Ankle–brachial pressure index grossly overestimate the ABI (by approximately 0.3). A Doppler ultrasound blood flow detector, commonly called Doppler wand or Doppler probe, and a sphygmomanometer (blood pressure cuff) are usually needed. The blood pressure cuff is inflated proximal to the artery in question. Measured by the Doppler wand, the inflation continues until the pulse in the artery ceases. The blood pressure cuff is then slowly deflated. When the artery's pulse is re-detected through the Doppler probe the pressure in the cuff at that moment indicates the systolic pressure of that artery. The higher systolic reading of the left and right arm brachial
Brachial plexus block of the integrity of the skin, brachial plexus block can be associated with infection or bleeding. In people who are using anticoagulant agents, there is a greater risk of complications related to bleeding. Complications associated with brachial plexus block include intra-arterial or intravenous injection, which can lead to local anesthetic toxicity. This may be characterized by serious central nervous system problems such as epileptic seizure, central nervous system depression, and coma. Cardiovascular effects of local anesthetic toxicity include slowing of the heart rate and impairment of its ability to pump blood through the circulatory system, which may lead to circulatory