What is the TSS UDETMA?


The Scientific and Technical Service of the Laboratory of Vascular Imaging: UDETMA of the Biomedical Research Institute of Lleida (IRBLleida), is currently located in the UDETMA (Unit of Detection and Treatment of Aterothrombotic Diseases), on the first floor of the Arnau de Vilanova University Hospital, Lleida.

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Toe / Brachial index

Date:Tuesday, 07 de July del 2015 Author:Meritxell Soria

PURPOSE


  • To determine the patient's toe-brachial indez to diagnose the presence of arterial ischemia in cases hidden in the ITB vascular stiffness (ABI> 1.3) is suspected.

MATERIAL


  • CW Doppler (Smartdop 30EX, 8MHz, or similar)
  • Quid toe-brachial, bracelets, PPG probe, connecting cables 
  • Sphygmomanometer
  • Cellulose
  • Gel
  • Gloves

PREPARATION PHASE


  • Ambient temperature between 21 ° C and 24 ° C
  • To inform the patient of the test to be performed
  • To perform Edinburgh questionnaire
  • To remove shoes and socks
  • To place the patient supine on the table
  • To keep in about 10 minutes.

EXECUTION PHASE


  • Place the sphygmomanometer cuff on the arm two fingers above the elbow
  • To connect the PPG probe (digital sensor) to the continuous Doppler
  • To select option: ARM / LEG to measure the pressure in the arm
  • To select probe 1
  • To locate the brachial artery Doppler continued up to the elbow
  • To press INF / DUMP to inflate the cuff (when the green light to swing) the computer automatically swell 20 mmHg above the value of blood pressure patient's life until the cessation of the heartbeat, it will automatically retrieve deflating to beat stroke
  • The computer screen (Smartdop30EX) will show the systolic pressure in the arm
  • To press ARM to save the data
  • To place the right sleeve, with the sensor in the big toe to explore
  • To check that the INF / DUMP light is off
  • To select the option: TOE to measure the pressure in the toe
  • To select probe 2
  • To press INF / DUMP (when the green light to swing) the computer automatically swell 20 mmHg above the value of the blood pressure of the patient to cease beating, it will automatically retrieve deflating to beat stroke
  • The computer screen (Smartdop30EX) show us finger systolic pressure
  • To press LEG / TOE to save the data. The system automatically gives us the value of brachial index finger on the screen

CONTROL PHASE


  • Ensuring that we have written down the value of the lower limb studied in the computer program, and that was successful automatic calculation of the IDB.

OTHER INFORMATION


http://www.elsevier.es/es-revista-medicina-clinica-2-resumen-correlacion-entrelos-indices-dedo-brazo-90198562