Comparison of the incidences of cuff-related trauma after non-invasive arterial blood pressure measurement with and without padding in patients undergoing elective surgery

• Main Authors: Matula Tareerath, Mingkwan Wongyingsinn
• Other Authors: Faculty of Medicine, Siriraj Hospital, Mahidol University
• Format: Article
• Published: 2019
• Subjects: Medicine
• Online Access: https://repository.li.mahidol.ac.th/handle/123456789/46344
• Institution: Mahidol University

© 2018, Medical Association of Thailand. All rights reserved. Objective: To compare the incidences of cuff-related trauma, including skin creasing and petechiae, occurring with and without padding in non-invasive arterial blood pressure measurement. Materials and Methods: This prospective, non-randomized controlled study enrolled patients scheduled for elective surgery between May 2014 and August 2017. Automated, non-invasive, arterial blood pressure was measured in both arms of each patient, one taken with padding, and the other without. Twelve measurements were obtained on each arm, and at the same time, at 5-minute intervals. Demographic characteristics, underlying diseases, anesthetic technique, side of intravenous catheter, blood pressure during the study period, and data of cuff-related trauma were recorded. Results: Of the 300 enrolled patients, 273 were finally analyzed. The incidences of cuff-related skin creasing occurring with and without padding were not different (p = 0.134), while the incidences ofcuff-related petechiae were statistically lower with the padding technique (p = 0.007). The number of patients having severe skin creasing and mild petechiae was significantly reduced with padding (p<0.05). The female gender was an associated factor ofcuff-related skin creasing; a body mass index of more than 25 kg/m2 and the spinal anesthesia were associated factors ofcuff-related petechiae. Conclusion: The incidences of cuff-related petechiae and the severity of cuff-related skin creasing and petechiae were statistically reduced with the padding technique, compared to without padding. The female gender, a body mass index of more than 25 kg/m2 and the spinal anesthesia were associated factors ofcuff-related trauma.