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45] [51] Interestingly, unless the arm is kept perpendicular to the body, measurements will be 9 to 14 mm Hg higher regardless of body position. [52] Hence, allowing the arm to be parallel to the body when supine, but supporting the arm perpendicular to the body when measuring the blood pressure in either the sitting or standing position may create a pseudo drop in blood pressure. Palpation of arterial blood pressure requires cuff inflation to 30 mm Hg above the level at which a palpable pulse disappears.

The initial appearance of arterial pulsations is reported as the palpable blood pressure. The same technique may be used with the Doppler device with the Doppler auditory signal replacing the palpated pulse. Arterial pressure measurement by palpation and Doppler yields only systolic blood pressure estimates. The Doppler method is preferred when obtaining blood pressures from infants. 5 cm above the antecubital fossa with the center of the bladder over the artery. [51] The bell of the stethoscope is applied directly over the brachial artery but with as little pressure as possible.

The technique is straightforward and accurate when well-maintained, calibrated equipment is used by practitioners who follow accepted standards. The patient may be lying or sitting, as long as the site of measurement is at the level of the right atrium and the arm is supported. [45] [51] Interestingly, unless the arm is kept perpendicular to the body, measurements will be 9 to 14 mm Hg higher regardless of body position. [52] Hence, allowing the arm to be parallel to the body when supine, but supporting the arm perpendicular to the body when measuring the blood pressure in either the sitting or standing position may create a pseudo drop in blood pressure.

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