simpleABI TBI Exam Procedure (NM0033)
Contents
1. The TBI Examination with simpleABI Systems Please Read the User Manual first This is a quick reference guide Contraindications Do not perform the TBI exam on someone suspected of having acute deep venous thrombosis and do not take an arm pressure in an arm with a shunt or dialysis graft Background The TBI exam is typically performed after an ABI has been done especially if the larger ankle arteries appear to be incompressible pressure over 200mmHg or anytime more information is needed about small vessel disease The TBI is done using the PPG probe The patient is supine and rested in a warm room The TBI Procedure Setting up On the computer desktop select the simpleABI icon When the screen opens click on the File tab then New and then select TBI report The TBI report form will come up Wrap cuffs 12cm on the arms Wrap a small digit cuff on the great toe as far down towards the base as possible Attach the PPG probe and sensor to the DigiDop replacing the Doppler probe Pressures PVR Waveforms e Place the PPG sensor on the index finger with the sensor If you have already taken PVR waveforms during the ABI on the fleshy part of the finger Wait until you get exam there is no need to repeat them You can take them consistent beeps from the system Double beats will not in this report The waveforms are taken at the ankle affect the measurement e Wrap 10cm cuffs around each ankle above the ankle e Attach th2. e hose from the pump PVR box to the arm cuff bone inflate until you no longer hear the signal and continue for an additional 20 mmHg Slowly bleed pressure down until Attach the hose from the PVR box to the cuff Click on the the signal returns and note that return pressure This is PVR box on the screen Inflate the cuff to 75mmHg and the systolic pressure Then rapidly deflate the cuff Enter then deflate to about 65mmHg The green bar should be the pressure into the brachial field on the report about in the center of its box on the screen Click on Get Waveform and wait five seconds while the system collects e Now move the PPG sensor to the right toe above the digit data The waveform will be displayed You can click again cuff and opposite the toenail It may help reduce on Get Waveform if you are not satisfied with the extraneous signals to tape the cord from the sensor to the waveform foot e When finished save the report e Attach the hose to the digit cuff and inflate about 20mmHg past where the pulse beep disappears Slowly deflate the cuff and note the pressure when the sound returns Enter this pressure into the TOE pressure box on the screen The TBI is automatically calculated e Move the cuffs and PPG sensor to the left side of the body and repeat these steps Helpful Hints e A warm toe is a big help Keep the toe covered if you can with a towel even a warm towel if available Let the patient rest and rela
3. x before inflating the cuffs Anchor the cord from the PPG sensor to the foot with some adhesive tape e Toe pressures are difficult to obtain in patients with small vessel disease Pressures can be obtained with the Doppler probe as well but it is more difficult as the digit arterial signal is hard to locate Newman Medical 800 267 5549 NM0033 B
Download Pdf Manuals
Related Search