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  • Blood Pressure Monitoring Methods

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    wellawalalasith
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    This document discusses blood pressure monitoring techniques. It covers both non-invasive and invasive (direct) methods. Non-invasive methods use a cuff to measure intermittent blood pressure through techniques like auscultation of Korotkoff sounds. Invasive direct monitoring involves an intra-arterial cannula connected to a transducer and can provide continuous readings and waveform analysis. Both methods have advantages and limitations in accuracy and the information provided. Physical factors like transducer properties, damping, and frequency response impact direct monitoring equipment.

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    This document discusses blood pressure monitoring techniques. It covers both non-invasive and invasive (direct) methods. Non-invasive methods use a cuff to measure intermittent blood pressure through techniques like auscultation of Korotkoff sounds. Invasive direct monitoring involves an intra-arterial cannula connected to a transducer and can provide continuous readings and waveform analysis. Both methods have advantages and limitations in accuracy and the information provided. Physical factors like transducer properties, damping, and frequency response impact direct monitoring equipment.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    18 views29 pages

    Blood Pressure Monitoring Methods

    Uploaded by

    wellawalalasith
    This document discusses blood pressure monitoring techniques. It covers both non-invasive and invasive (direct) methods. Non-invasive methods use a cuff to measure intermittent blood pressure through techniques like auscultation of Korotkoff sounds. Invasive direct monitoring involves an intra-arterial cannula connected to a transducer and can provide continuous readings and waveform analysis. Both methods have advantages and limitations in accuracy and the information provided. Physical factors like transducer properties, damping, and frequency response impact direct monitoring equipment.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 29

    Blood Pressure Monotoring

    Dr. L.P.C.Warnapura
    20/04/2013
    Non Invasive BP/ Indirect BP/
    Intermittent BP
    Invasive BP/ Direct BP/ continuous BP
    Intermittent Non invasive BP
    monitoring
    Key components
    Inflatable cuf
    BP determining method
    Measuring method
    Cuf
    Site
    Size
    20% > diameter
    2/3 length
    Qualities
    Methods
    Palpation
    Auscultation
    Microphone
    Doppler
    Piezo-electric crystals
    Photo cell
    Flush method
    Oscillotonometer
    Auscultation method
    Cuf position
    250 300 mmHg
    10 mmHg/s
    Palpated systolic point
    30 mmHg above
    2 mmHg/s
    Sounds of Korotokof
    Sounds of Korotokof
    I - tapping
    BP
    II - quieter
    Auscultatory
    III gap
    tapping/louder
    IV - muffled
    I - disappear

    Intensity
    Sound intensity
    Cuf P

    SBP
    No sound
    Phase I
    Phase II
    DBP

    Phase V

    Phase III
    DBP

    Phase IV
    Auscultatory gap
    Physical basis of the sounds
    External pressure
    Cavitation theory
    Arterial wall theory
    Turbulent flow
    Tissue resonation
    High and low frequency components
    Accuracy
    SBP
    DBP
    Lower & higher pressures
    Errors
    Difficult to hear
    Cuf size
    Leaks
    Aneroid gauge
    Arrythmias
    Motion
    External compression
    Accuracy
    Oscillotonometer
    Bleed
    Occluding valve Bellow

    cuf Lev Gauge


    er
    Sensing Bellow
    cuf

    MAP = ( SBP + 2DBP ) / 3


    Liquid manometers
    Physical basis
    Automated intermittent
    NIBP
    DINAMAP
    One cuf devises
    BP

    SBP
    MAP Step wise deflation

    DBP

    Inflation
    Amplitud
    e Deflation

    Time

    Time
    Direct BP monotoring
    Indications
    Sudden, large blood volume changes
    anticipated
    Rapid, extreme pressure fluctuations
    anticipated
    Gather information from arterial
    wave form
    Disturbed myocardial functions
    NIBP inaccurate
    Components
    Intra-arterial cannula
    Tubing
    Transducer
    Microprocessor
    Zeroing and calibration mechanisms
    Physical properties of
    electromanometers
    Biological signals are complex wave
    forms
    Fast Fourier analysis
    Harmonics
    Reproduction of biological wave
    Frequency range
    Frequency response
    Accurate reproduction of amplitude and
    phase diference
    High natural frequency
    Damping
    Undamped natural frequency
    Efective mass
    Units of stifness
    Frictional resistance
    Catheter qualities
    Amplitude distortion
    Amplitude

    Time

    Resonant
    frequency
    Amplitude

    D
    0

    Time
    Amplitude

    D
    0.2

    Time
    Amplitude

    D
    1

    Time
    Amplitude

    D 0.64

    Time
    D D 1
    D0
    0.64
    Optimally damped
    Under damped
    Critically damped
    Over damped
    Errors
    Copmlications
    Information can be gathered from
    arterial wave

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