Expert Commentary: Geoff Sussman on 'Top ten tips for Doppler ABPI'
21/11/11 | Assessment and diagnosis, Leg ulcers
As a senior consultant at a very busy tertiary referral wound clinic in a major Australian hospital, I believe accurate vascular assessment is essential. Our clinic has five rooms and a multidisciplinary staff including medics, nurses, podiatrists, pharmacists, a dermatologist, plastic surgeon, dietician and an on-call orthotist.
We often treat 35-40 patients each day when we are open.
We have recently introduced an automatic ankle brachial pressure index (ABPI) system and the major advantage of this is the reduction in the time needed to obtain an ABPI measurement on each new patient attending the clinic, or those needing to be retested.
Patients do not need to rest prior to the procedure and the actual test time takes only a few minutes.
The simplicity of applying the cuffs to the patient and the operation of the test allows the procedure to be performed by any member of staff, even unqualified staff (after training). The test provides bilateral results often not done if only one leg is implicated. The result provided includes bilateral ABPIs and a wave form.
This device will be of great value in a busy clinic where time is at a premium.
Geoff Sussman, Associate Professor, Consultant Wound Clinic, Austin Hospital, Heidelberg, Victoria, Australia
Click here to see the article How to...Top ten tips for doppler APBI.