How to perform an ankle brachial index

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  • เผยแพร่เมื่อ 26 ก.ย. 2024
  • Ann-Marie McLaren, a chiropodist on the Wound Care team at St. Michael's Hospital, demonstrates how to take measurements for an ankle brachial index.

ความคิดเห็น • 102

  • @TheKcchiefs5124
    @TheKcchiefs5124 5 ปีที่แล้ว +107

    WOW WHAT AN AWESOME VIDEO. IT WAS CLEAR. IT WAS EASY TO UNDERSTAND. AND THE CAMERA PERSON WAS EXACTLY WHERE HE/SHE NEEDED TO BE. AMAZING JOB. PLEASE MAKE MORE!!!!

    • @alaminmughrabi84
      @alaminmughrabi84 5 ปีที่แล้ว

      very wow

    • @petteroakley8000
      @petteroakley8000 4 ปีที่แล้ว +1

      Thanks for the Video clip! Sorry for chiming in, I would appreciate your opinion. Have you heard about - Carnbigail Reputable Cure (google it)? It is a good one off guide for eradicating your varicose or spider veins without the hard work. Ive heard some awesome things about it and my good mate called Gray at very last got cool results with it.

    • @alialassadi5576
      @alialassadi5576 3 ปีที่แล้ว +5

      WHY ARE WE YELLING

    • @SarcasmOpenWorld
      @SarcasmOpenWorld 3 ปีที่แล้ว

      AAAAAAA

  • @cynthiav.frickle4495
    @cynthiav.frickle4495 9 หลายเดือนก่อน +2

    Ann-Marie made a crystal clear demonstration. Thank you!

  • @andreabobandrea8307
    @andreabobandrea8307 5 ปีที่แล้ว +12

    I love that BP cuff. Talk about making life easier. Great video. Thanks for posting. Doing my second ever LLA tomorrow. First time I was unable to get a reading on the posterior tibial pulse and I was quite upset with myself for not getting it. Hoping for better results tomorrow :)

    • @dancassidy7471
      @dancassidy7471 2 ปีที่แล้ว +1

      This can be difficult with severe distal LE edema

  • @usmlestepexamreview
    @usmlestepexamreview 5 หลายเดือนก่อน +1

    Absolutely phenomenonal demonstration

  • @felixmeer4643
    @felixmeer4643 7 หลายเดือนก่อน +2

    In Germany we use the lowest BP for the Ankle Pressure and the highest Brachial artery so that no isolated stenosis stays undiagnosed

  • @AccordionLadyDi
    @AccordionLadyDi 2 ปีที่แล้ว +7

    Thanks for the demonstration. I would like to point out that the BP cuff was upside down in both brachial and foot pressures. Plus, I think it would be a good idea to slow down the release of the pressure so you would get a more accurate meansurements.

    • @pcastonguay
      @pcastonguay 2 ปีที่แล้ว +1

      Thank goodness I live in the US where nurses place blood pressure cuffs right side up, as well as release the pressure at a rate slow enough to permit an accurate reading. This video was made in Toronto, Canada. I wonder. Could this kind of incompetence be the result of a government run health care system?

    • @ToarTendean
      @ToarTendean ปีที่แล้ว +2

      @@pcastonguay With all due respect, my IQ may have dipped lower than 20 from just reading your post.😂✌

  • @lindalekweuwa5256
    @lindalekweuwa5256 ปีที่แล้ว +1

    Thank you so much. This helped my understanding greatly.

  • @antonismanassis4719
    @antonismanassis4719 2 ปีที่แล้ว +4

    Extremely helpful and simple!

  • @glemnys
    @glemnys 5 ปีที่แล้ว +6

    This is a great video! great job! thank you so much, very helpful to study for the board exams and retain the information.

  • @bonedok
    @bonedok 4 ปีที่แล้ว

    Nice clear presentation with a good demonstration of all steps. Ann-Marie Mclaren spoke very well.

  • @siddharth_r1
    @siddharth_r1 5 ปีที่แล้ว +9

    Such a perfect video!

    • @arthurquan
      @arthurquan 4 ปีที่แล้ว

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  • @izzygee2216
    @izzygee2216 4 ปีที่แล้ว +3

    Great demonstration Dr. thank you ma’am. 😌🙏🏽

  • @oliviathomas8788
    @oliviathomas8788 4 ปีที่แล้ว +26

    Why not release the air slower to get a more accurate reading, seemed way too fast

    • @OutOfYoLeeg
      @OutOfYoLeeg 7 หลายเดือนก่อน

      So remarkably prone to an inaccurate read at the speed of deflation that she facilitated.

  • @mosabbirpeal4450
    @mosabbirpeal4450 28 วันที่ผ่านมา +1

    How many Hz is needed for handheld doppler.. Can i use Fetal monitoring doppler?

  • @wsheri11
    @wsheri11 5 ปีที่แล้ว +1

    Very good explanation simple and clear cut thank you!

  • @mariyabikova9467
    @mariyabikova9467 2 ปีที่แล้ว

    Thank you för the video. Very simple and professional. I even close my eyes for your watch and ring which nurse shouldn’t have according to the rules…

  • @aoutlasridevi1142
    @aoutlasridevi1142 ปีที่แล้ว

    Everything is neat and clear
    Thank u for the video

  • @VishalPatel-ey7dd
    @VishalPatel-ey7dd 3 ปีที่แล้ว

    very easy and very very good demonstration. thank you so much

  • @emanmahmoud296
    @emanmahmoud296 2 ปีที่แล้ว

    Fantastic!! 😲.. Easy.... All details are clear ♥️♥️

  • @chockpea
    @chockpea 3 ปีที่แล้ว +1

    Can this just not be done just using the blood pressure monitor?

  • @shakaibali6459
    @shakaibali6459 ปีที่แล้ว

    A long standing mystery has been solved thanks

  • @mosabbirpeal4450
    @mosabbirpeal4450 หลายเดือนก่อน

    Can i use Fetal monitoring Doppler for ABPI?

  • @thequantaleaper
    @thequantaleaper ปีที่แล้ว

    The rate of deflation in the video is probably a bit higher than it should be, seemly around 20mmHg/sec, when it should be much slower close to 1-2mmHg/sec when approaching the anticipated brachial systolic PB. Mistiming of the pulse at that rate could lead to a reading a full 20+mmHg lower than the actual figure.

  • @043sarahafezabintisharudin7
    @043sarahafezabintisharudin7 3 ปีที่แล้ว +1

    Thank you

  • @charisturner1081
    @charisturner1081 5 ปีที่แล้ว +1

    I have been to a dr's appt with Dr Kerri to have my abi checked out. Using her steposcope, blood pressure cuff, ultersound machine.

  • @TheSirlipton
    @TheSirlipton 5 ปีที่แล้ว +5

    i saw 110, why do you messeure so quick?

    • @piotrdominek9613
      @piotrdominek9613 5 ปีที่แล้ว +1

      I agree. deflating the cuff slowly would give a more precise result. but overall good video.

  • @humairaiftikhar7786
    @humairaiftikhar7786 ปีที่แล้ว

    Thanks so much doc

  • @michaelmyerrs9795
    @michaelmyerrs9795 3 ปีที่แล้ว +4

    The cuff was placed upside down lol

    • @nwobodomaryann5504
      @nwobodomaryann5504 2 ปีที่แล้ว +1

      thought i was the only one who noticed that.

  • @farahjama8677
    @farahjama8677 ปีที่แล้ว

    Thank you drs❤❤❤

  • @drinaciofernandes
    @drinaciofernandes 4 ปีที่แล้ว

    Thank you for this video

  • @whyiotter7302
    @whyiotter7302 4 ปีที่แล้ว

    This is great is there a written reference you would recommend that summarises this?

  • @the_true_medicine
    @the_true_medicine 4 ปีที่แล้ว

    Great explanation

  • @powderedstaa9715
    @powderedstaa9715 2 ปีที่แล้ว

    What is the point of that, what are you trying to fined, and what good that will do us

  • @dukeof2958
    @dukeof2958 2 ปีที่แล้ว

    Much appreciated!

  • @jasminkadizdarevic3843
    @jasminkadizdarevic3843 3 หลายเดือนก่อน

    What is normal puls

  • @saladhersi4704
    @saladhersi4704 4 ปีที่แล้ว

    Thank you so much.

  • @aarish95
    @aarish95 ปีที่แล้ว

    Well explained 🤩

  • @trespasser121
    @trespasser121 4 ปีที่แล้ว

    I use a regular BP monitor and it reads ankle BP just fine

  • @lazarocardenas5742
    @lazarocardenas5742 5 ปีที่แล้ว

    great video thanks

  • @hugomejia-c5w
    @hugomejia-c5w 10 หลายเดือนก่อน

    Thanks for your video 6 years latter you save a new nurse an embarrassment.

  • @50filip
    @50filip 4 ปีที่แล้ว

    Good explanation

  • @wfleurin
    @wfleurin 4 ปีที่แล้ว

    Great job

  • @grahamdawson7887
    @grahamdawson7887 หลายเดือนก่อน

    That is one thing they fail to tell you of the sound.

  • @Truthis-dk6vh
    @Truthis-dk6vh 3 หลายเดือนก่อน

    Jewelry is cute and all but it's better to remove all shiny when at work

  • @soul177
    @soul177 4 ปีที่แล้ว

    Thank you!

  • @sleeve8651
    @sleeve8651 5 หลายเดือนก่อน

    Thats weird !
    For as many years I have checked Blood pressure, there have always been very specific instructions, as how to apply the cuff !
    Tube always facing down the arm, towards the hand ?
    She has it backwards ?
    But she did say she was in Canada !
    😂🤣😂

  • @muthoni632
    @muthoni632 4 ปีที่แล้ว +1

    So what's the Normal range. What figure points to PAD?

    • @mmasonrel
      @mmasonrel ปีที่แล้ว

      Less than 0.9 would indicate PAD.

  • @dancassidy7471
    @dancassidy7471 2 ปีที่แล้ว

    Can surgilube be used?

  • @mohd.shabbir6510
    @mohd.shabbir6510 4 ปีที่แล้ว

    thanku dr. mam..

  • @옥성호-h6l
    @옥성호-h6l 3 ปีที่แล้ว

    thank you !!

  • @arkaprabhamazumder2694
    @arkaprabhamazumder2694 ปีที่แล้ว

    Thanks

  • @wryanddry2266
    @wryanddry2266 2 ปีที่แล้ว +1

    Ridiculous how fast she lets the pressure drop. It drops like 20 mm between consecutive pulses. The readings could easily be off by 15-20 mm.

  • @leaodejuda6567
    @leaodejuda6567 ปีที่แล้ว

    Love it.

  • @sailendranathsingh8063
    @sailendranathsingh8063 5 ปีที่แล้ว

    Wow, video very useful

  • @hoorainkhan5546
    @hoorainkhan5546 4 ปีที่แล้ว

    thnx a lot Mam...

  • @jasmanbirsingh9037
    @jasmanbirsingh9037 4 ปีที่แล้ว

    Excellent

  • @presouz5
    @presouz5 11 หลายเดือนก่อน

    What kind of practitioner should I look for to do this for me? I’m in the US.

    • @jac1161
      @jac1161 3 หลายเดือนก่อน

      cardiologist

  • @imatinibali3727
    @imatinibali3727 5 ปีที่แล้ว

    Helpful....thanks

  • @dr.rahamathnawazshaik9622
    @dr.rahamathnawazshaik9622 5 ปีที่แล้ว

    Awesome thanks

  • @alicero2007
    @alicero2007 ปีที่แล้ว +1

    Thank you, Dr. Ann-Marie McLaren! 😊😇🌺

  • @vikas1933
    @vikas1933 4 ปีที่แล้ว

    can i use stetoscope instead of doppler ?

    • @muthoni632
      @muthoni632 4 ปีที่แล้ว

      Great question

    • @raswilliewailers7078
      @raswilliewailers7078 4 ปีที่แล้ว

      arjun , the stethoscope won’t fit snuggly to the foot arteries.
      👍🏾

    • @cswbut
      @cswbut 3 ปีที่แล้ว

      @@raswilliewailers7078 You may use your finger

  • @he.h.874
    @he.h.874 2 ปีที่แล้ว

    I guess the cuff was placed upside down on arm

  • @عبداللهرضي-ش6خ
    @عبداللهرضي-ش6خ 2 ปีที่แล้ว

    very complicated test

  • @shaikrasannabi
    @shaikrasannabi 5 ปีที่แล้ว +1

    Madam please say normal values

    • @tundealawal4398
      @tundealawal4398 5 ปีที่แล้ว +3

      A value of .9 and lower suggests the presence of Peripheral Arterial Disease. Between 1.0-1.4 suggests the absence of PAD. Values above 1.4 suggests that you may have calcified arteries that are seen in diabetics and a physician should consider a different test. I am a non-physician echocardiographer who has done these tests in mobile settings in the US.

  • @esraaabdel_shakoor6609
    @esraaabdel_shakoor6609 2 ปีที่แล้ว

    Vascular ❤

  • @theenglishgirl4371
    @theenglishgirl4371 5 ปีที่แล้ว

    wow

  • @shonyagura8508
    @shonyagura8508 4 ปีที่แล้ว +1

    Never feel any pulse with the tip of one finger!!!!

  • @phongvong451
    @phongvong451 3 ปีที่แล้ว +1

    We are be long

  • @reginaldgrant2196
    @reginaldgrant2196 ปีที่แล้ว

    Feeling how the blisters on my torso began to shrink within 3 days was very soothing, I applied what I talked about the other day and in two weeks the pain was gone. I just go’ogled Kaena Ramingler’s Shingles Solution and now I feel as smooth and relaxed as I've ever been.

  • @hendriksutris1686
    @hendriksutris1686 ปีที่แล้ว

    Oala

  • @phongvong451
    @phongvong451 3 ปีที่แล้ว

    I am, see seen's, vibe C, urs colors P, All yzein's K. Wdsink. What! Inc.

  • @ColGadarby
    @ColGadarby 2 ปีที่แล้ว

    Looks highly inaccurate

    • @jac1161
      @jac1161 3 หลายเดือนก่อน

      whatever brings some one to a med or Cath lab...

  • @kamh6004
    @kamh6004 5 ปีที่แล้ว

    This is wonderful information, but please don’t forget to wear gloves next time.

  • @tatonka411
    @tatonka411 2 ปีที่แล้ว

    Awful and unclear for the calculation images. It's so unclear what he formulas are. For better clarity, see ?v=oFVnsR1XNBk

  • @Sangwa-o6m
    @Sangwa-o6m 5 ปีที่แล้ว

    Thank you!

  • @SiobhanDawood
    @SiobhanDawood ปีที่แล้ว

    Brilliant so helpful