Measuring NIBP Non-Invasive Blood Pressure (NIBP)
14 - 8 V Series Operating Instructions
14.3.5 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
• Middle of the cuff at the level of the right atrium of the heart
NOTE: It is recommended that the patient relaxes as much as possible before
performing measurement and that the patient does not talk during
NIBP measurement.
NOTE: It is recommended that the patient should sit quietly for several
minutes before the first reading is taken.
14.3.6 Measuring NIBP
WARNING: Be sure to select the correct patient category setting for your patient
before measurement. Applying the adult settings to a pediatric or
neonatal patient may present a safety hazard.
WARNING: Continuous cuff pressure due to connection tubing kinking may cause
blood flow interference and resulting harmful injury to the patient.
WARNING: Do not use the NIBP cuff on a limb with an intravenous infusion or
arterial catheter in place. This could cause tissue damage around the
catheter when the infusion is slowed or blocked during cuff inflation.
NOTE: Try using disposable cuffs on infants. Disposable cuffs are more pliant
than reusable ones. They generally fit smaller infants better.
NOTE: Select the cuff size based on the limb circumference of the patient. The
design dimensions of the cuffs and their intended uses are based on
recommendations of the American Heart Association.
NOTE: Replace cuffs that have become brittle as they age.
NOTE: Ensure that the pressure tubes are not compressed or restricted.
NOTE: NIBP cannot be taken under all conditions. Even manual methods,
employing a sphygmomanometer and stethoscope, will not work on
unstable or active patients.
NOTE: For known hypertensive patients, you need to set initial cuff pressure
to a higher value to reduce the measurement time.
NOTE: The operator should not touch the cuff and tubing during NIBP
measurement.
1. Select an appropriate sized cuff for the patient.
2. Attach the cuff hose to the NIBP connector on the VPS (as shown in FIGURE 14-1)
3. Apply the cuff to the patient.
4. If not already selected, choose the patient size through the Patient Info dialogs.
5. If needed, change the starting cuff pressure through the NIBP Setup tab.
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