
Crossover Trial ◽  
Blood Pressure Measurement ◽  
Randomized Crossover Trial ◽  
Manual Blood Pressure

scholarly journals Automated Versus Manual Blood Pressure Measurement: A Randomized Crossover Trial in the Emergency Department of a Tertiary Care Hospital in Karachi, Pakistan: Are Third World Countries Ready for the Change?

2016 ◽  
Vol 4 (3) ◽  
pp. 404-409 ◽  
Author(s):  
Kanaan Mansoor ◽  
Saba Shahnawaz ◽  
Mariam Rasool ◽  
Huwad Chaudhry ◽  
Gul Ahuja ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
P Value ◽  
Care Hospital ◽  
Pressure Measurements ◽  
The Mean ◽  
The Difference ◽  
Manual Blood Pressure ◽  
Mercury Sphygmomanometer

BACKGROUND: Hypertension has proven to be a strong liability with 13.5% of all mortality worldwide being attributed to elevated blood pressures in 2001. An accurate blood pressure measurement lies at the crux of an appropriate diagnosis. Despite the mercury sphygmomanometer being the gold standard, the ongoing deliberation as to whether mercury sphygmomanometers should be replaced with the automated oscillometric devices stems from the risk mercury poses to the environment.AIM: This study was performed to check the validity of automated oscillometric blood pressure measurements as compared to the manual blood pressure measurements in Karachi, Pakistan.MATERIAL AND METHODS: Blood pressure was recorded in 200 individuals aged 15 and above using both, an automated oscillometric blood pressure device (Dinamap Procare 100) and a manual mercury sphygmomanometer concomitantly. Two nurses were assigned to each patient and the device, arm for taking the reading and nurses were randomly determined. SPSS version 20 was used for analysis. Mean and standard deviation of the systolic and diastolic measurements from each modality were compared to each other and P values of 0.05 or less were considered to be significant. Validation criteria of British Hypertension Society (BHS) and the US Association for the Advancement of Medical Instrumentation (AAMI) were used. RESULTS: Two hundred patients were included. The mean of the difference of systolic was 8.54 ± 9.38 while the mean of the difference of diastolic was 4.21 ± 7.88. Patients were further divided into three groups of different systolic blood pressure <= 120, > 120 to = 150 and > 150, their means were 6.27 ± 8.39 (p-value 0.175), 8.91 ± 8.96 (p-value 0.004) and 10.98 ± 10.49 (p-value 0.001) respectively. In our study 89 patients were previously diagnosed with hypertension; their difference of mean systolic was 9.43 ± 9.89 (p-value 0.000) and difference of mean diastolic was 4.26 ± 7.35 (p-value 0.000).CONCLUSIONS: Systolic readings from a previously validated device are not reliable when used in the ER and they show a higher degree of incongruency and inaccuracy when they are used outside validation settings. Also, readings from the right arm tend to be more precise.

scholarly journals Development of non-occlusive blood pressure monitor with height correction for home used application

2019 ◽  
Vol 14 (2) ◽  
pp. 921
Author(s):  
Agung W. Setiawan ◽  
Nur A. Heryanto ◽  
Fadel M. Putra ◽  
Febri Suyitno ◽  
M. Andre Martin ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Standard Deviation ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
Pulse Transit Time ◽  
Average Error ◽  
Blood Pressure Monitor ◽  
Pressure Monitor ◽  
Left Hand ◽  
Measure Blood Pressure

<span>Non-occlusive blood pressure measurement method is developed to avoid the use of discontinuous and uncomfortable cuff-based methods. In this research, Pulse Transit Time (PTT) and Photoplethysmogram Intensity Ratio (PIR) is used to measure blood pressure. Two photoplethysmogram (PPG) sensors that are placed on the wrist and one of the finger joints both on the left hand is used to get the PTT and PIR. The name of the device is ARTSEN. During measurement, there is a measurement error caused by the hydrostatic effect when the device position is not inline with the heart. To minimize this error, this research proposes an automatic continuous blood pressure monitor. The device will conduct measurement only when the height of the device is inline with the heart. Accelerometer and gyroscope are used to detect the height of the device. There are 30 subjects that are involved in this research. To evaluate the performance of the device, there are two measurement conditions, during lying in the bed and sit down position. The blood pressure measurement is conducted using ARTSEN and sphygmomanometer (as the gold standard of blood pressure measurement). The average error of systolic blood pressure is 8 mmHg with standard deviation 5 mmHg, and average error of diastolic blood pressure is 8 mmHg with standard deviation 4 mmHg.</span>

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