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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.

 

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

 

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

 

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

 

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.?

 

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

 

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

 

Use photoplethysmography for toe pressures.