5-2 Accutorr 3 Operator's Manual
WARNING
NIBP measurements can be affected by the measurement site, the position of
the patient, patient movement, or the patient's physiologic condition. If the
NIBP measurement seems out of range or inaccurate, determine the patient’s
vital signs by alternative means and then verify that the monitor is working
correctly.
Make sure the hose connecting the NIBP cuff and the monitor is not blocked,
twisted, or tangled.
Do not apply the cuff on the arm on the side of a mastectomy.
Continuous cuff pressure due to connection tubing kinking may cause blood
flow interference and resulting harmful injury to the patient.
Do not modify or replace connectors of the NIBP air hose except with
mindray-approved connectors. Use neonatal and infant cuffs with CM1901
hoses only. Use pediatric/adult cuffs with CM1903 hoses only.
Never connect intra-arterial or intra-venous lines, or any other incompatible
connectors to the NIBP hose. This can cause serious injury or death.
Avoid placing cuff on patient in a manner that can lead to a hose becoming
kinked (hose kinking may cause inaccurate readings).
5.3 Measurement Limitations
The equipment cannot measure blood pressure when the patient's heart rate is below 40
bpm or above 240 bpm, or if the patient is on a heart-lung machine.
The equipment may fail to measure or produce inaccurate blood pressure measurements
under the following conditions:
If arterial pressure pulses are hard to detect
In the presence of excessive and continuous patient movement such as shivering or
convulsions
During certain cardiac arrhythmias
Rapid blood pressure changes
Severe shock or hypothermia that reduces blood flow to the peripheries
Obesity, where a thick layer of fat surrounding a limb dampens the oscillations
emanating from the artery
5.4 Measuring NIBP
5.4.1 Preparing the Patient
In order to minimize NIBP measurement errors, whenever possible check that the patient:
Is comfortably seated
Has legs uncrossed
Has feet flat on the floor
Has back and arm supported, and
The middle of the cuff is at the level of the right atrium of the heart.