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September 1961

The Flush Method for Blood Pressure Determination: A Simplified Method for Use with Infants

Author Affiliations

Jacob Brem, M.D., 796 Pleasant St., Worcester 2, Mass.; Senior Pediatrician, Worcester City Hospital; Senior Visiting Pediatrician and Coordinator of Pediatric Education, St. Vincent Hospital, Worcester, Mass. (Dr. Brem). Former Resident in Pediatrics, Worcester City Hospital (Dr. Tuttle).; From the Pediatric Service of Worcester City Hospital.

Am J Dis Child. 1961;102(3):428-429. doi:10.1001/archpedi.1961.02080010430024

Moss et al.1,2 have recently reemphasized the flush method of blood pressure determinations in infancy. They review the literature and state that the method was found to be practical and relatively accurate, adding, "comparative studies with auscultatory and direct measurement indicated that values obtained by the flush technique represent the mean rather than the systolic pressure."1

About 5 years ago, one of us (J. B.) began to experiment with a simplification of this method are that it is less time constead of an elastic bandage. The advantages of this method are that it is less time consuming and that an elastic bandage is not required. The results obtained were encouraging but not always consistent. Thus, usually after the first determination, the endpoint was at times obscured by a reflux venous return of the blood. However, when pressure was exerted on the radial artery, in the case of the

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