"We are a small contract research business
undertaking low-impact animal health studies. We have recently conducted
a pilot study which required blood pressure measurements. Not having
taken BP measurements in our previous private practice or research work,
we networked to locate equipment which would give reliable BP data on
conscious dogs. Due to the nature of the research requiring assessments
on a number of dogs to occur at certain time points, the method had to
be simple and repeatable. Searching on the net, I found a well known BP
monitor on the Surgitrade site and left a message … but when Ian
Jamieson called back and I explained my needs he said without hesitation
“I’d only recommend the petMAP - it’s new and it’s exactly what you
want”. Having now gained experience with it and successfully conducted
the study, I’m sure he gave us the right advice.
The
info states that PetMAP is a battery powered veterinary blood pressure
measuring device which uses the oscillometric method (unlike a Doppler
system) to measure systolic pressure, diastolic pressure, mean arterial
pressure and heart rate in companion animals.
When we received the unit I was surprised at its small size, which
belies the technological wizardry within. After an initial squiz I
watched the instructional DVD, and I’d have to say it’s excellently done
and if you follow it, you’ll know virtually all there is to know. (even
though the DVD says that there’s a lot more info in the manual).
Use
of the unit is very simple and we were readily able to train ourselves
and our assistants to perform the BP assessments in no time. It has been
calibrated to optimize its readings to suit the species (dog or cat) and
the cuff site (forearm, hindfoot or tail) and these settings are simple
to change. For all of our measurements we used the Dog - Forefoot
setting. Choice of the correct cuff size is essential to the accuracy of
the readings, but the cuffs are marked with lines showing the “optimum”
range and the “definitely not past here!” range so it’s a piece of cake
choosing the right one. The only cuffs we used (for Labradors) were 5.5
and 6.5cm. We made sure we always used the same size cuff for each dog
at each successive reading. I think that’s important, and in a clinic it
would be smart to hang the cuff you’re using on the dog’s cage door, to
make sure you use the same one next time.
Basically once the cuff is on and connected all you have to do is pump
up the cuff which generally takes just one big squeeze of the rubber
bulb, to push the pressure up to around 260mm Hg. The dogs didn’t seem
to notice this. Then you can just let the machine deflate automatically
- it drops the pressure in steps over 45 seconds or more. You can elect
to deflate the unit manually but you have to be very quick to depress
the lever or the unit starts the auto mode. When squeezing the bulb I
found that you have to squeeze it flat against the plastic guard - if
you squeeze it laterally, it leaks air.
The
readings are displayed very simply. Small LED lights marking the 3 data
points in descending order for Systolic, Mean Arterial (MAP) and
Diastolic pressure. A similar flashing point marks the HR data point. If
the HR value is the same as one of the BP parameters the flashing light
will represent both numbers.
To
get a decent reading you perform repeated measurements, and the petMAP
memorizes the session. We always did 6 measurements, and if one of those
gave a strange reading we did another one. When the session is finished
you switch it off then back on again and the petMAP displays the
calculated “Nominal Session BP” (NSBP) readings. According to the manual
the NSBP readings are not an average of the BP readings, but a
substantially more robust statistical measure of the animal’s nominal BP
during the BP session which eliminates BP outliers. It certainly seemed
to work well. We got remarkably consisted readings, particularly with
respect to MAP.
In summary the petMAP is a great little system - dead easy to use and
works well. The hardest part is the patience required to spend 5 or more
minutes getting a good session of readings. Unlike other methods it’s a
totally one handed automatic operation; it’s very quiet and peaceful to
do; there’s not much that can go wrong; there’s no subjective assessment
required and the calculation of a “final” reading is automatic. The most
significant factor which can vary the reading is the excitement or
movement of the dog. If you grab a dog, plonk it on the table and
immediately start taking readings, the parameters will be extremely high
due to excitement. It’s better to let the dog settle into the new
environment and keep it calm, or even better can be to do the reading on
the dog where it is, without moving it."
Andrew &
Janet Von Berky
Von Berky Veterinary Services
3 Hawthorne St, Woody Point QLD 4019
Australia |