Description

Accurate measurement of blood pressure requires selection of a cuff that is appropriate for the site where the readings are being taken.


 

Standard site of blood pressure measurement: upper arm

 

The ideal cuff should have:

(1) a cuff width >= 40% of the arm circumference

(2) a cuff length >= 80% of the arm circumference

 

For clinical situations Pickering et al recommended the following::

Patient

Mid Upper Arm Circumference

Appropriate Cuff Size

small adult

22 to 26 cm

12 x 22 cm

average adult

27 to 34 cm

16 x 30 cm

large adult

35 to 44 cm

16 x 36 cm

adult thigh

45 to 52 cm

16 x 42 cm

 

For home self-measurement Celis et al recommended the following:

 

Patient

Mid Upper Arm Circumference

Appropriate Cuff Size

child or small adult

< 23 cm

12 x 18 cm

average adult

23 to 32.9 cm

12 x 26 cm

large or obese adult

33 to 50 cm

12 x 40 cm

 

Smaller pressure cuffs have been designed for taking readings over:

(1) the fingers

(2) the penis

 


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