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Time interval between pairs of arterial blood pressure measurements--does it matter?
Nelson Rudi Koehler1, Carlos Eduardo Poli de Figueiredo, Antônio Cláudio Mendes-Ribeiro
1Faculdade de Medicina/Instituto de Pesquisas Biológicas, Hospital São Lucas da Pontifícia, Universidade Católica do Rio Grande do Sul, Av Ipiranga 6690 Conj 207, Porto Alegre, Rio Grande do Sul, Brazil, CEP 90610.000. nelsonrk@terra.com.br
Abstract:
Guidelines on arterial blood pressure (BP) measurements recommend a time interval between readings. There has been little evidence supporting this recommendation. Therefore, we measured the variation in arterial pressure between the pairs of measurements without an interval (n = 269) or with venous congestion interposed (n = 79). The variation in BP readings was not significantly greater whether a 60-sec interval or venous congestion were present. These overall results do not support the hypothesis that the absence of the time interval or of presence of venous congestion, as may occur in clinical practice, significantly affects BP measurements.
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Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Assessment of blood pressure in brachial artery(two-step method)
Sites for measuring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement
Measurement of Blood Pressure
Pre-Procedural Guidelines for Assessing Blood Pressure
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:

