
and safe screening tools so
that they can competently
and confidently assess
arterial status as part of
comprehensive holistic
wound assessment. This,
in turn, will lead to
appropriate treatment
choices and better
patient outcomes.
The characteristics of
this new device meet
these requirements, while
also addressing the three
areas of quality where the
Commissioning for Quality
and Innovation (CQUIN)
framework (NHS England, 2016)
want innovation to be
seen, namely:
X
Safety
X
Effectiveness
X
Patient experience.
REFERENCES
Beldon P (2010) Performing a Doppler assess-
ment: the procedure.
Wound Essentials
5:
87–90
Guest JF, Ayoub N, McIlwraith T, et al (2015)
Health economic burden that wounds impose
on the National Health Service in the UK.
BMJ
Open
. Available online:
http://bmjopen.bmj.com/content/5/12/e009283
NHS England (2016)
CQUIN 2017–19 Guidance
. Available online:
www.england.nhs.uk/nhs-standard-contract/cquin/cquin-17-19/National Institute for Health and Care Excellence (2013)
Varicose
veins: diagnosis and management
. Clinical guideline 168. NICE,
London. Available online:
www.nice.org.uk/guidance/cg168Pascarella L, Shortell CK (2015) Medical management of venous
ulcers.
Semin Vasc Surg
28(1):
21–8
Simon D (2015) How to improve the community care of patients
with leg ulcers.
J Community Nurs
29(6):
24–8
Wounds UK (2016)
Best Practice Statement for the Holistic
Management of Venous Leg Ulceration
. Wounds UK, London
BENEFITS OF MESI ABPI MD
X
ABPI and blood pressure recorded at the same time
X
Pulse wave forms also recorded to aid
ABPI interpretation
X
Can measure blood pressure in the ankles
X
Smart software prevents false results even in cases of
critical ischaemia
X
Easy to use (three simple steps), thus reducing risk of
human error, and minimal training is needed
X
Accurate and objective results seen in one minute
X
No risk of misinterpretation
X
Report print-out
X
Lightweight with long-lasting battery to ensure
maximum portability
X
Error detection system alerts the user to any
irregularities which may occur during the measuring
process, i.e. if the cuffs have not been applied properly,
or the patient has moved during the measurement.
By pressing the ‘return’ key, a message will appear
describing the problem.
CONCLUSION
Venous leg ulcers have been found to account for up
to 1% of health budgets in the West (Pascarella and
Shortell, 2015) — indeed, one in 170 adults in the UK are
indicated to have aVLU (Guest et al, 2015) and prevalence
increases with age (Simon, 2015). An ageing population
and the demands that wound care place on healthcare
professionals’time necessitates the need for fast, accurate
WOUND CARE TODAY
2017,Vol 4, No 1
55
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Snippet
MESI ABPI MD:
X
Improves wound assessment so healthcare
professionals can offer compression therapy
with confidence
X
Does not require patient to rest before testing
X
Records accurate ABPI, blood pressure and heart
rate in just one simple reading.
Remember...
No risk of misinterpreting results due to the screen
displaying the ABPI reading, or simply stating
‘PAD’
in red.
ABPI screening reference scale
1.41 or more 1.40–1.00 0.99–0.91 0.90–0.51 0.50 or less
non-compressible normal
borderline abnormal
severe
Simultaneous
measurements of left and
right ABPI
ABPI result and
brachial blood
pressure in just
a minute
Details about
blood pressure
and pulse
wave form