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Toe Brachial Index

Discussion in 'Diabetic Foot & Wound Management' started by One Foot In The Grave, Apr 3, 2006.

  1. One Foot In The Grave

    One Foot In The Grave Active Member


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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.
     
  2. LuckyLisfranc

    LuckyLisfranc Well-Known Member

    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
     
  3. Tuckersm

    Tuckersm Well-Known Member

    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
     
  4. drmkatz

    drmkatz Member

    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
     
  5. One Foot In The Grave

    One Foot In The Grave Active Member

    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.?
     
  6. Tuckersm

    Tuckersm Well-Known Member

    OFITG
    PPG stands for Photoplethysmography
    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
     
  7. drmkatz

    drmkatz Member

    Last edited: Apr 10, 2006
  8. John Spina

    John Spina Active Member

    Use photoplethysmography for toe pressures.
     
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