Optimal sites for forehead oscillometric blood pressure monitoring. 1995

T K Lee, and F H Silva, and T P Egbert, and D R Westenskow
Department of Anesthesiology and Bioengineering, University of Utah, Salt Lake City 84132, USA.

OBJECTIVE Blood pressure is usually measured noninvasively with a cuff on the arm of the leg. Circumstances exist, however, when an alternative site for blood pressure measurement is desirable. This study is designed to identify a location on the forehead where blood pressure can be reliably measured noninvasively. METHODS We mapped the superficial temporal artery and/or the supraorbital artery in 65 volunteers and found a rectangular area where an adhesive pressure pad could be placed over each artery. Oscillometric signals were recorded from four different locations over the forehead in 19 of the 65 volunteers to compare the amplitude of the signal and mean blood pressure between locations. RESULTS The course of the supraorbital artery is quite consistent. It passed through a 2.5- x 1-cm rectangular area on the forehead in all volunteers in which it was mapped. The medial border of the rectangle is 0.5-cm medial and 1-cm above the medial corner of the left eyebrow. The course of the superficial temporal artery differed remarkably from person to person. We could not find an area of reasonable size to cover the artery in all wounds. Mean blood pressures were the same in all forehead locations. The signal was the weakest on the center of the forehead and strongest directly over the superficial temporal artery. CONCLUSIONS Our results show that the supraorbital artery, an end-artery of the internal carotid artery, which emerges through the supraorbital foramen and cross the forehead near the center, is the preferred site to monitor blood pressure noninvasively on the forehead with an adhesive pressure bladder.

UI MeSH Term Description Entries
D008297 Male Males
D008722 Methods A series of steps taken in order to conduct research. Techniques,Methodological Studies,Methodological Study,Procedures,Studies, Methodological,Study, Methodological,Method,Procedure,Technique
D009915 Orbit Bony cavity that holds the eyeball and its associated tissues and appendages. Eye Socket,Eye Sockets,Orbits,Socket, Eye,Sockets, Eye
D009991 Oscillometry The measurement of frequency or oscillation changes. Oscillometries
D005260 Female Females
D005546 Forehead The part of the face above the eyes. Foreheads
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D013699 Temporal Arteries Arteries arising from the external carotid or the maxillary artery and distributing to the temporal region. Arteries, Temporal,Artery, Temporal,Temporal Artery
D015924 Blood Pressure Monitors Devices for continuously measuring and displaying the arterial blood pressure. Monitors, Blood Pressure,Sphygmomanometers, Continuous,Blood Pressure Monitor,Continuous Sphygmomanometer,Continuous Sphygmomanometers,Monitor, Blood Pressure,Pressure Monitor, Blood,Pressure Monitors, Blood,Sphygmomanometer, Continuous

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