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This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
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Pre-Procedural Guidelines for Assessing Blood Pressure01:10

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Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
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Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
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Related Experiment Video

Updated: Dec 25, 2025

Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
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Simulation-Based Examination of Arterial Line Insertion Method Reveals Interdisciplinary Practice Differences.

Antoinette Golden1, Yasser Alaska, Andrew T Levinson

  • 1From the Department of Emergency Medicine (A.G., Y.A., G.J., L.K.), Alpert Medical School of Brown University; Lifespan Medical Simulation Center (A.G., Y.A.), Providence, RI; Department of Emergency Medicine (A.G.), FIU Herbert Wertheim College of Medicine Kendall Regional Medical Center, Miami, FL; Division of Pulmonary Critical Care (A.T.L.), Department of Medicine, and Divisions of Anesthesiology (K.R.D.) and Trauma/Critical Care, Department of Surgery (S.N.L.), Alpert Medical School of Brown University; Surgical Services, Rhode Island Hospital (K.A.L.), Providence; and The School of Engineering, Brown University (G.J.), Providence, RI.

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare
|April 3, 2020
PubMed
Summary

Simulation revealed significant variations in arterial catheter insertion performance among different intensive care units and anesthesia providers. These differences in technique and preparation may contribute to patient complications.

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Area of Science:

  • Medical Simulation
  • Patient Safety
  • Clinical Procedures

Background:

  • Arterial cannulation is a common procedure in ICUs and ORs with a reported 1% complication rate.
  • Simulation is a valuable tool for assessing clinical skills and identifying performance variations.
  • Understanding these variations can help mitigate complications associated with arterial catheter insertion.

Purpose of the Study:

  • To evaluate the technical performance of healthcare providers during simulated arterial catheter insertion.
  • To identify interdisciplinary and intradisciplinary variations in arterial catheter insertion techniques.
  • To explore factors contributing to potential complications in arterial cannulation.

Main Methods:

  • Providers from anesthesia, medical ICU, and surgical ICU participated in simulated arterial catheter insertions.
  • A Delphi-derived checklist was used to assess technical performance via offline video review.
  • Data were collected on procedural planning, equipment preparation, patient preparation, and sterile technique adherence.

Main Results:

  • Significant differences were observed in kit usage (ad hoc vs. commercial) and ultrasound guidance utilization (MICU only).
  • Anesthesia providers were less likely to don gowns, while MICU and SICU providers consistently sutured catheters.
  • Overall sterile technique observance was high (70%-100%), with no significant differences between groups.

Conclusions:

  • Simulated arterial catheter insertions highlight significant procedural performance variability.
  • Discipline-based practice parameters and setting-specific cultural factors contribute to performance differences.
  • Addressing these variations through simulation can enhance patient safety and reduce complications.