Ideally oscillometric measurement from your non-invasive device should be more 
accurate than the calculation. The greatest point of emphasis is making sure we 
are consistent with the measures, (don't alternate cuff positions from leg to 
arm, don't alternate cuff sizes, don't use the monitor one time and then a 
manual the next and attempt to trend those, etc) but also being aware that 
confirming monitor accuracy with a manual pressure is vital.



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-----Original Message-----
From: Tish Poserina [[email protected]]
Received: Thursday, 21 Jun 2018, 14:59
To: [email protected] [[email protected]]
Subject: [EXTERNAL] [Sepsis Groups] noninvasive BP monitoring

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________________________________
As I review sepsis cases in patients with non-invasive pressure monitoring; I 
am finding that quite often the MAP does not correlate with the standard 
formula (S=2D/3); and I understand that non-invasive monitoring relies on pulse 
amplitude to calculate mean. Should we really be utilizing MAP with 
non-invasive pressure devices? To say we should re-check it manually can hardly 
be practical when many areas of the hospital use non-invasive devices for BP 
monitoring.

Tish Poserina, RN,MSN, CCRN, CNRN
Sepsis Coordinator
St Mary Medical Center

[email protected]<mailto:[email protected]>
W 215.710.4347
C 215.710.7644

1201 Langhorne-Newtown Road
Langhorne, Pa 19047

stmaryhealthcare.org| Facebook| Twitter|LinkedIn



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