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NIBP
Propaq Encore Reference Guide 59 Welch Allyn
For information about patient mode specifications, see “NIBP Specifications” on page 142.
Preparation
Setting up for noninvasive blood pressure monitoring requires three steps: place the cuff on
the patient and connect the cuff to the monitor, set up the NIBP channel, and set the NIBP
alarm limits.
At powerup, the Propaq has an NIBP default inflation pressure (cuff inflation target) based
on the patient mode (see page 142 for the values). After each NIBP measurement, the Propaq
adjusts the target inflation pressure to optimize the next NIBP measurement. To avoid
possible patient discomfort, be sure to turn the monitor off and then on between different
patients to reset the cuff inflation target to the default value.
Place and Connect the Cuff
1. Squeeze as much air from the cuff as
you can before placing it on the
patient.
2. Place the cuff on the limb.
When you place the cuff, it should
ideally be placed at the same level as
the heart. If above the heart, add 1.9
mmHg to the NIBP measurement for
every inch the cuff is above the heart.
If below the heart, subtract 1.9
mmHg for every inch.
The cuff should fit snugly, but not be uncomfortable. The hose must not be kinked or
pinched.
Ensure that the cuff tubing is centered over the brachial artery.
Warning When monitoring NIBP, match the Propaq patient mode to the style
of the cuff. For neonates, set the monitor to Neonatal Mode unless the
circumference of the limb is too large for the cuff. In that case, use the
Pediatric Mode. In the Pediatric Mode, the maximum cuff inflation pressure
can exceed 150 mmHg, and two retries are allowed.
Warning Before you use a Propaq on a new patient, always turn it off for a
few seconds, then turn it on again. This clears the prior patient’s NIBP cuff
inflation target, trend values, and alarm limit settings.
Cuff applied
evenly and
snugly with
bottom edge of
cuff one inch
above
antecubital
fossa
Possible cuff
placements for
neonates