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Toe Brachial Index

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  #1  
Old 3rd April 2006, 02:49 PM
One Foot In The Grave One Foot In The Grave is offline
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Default Toe Brachial Index

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I've been doing a bit of reading on the indications for TBI's.

For anyone who does perform them, what equipment do you need in order to conduct the test in an office / clinic setting?

We have what we need for our ABI's, but I'm wondering what additional items we might need to perform TBI's when indicated.
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Old 3rd April 2006, 07:25 PM
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LuckyLisfranc LuckyLisfranc is offline
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PPG is most often used.

I, however, use either a neonate or penile BP cuff, then carefully use an 8MHz probe to find one fo the digital arteries of the hallux.

Tricky, but worth practice for all of the diabetic patients.

LL
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Old 3rd April 2006, 10:39 PM
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OFITG,

as LL has stated, to measure toe pressure you need a PPG probe for your doppler. It uses light refelectivity to sense blood movement rather than sound. Most modern dopplers can use an appropriate PPG probe. They cost about A$600.

We use specialist toe cuffs for the blood pressure at A$80 each from http://www.sdr.com.au/hokanson_cuffs.html
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Old 8th April 2006, 04:36 AM
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Default TBI in the office

I use a PPG lead connected to my Doppler. A small penile cuff is used at the base of the toe. This works well and is easy. I use a Koven technologies doppler and they sell the unit. You can also use a regular probe instead of the PPG.

Hope that helps,

Marc Katz, DPM
Tampa, FL
dr_mkatz@yahoo.com
http://www.thetampapodiatrist.com
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Old 9th April 2006, 07:09 PM
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Does PPG stand for something like "peripheral Plethysmography"?

And, do the penile cuffs attach to your current Sphyg. or do they come with the gauge et al.?
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Old 9th April 2006, 10:09 PM
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OFITG
Quote:
Does PPG stand for something like "peripheral Plethysmography"?
PPG stands for Photoplethysmography
Quote:
And, do the penile cuffs attach to your current Sphyg. or do they come with the gauge et al.?
Toe and penile cuffs have the same and attachment as other cuffs so should easily attach to your Sphygmomanometer if you can currently imterchange cuffs
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Old 10th April 2006, 06:03 AM
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Default Ppg

PPG is photoplethysmograph

Penile cuff does attach to a regular Sphyg but inflate very slowly and gently.

See this link below with more info.

http://www.medis-de.com/en/ppg.html

Marc Katz
http://www.thetampapodiatrist.com

Last edited by drmkatz : 10th April 2006 at 06:04 AM. Reason: forgot to put in link
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Old 29th April 2006, 02:15 AM
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Use photoplethysmography for toe pressures.
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