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1. Measure the patient’s limb and select the proper size cuff. As a general rule,
cuff width should span approximately two-thirds of the distance between the
patient’s elbow and shoulder.
2. Connect the hose to the bottom of left corner of the monitor as shown. Push until you
hear a click, indicating that the connection is secure.
3. Connect a cuff to the hose and push until you hear a click, indicating that
the connection is secure.
4. Wrap the cuff around a bare arm or around an arm covered in thin clothing.
Thick clothing or a rolled up sleeve will cause a major discrepancy in the blood
pressure reading.
5. Wrap the cuff around the patient’s arm so
that the centre of the cuff’s rubber bladder
sits on the artery of the upper arm. The hose
should be brought out from the peripheral
side without bending. (The Brachial artery
is located on the inside of the patient’s upper
arm.) At this time, check that the index line
on the edge of the cuff sits inside the range.
Use a different size cuff if the index line is
outside of the range, as this will cause a
major discrepancy in blood pressure readings.
The adult cuff should be wrapped around the arm tightly enough so that
only two fi ngers can be inserted under it, above and below the cuff.
6. Maintain the height of the cuff-wrapped upper arm artery to that of the heart’s
right ventricle during measurement.
7. Follow the cuff directions for use when applying the cuff to the arm.
Size Limb Circumference Cuff width Hose length
Neonate 1 3.1 - 5.7 cm 2.5 cm
3m
Neonate 2 4.3 - 8.0 cm 3.2 cm
Neonate 3 5.8 - 10.9 cm 4.3 cm
Neonate 4 7.1 - 13.1 cm 5.1 cm
Infant 10 - 19 cm 8 cm
Paediatric 18 - 26 cm 10.6 cm
Adult 25 - 35 cm 14 cm
Adult 33 - 47 cm 17 cm
Adult 46 - 66 cm 21 cm
NIBP Monitoring
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General