PEDIATRICS Vol. 20 No. 1 July 1957, pp. 53-62
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AN EVALUATION OF THE FLUSH METHOD FOR DETERMINING BLOOD PRESSURES IN INFANTS

Arthur J. Moss M.D.1, Wilbert Liebling M.D.1, Wallace O. Austin M.D.1, and Forrest H. Adams M.D.1

1 Children's Medical Group, Los Angeles, the Department of Pediatrics, School of Medicine, University of California at Los Angeles, and Harbor General Hospital, Torrance, California

Using the flush technique, determinations of blood pressure were made on 294 normal infants from 1 day to 1 year of age and on 23 additional infants and older children with congenital heart disease. Analysis of the data showed that:

The method was found to be a practical and relatively accurate procedure in the office or clinic.

The pressure at the ankle was usually significantly lower than that at the wrist.

Comparative studies with auscultatory and direct measurements indicated that values obtained by the flush technique represent the mean rather than the systolic blood pressure.

Readings obtained with a 5 cm blood pressure cuff did not differ significantly from those obtained with a 7.0 cm or 9.5 cm cuff.

Submitted on November 11, 1956
Accepted on December 19, 1956