ABPI Measurement - OSCE Guide | Doppler Pulse | UKMLA | CPSA

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This video demonstrates how to perform measurement of ABPI in an OSCE station. The ankle-brachial pressure index (ABPI) is a non-invasive method of assessing peripheral arterial perfusion in the lower limbs. ABPI is a ratio composed of the blood pressure of the upper arm (brachial artery) and the blood pressure of the lower limb (dorsalis pedis and the posterior tibial artery).

Chapters:
00:00 Introduction
00:46 Brachial pressure
01:37 Ankle pressure
01:46 Posterior tibial artery
02:10 Dorsalis pedis artery
02:40 How to calculate ABPI
04:05 ABPI reference ranges

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My numbers so random:

44yo overall healthy man

RArm 118/72 RAnk 152/67

152/118‎ = 1.28814 (right)

LArm 133/75 LAnk 146/73

146/133‎ = 1.097744 (left)

Highest Ratio (RAnk/LArm)

152/133=1.143

Would this test be considered healthy? I’m kinda worried because the high pressure into ankles? Does this reads differently? Thanks for sharing.

TheUndertaker
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we can use the left arm for left ankle if the left arm pressure is more?

yowhatsup
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This is a good practical video but it is a great pity that the person undertaking the Doppler ABPI did not explain, in more detail, as they were conducting the procedure, what they were doing, what arteries they were looking for, how to do the procedure in more detail. It could have been very very good.

ValerieDowley
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Why not just feel for the pulse and use a stethoscope?

lee