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14 Monitoring NIBP
14.1 NIBP Introduction
• Blood pressure measurements determined with this device are equivalent to those obtained by a
trained observer using the cuff/stethoscope auscultatory method or an intra-arterial blood pressure
measurement device, within the limits prescribed by the American National Standard, Manual,
electronic, or automated sphygmomanometers.
14.2 NIBP Safety Information
• Be sure to select the correct patient category setting for your patient before measurement. Do not
apply the higher adult settings for pediatric or neonatal patients. Otherwise it may present a safety
hazard.
• Do not measure NIBP on patients with sickle-cell disease or any condition where skin damage has
occurred or is expected.
• Use clinical judgment to determine whether to perform frequent unattended blood pressure
measurements on patients with severe blood clotting disorders because of the risk of hematoma in
the limb fitted with the cuff.
• Do not use the NIBP cuff on a limb with an intravenous infusion or arterial catheter in place. This
could cause tissue damage around the catheter when the infusion is slowed or blocked during cuff
inflation.
• NIBP reading can be affected by the measurement site, the position of the PATIENT, exercise, or the
patient's physiologic condition. If you doubt the NIBP readings, determines the patient’s vital signs
by alternative means and then verify that the equipment is working correctly.
• Do not use the NIBP cuff on the arm on the side of a mastectomy or lymph node clearance.
• Continuous CUFF pressure due to connection tubing kinking may cause blood flow interference and
resulting harmful injury to the patient.
• NIBP diagnostic significance must be decided by the physician.
14.3 NIBP Measurement Procedure
14.3.1 Preparing the Patient
• It is recommended that the patient relaxes as much as possible before performing measurement
and that the patient does not talk during NIBP measurement.
• It is recommended that 5 min should elapse before the first reading is taken.
• A wrong cuff size and a folded or twisted bladder can cause inaccurate measurements.
• Do not touch or apply external pressure against the cuff and air tubing during NIBP measurement.
This may cause inaccurate blood pressure values.
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