methods of recording BP

Infants	Older children
Auscultation	Auscultation
Flush method
Palpation method
Ultrasonic (Doppler) and oscillometric (Dinamp) devices

Blood pressure should be measured after 3-5 minutes of rest in the seated position with the cubital fossa at heart level. Infants and toddlers may be supine. The cuff should be inflated to a pressure of 20-30 mmHg above systolic blood pressure with a cuff deflation rate of 2-3 mmHg/sec. It should be recorded at least twice on each occasion.

Systolic blood pressure is determined by the onset of the ‘tapping’ Kortokoff sounds. The definition of the diastolic blood pressure is changed from muffling of the K sounds (the 4^th Kortokoff sound) in children under 13 years old to the disappearance of the sounds (the 5^th Kortokoff sound) in children of all ages.

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Dr kondekar santosh venketraman
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9869405747
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KEM Hospital - Parel/Bhabha Hospital - Bandra
Mumbai
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