How to perform an ankle brachial index

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  • Опубліковано 18 лис 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.

КОМЕНТАРІ • 103

  • @TheKcchiefs5124
    @TheKcchiefs5124 6 років тому +112

    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 років тому

      very wow

    • @petteroakley8000
      @petteroakley8000 4 роки тому +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 роки тому +5

      WHY ARE WE YELLING

    • @SarcasmOpenWorld
      @SarcasmOpenWorld 3 роки тому

      AAAAAAA

  • @cynthiav.frickle4495
    @cynthiav.frickle4495 11 місяців тому +2

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

  • @andreabobandrea8307
    @andreabobandrea8307 5 років тому +13

    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 3 роки тому +1

      This can be difficult with severe distal LE edema

  • @AccordionLadyDi
    @AccordionLadyDi 2 роки тому +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 роки тому +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 Рік тому +4

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

  • @alicero2007
    @alicero2007 Рік тому +1

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

  • @bonedok
    @bonedok 4 роки тому

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

  • @usmlestepexamreview
    @usmlestepexamreview 7 місяців тому +1

    Absolutely phenomenonal demonstration

  • @glemnys
    @glemnys 6 років тому +6

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

  • @oliviathomas8788
    @oliviathomas8788 5 років тому +27

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

    • @OutOfYoLeeg
      @OutOfYoLeeg 8 місяців тому

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

  • @izzygee2216
    @izzygee2216 5 років тому +3

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

  • @antonismanassis4719
    @antonismanassis4719 2 роки тому +4

    Extremely helpful and simple!

  • @lindalekweuwa5256
    @lindalekweuwa5256 Рік тому +1

    Thank you so much. This helped my understanding greatly.

  • @felixmeer4643
    @felixmeer4643 9 місяців тому +2

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

  • @siddharth_r1
    @siddharth_r1 6 років тому +9

    Such a perfect video!

    • @arthurquan
      @arthurquan 4 роки тому

      Nice Video clip! Apologies for the intrusion, I am interested in your initial thoughts. Have you researched - Carnbigail Reputable Cure (erm, check it on google should be there)? It is a good exclusive guide for eradicating your varicose or spider veins minus the normal expense. Ive heard some extraordinary things about it and my buddy finally got excellent success with it.

  • @emanmahmoud296
    @emanmahmoud296 2 роки тому

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

  • @mosabbirpeal4450
    @mosabbirpeal4450 2 місяці тому +1

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

  • @whyiotter7302
    @whyiotter7302 4 роки тому

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

  • @aoutlasridevi1142
    @aoutlasridevi1142 Рік тому

    Everything is neat and clear
    Thank u for the video

  • @chockpea
    @chockpea 3 роки тому +1

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

  • @TheSirlipton
    @TheSirlipton 5 років тому +5

    i saw 110, why do you messeure so quick?

    • @piotrdominek9613
      @piotrdominek9613 5 років тому +1

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

  • @wsheri11
    @wsheri11 5 років тому +1

    Very good explanation simple and clear cut thank you!

  • @mariyabikova9467
    @mariyabikova9467 2 роки тому

    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…

  • @shakaibali6459
    @shakaibali6459 2 роки тому

    A long standing mystery has been solved thanks

  • @mosabbirpeal4450
    @mosabbirpeal4450 2 місяці тому

    Can i use Fetal monitoring Doppler for ABPI?

  • @thequantaleaper
    @thequantaleaper Рік тому

    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.

  • @VishalPatel-ey7dd
    @VishalPatel-ey7dd 3 роки тому

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

  • @TheUndertaker19
    @TheUndertaker19 Місяць тому

    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.

  • @charisturner1081
    @charisturner1081 5 років тому +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.

  • @muthoni632
    @muthoni632 4 роки тому +1

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

    • @mmasonrel
      @mmasonrel 2 роки тому

      Less than 0.9 would indicate PAD.

  • @michaelmyerrs9795
    @michaelmyerrs9795 4 роки тому +4

    The cuff was placed upside down lol

  • @jasminkadizdarevic3843
    @jasminkadizdarevic3843 4 місяці тому

    What is normal puls

  • @dancassidy7471
    @dancassidy7471 3 роки тому

    Can surgilube be used?

  • @trespasser121
    @trespasser121 4 роки тому

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

  • @humairaiftikhar7786
    @humairaiftikhar7786 Рік тому

    Thanks so much doc

  • @powderedstaa9715
    @powderedstaa9715 2 роки тому

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

  • @farahjama8677
    @farahjama8677 Рік тому

    Thank you drs❤❤❤

  • @presouz5
    @presouz5 Рік тому

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

    • @jac1161
      @jac1161 5 місяців тому

      cardiologist

  • @the_true_medicine
    @the_true_medicine 4 роки тому

    Great explanation

  • @hugomejia-c5w
    @hugomejia-c5w 11 місяців тому

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

  • @SiobhanDawood
    @SiobhanDawood Рік тому

    Brilliant so helpful

  • @drinaciofernandes
    @drinaciofernandes 4 роки тому

    Thank you for this video

  • @aarish95
    @aarish95 Рік тому

    Well explained 🤩

  • @043sarahafezabintisharudin7
    @043sarahafezabintisharudin7 3 роки тому +1

    Thank you

  • @dukeof2958
    @dukeof2958 2 роки тому

    Much appreciated!

  • @saladhersi4704
    @saladhersi4704 4 роки тому

    Thank you so much.

  • @vikas1933
    @vikas1933 4 роки тому

    can i use stetoscope instead of doppler ?

    • @muthoni632
      @muthoni632 4 роки тому

      Great question

    • @raswilliewailers7078
      @raswilliewailers7078 4 роки тому

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

    • @cswbut
      @cswbut 4 роки тому

      @@raswilliewailers7078 You may use your finger

  • @50filip
    @50filip 4 роки тому

    Good explanation

  • @lazarocardenas5742
    @lazarocardenas5742 5 років тому

    great video thanks

  • @sleeve8651
    @sleeve8651 7 місяців тому

    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 !
    😂🤣😂

  • @wfleurin
    @wfleurin 4 роки тому

    Great job

  • @wryanddry2266
    @wryanddry2266 2 роки тому +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.

  • @Sangwa-o6m
    @Sangwa-o6m 6 років тому

    Thank you!

  • @옥성호-h6l
    @옥성호-h6l 3 роки тому

    thank you !!

  • @grahamdawson7887
    @grahamdawson7887 3 місяці тому

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

  • @mohd.shabbir6510
    @mohd.shabbir6510 5 років тому

    thanku dr. mam..

  • @sailendranathsingh8063
    @sailendranathsingh8063 6 років тому

    Wow, video very useful

  • @leaodejuda6567
    @leaodejuda6567 Рік тому

    Love it.

  • @jasmanbirsingh9037
    @jasmanbirsingh9037 4 роки тому

    Excellent

  • @Truthis-dk6vh
    @Truthis-dk6vh 5 місяців тому

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

  • @arkaprabhamazumder2694
    @arkaprabhamazumder2694 Рік тому

    Thanks

  • @hoorainkhan5546
    @hoorainkhan5546 4 роки тому

    thnx a lot Mam...

  • @imatinibali3727
    @imatinibali3727 5 років тому

    Helpful....thanks

  • @dr.rahamathnawazshaik9622
    @dr.rahamathnawazshaik9622 5 років тому

    Awesome thanks

  • @shaikrasannabi
    @shaikrasannabi 5 років тому +1

    Madam please say normal values

    • @tundealawal4398
      @tundealawal4398 5 років тому +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.

  • @reginaldgrant2196
    @reginaldgrant2196 2 роки тому

    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.

  • @he.h.874
    @he.h.874 2 роки тому

    I guess the cuff was placed upside down on arm

  • @عبداللهرضي-ش6خ
    @عبداللهرضي-ش6خ 2 роки тому

    very complicated test

  • @phongvong451
    @phongvong451 3 роки тому +1

    We are be long

  • @shonyagura8508
    @shonyagura8508 4 роки тому +1

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

  • @esraaabdel_shakoor6609
    @esraaabdel_shakoor6609 2 роки тому

    Vascular ❤

  • @theenglishgirl4371
    @theenglishgirl4371 5 років тому

    wow

  • @hendriksutris1686
    @hendriksutris1686 2 роки тому

    Oala

  • @phongvong451
    @phongvong451 3 роки тому

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

  • @ColGadarby
    @ColGadarby 2 роки тому

    Looks highly inaccurate

    • @jac1161
      @jac1161 5 місяців тому

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

  • @kamh6004
    @kamh6004 5 років тому

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

  • @tatonka411
    @tatonka411 2 роки тому

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

  • @soul177
    @soul177 4 роки тому

    Thank you!