Tuesday, November 15, 2005

Tuesday November 15, 2005
MAP measurement in ICU with sphygmomanometer

Although we don't need to do sphygmomanometric blood pressure measurement in ICUs on all patients anymore but still it is reasonable to have atleast one instrument available in "unit". (A-lines are not always inserted and sometime oscillometer readings don’t get register on monitor). Most experts agreed that MAP (Mean Arterial Pressure) is more of clinical significance - it may be of interest to know that beside traditional formula available to calculate MAP i.e. MAP = { SBP + (2DP) } / 3 OR DBP + .333 (SBP-DBP), there is another formula described which has been reported as more accurate.

MAP = DBP + .412 (SBP-DBP)

Here is the Nomogram to quickly find MAP with above formula without calculation. - reference - Heart 2000;84:64

References: click to get abstract/article
Formula and nomogram for the sphygmomanometric calculation of the mean arterial pressure - Heart 2000;84:64 (July)
Arterial Stiffness as Underlying Mechanism of Disagreement Between an Oscillometric Blood Pressure Monitor and a Sphygmomanometer - Hypertension. 2000;36:484
Blood Pressure Measurement in Humans: A Statement for Professionals From the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research - Circulation. 2005;111:697-716