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9. NIBP Monitoring
For the safety of patients, and to ensure the best product performance and
accuracy, use only the cuffs and the hose provided with the monitor, or
recommended by Huntleigh Healthcare Ltd Service Department. Using other cuffs
or hoses may result in inaccuracies.
Inaccurate measurements may be caused by incorrect cuff application or use,
such as placing the cuff too loosely on the patient, using the incorrect cuff size,
or not placing the cuff at the same level as the heart, leaky cuff or hose, and
excessive patient motion.
Keep patients under close surveillance when monitoring. It is possible, although
unlikely, that radiated electromagnetic signals from sources external to the
patient and monitor can cause inaccurate measurement readings. Do not rely
entirely on the Smartsigns
®
Compact 300 readings for patient assessment.
The Smartsigns
®
Compact 300 is not intended for diagnostic treatment. To ensure
patient safety, use other diagnosis equipment.
Any excessive patient motion may cause inaccurate measurements of non-
invasive blood pressure. Make sure there is no patient motion affected to blood
pressure measurements.
The blood pressure cuff should not be applied to the same extremity as the
one to which an SpO
2 sensor is attached, since cuff infl ation will disrupt SpO2
monitoring.
Check the patient’s limb on which the cuff is applied to assure that circulation is
not constricted. Constriction of circulation is indicated by discolouration of the
extremity. This check should be performed at the clinician’s discretion at regular
intervals based on the circumstances of the specifi c situation.
In some cases, rapid, prolonged cycling of a blood pressure monitor cuff
has been associated with any or all of the following: ischemia, purpura, or
neuropathy. Apply the cuff appropriately, according to instructions, and check
the cuff site and extremity regularly when blood pressure is measured at frequent
intervals or over extended periods of time.
Never place the cuff on extremity being used for intravenous infusion or any area
where circulation is compromised or has the potential to be compromised. Never
fi t NIBP system with Luer Lock adapters that can be connected to IBP or injection
systems.
As with all automatically infl atable blood pressure devices, continual cuff
measurements can cause injury to the patient being monitored.
During use on patients, ensure that heavy objects are not placed on the hose.
Avoid crimping or undue bending, twisting, or entanglement of the hose.
Never use an adult or paediatric monitor setting or cuff for an NIBP measurement
on a neonatal patient. Adult and paediatric infl ation limits can be excessive for
neonatal patients, even if a neonatal cuff is used.
NIBP readings may be inaccurate for patients experiencing moderate to severe
arrhythmia.
NIBP Monitoring