Passport 12/Passport 8 Operator’s Manual 12-3
12.5 Setting Up the NIBP Measurement
12.5.1 Preparing the Patient
In normal use, perform NIBP measurement on a patient who is in the following position:
Comfortably seated;
Legs uncrossed;
Feet flat on the floor;
Back and arm supported; and,
Middle of the cuff at the level of the right atrium of the heart.
NOTE
It is recommended that the patient relax as much as possible before performing measurement and that the
patient do not talk during measurement.
It is recommended that 5 min should elapse before the first reading is taken.
The operator shall not touch cuff and tubing during NIBP measurement.
12.5.2 Preparing to Measure NIBP
To prepare for the NIBP measurement:
1. Power on the monitor.
2. Verify that the patient category is correct. If not, select the [Patient Setup] QuickKey → [Patient Demographics]
→ [Patient Cat.] and set the patient category to [Adu], [Ped] or [Neo].
3. Plug the air tubing into the NIBP connector on the patient monitor.
4. Select a correct sized cuff and then apply it as follows:
Determine the patient’s limb circumference.
Select an appropriate cuff by referring to the limb circumference marked on the cuff. The width of the cuff
should be 40% (50% for neonates) of the limb circumference, or 2/3 of the upper arm’s length. The inflatable
part of the cuff should be long enough to encircle at least 50% to 80% of the limb.
Apply the cuff to the patient’s upper arm or leg and make sure the Φ marking on the cuff matches the artery
location. Do not wrap the cuff too tightly around the limb. It may cause discoloration, and ischemia of the
extremities. Make sure that the cuff edge falls within the marked range. If it does not, use a larger or smaller
cuff that will fit better.
5. Connect the cuff to the air tubing. Avoid compression or restriction of pressure tubes. Air must pass unrestricted
through the tubing.
WARNING
Continuous CUFF pressure due to connection tubing kinking may cause blood flow interference and
resulting harmful injury to the patient.
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