How to perform an ankle brachial index

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.

[@TheKcchiefs5124]

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]

very wow

[@petteroakley8000]

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[@alialassadi5576]

WHY ARE WE YELLING

[@SarcasmOpenWorld]

AAAAAAA

[@cynthiav.frickle4495]

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

[@andreabobandrea8307]

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]

This can be difficult with severe distal LE edema

[@alicero2007]

Thank you, Dr. Ann-Marie McLaren! 😊😇🌺

[@glemnys]

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

[@usmlestepexamreview]

Absolutely phenomenonal demonstration

[@bonedok]

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

[@AccordionLadyDi]

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]

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]

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

[@jbsilveradoo8788]

You could be right. An overwhelmed healthcare system might have her in the habit of rushing her measurements and neglecting accuracy.

[@antonismanassis4719]

Extremely helpful and simple!

[@lindalekweuwa5256]

Thank you so much. This helped my understanding greatly.

[@felixmeer4643]

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]

Such a perfect video!

[@arthurquan]

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[@izzygee2216]

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

[@mosabbirpeal4450]

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

[@oliviathomas8788]

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

[@OutOfYoLeeg]

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

[@Xrlk7]

This video only for explain the method, but you then will take it accurately by slowly deflating

[@chockpea]

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

[@aoutlasridevi1142]

Everything is neat and clear Thank u for the video

[@emanmahmoud296]

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

[@VishalPatel-ey7dd]

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

[@mosabbirpeal4450]

Can i use Fetal monitoring Doppler for ABPI?

[@wsheri11]

Very good explanation simple and clear cut thank you!

[@farahjama8677]

Thank you drs❤❤❤

[@whyiotter7302]

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

[@humairaiftikhar7786]

Thanks so much doc

[@TheSirlipton]

i saw 110, why do you messeure so quick?

[@piotrdominek9613]

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

[@TheUndertaker19]

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.

[@043sarahafezabintisharudin7]

Thank you

[@SiobhanDawood]

Brilliant so helpful

[@drinaciofernandes]

Thank you for this video

[@shakaibali6459]

A long standing mystery has been solved thanks

[@powderedstaa9715]

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

[@dukeof2958]

Much appreciated!

[@aarish95]

Well explained 🤩

[@presouz5]

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

[@jac1161]

cardiologist

[@thequantaleaper]

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.

[@muthoni632]

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

[@mmasonrel]

Less than 0.9 would indicate PAD.

[@jasminkadizdarevic3843]

What is normal puls

[@saladhersi4704]

Thank you so much.

[@dancassidy7471]

Can surgilube be used?

[@the_true_medicine]

Great explanation

[@charisturner1081]

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.

[@mariyabikova9467]

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…

[@lazarocardenas5742]

great video thanks

[@wfleurin]

Great job

[@50filip]

Good explanation

[@옥성호-h6l]

thank you !!

[@michaelmyerrs9795]

The cuff was placed upside down lol

[@nwobodomaryann5504]

thought i was the only one who noticed that.

[@vikas1933]

can i use stetoscope instead of doppler ?

[@muthoni632]

Great question

[@raswilliewailers7078]

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

[@cswbut]

@@raswilliewailers7078 You may use your finger

[@leaodejuda6567]

Love it.

[@TTheo-q8o]

Thank you!

[@arkaprabhamazumder2694]

Thanks

[@hugomejia-c5w]

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

[@trespasser121]

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

[@sailendranathsingh8063]

Wow, video very useful

[@jasmanbirsingh9037]

Excellent

[@wryanddry2266]

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.

[@hoorainkhan5546]

thnx a lot Mam...

[@sleeve8651]

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 ! 😂🤣😂

[@imatinibali3727]

Helpful....thanks

[@grahamdawson7887]

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

[@mohd.shabbir6510]

thanku dr. mam..

[@dr.rahamathnawazshaik9622]

Awesome thanks

[@Truthis-dk6vh]

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

[@hamdiaamer3931]

Clear

[@عبداللهرضي-ش6خ]

very complicated test

[@shaikrasannabi]

Madam please say normal values

[@tundealawal4398]

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.

[@he.h.874]

I guess the cuff was placed upside down on arm

[@esraaabdel_shakoor6609]

Vascular ❤

[@reginaldgrant2196]

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.

[@theenglishgirl4371]

wow

[@phongvong451]

We are be long

[@shonyagura8508]

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

[@hendriksutris1686]

Oala

[@phongvong451]

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

[@ColGadarby]

Looks highly inaccurate

[@jac1161]

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

[@kamh6004]

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

[@tatonka411]

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

[@soul177]

Thank you!