Allen Test Flashcards
to evaluate patency of
palmar arch
asses for adequate perfusion to the hand if
radial a harvested or used for dialysis access
with manual compression of _____, pt clenches ipsilateral fist inducing pallow, while at the same time increasing resistance
radial a
with manual compression of the radial a continuing, pt is asked to relax
hand
modified version: PPG on index finger before and during manual compression of
radial a
normal
reappearance of the normal color to indicate the ulnar a is providing flow to the palmar arch
PPG documents pulsations during compression
Abnormal
color doesn;t reppear to indicat: an ulnar a occlusion or palmar arch obstruction
PPG documents loss of pulsations during compression
excessive dorsiflexion of wrist may compress radial and ulnar a leading to
false positive test
if hand is opened fingers forcibly extended, the skin over palm can be
stretched
could lead to pallor due to compression of small vessels
use PPG on index finger to document a pulsations before and after
clenched fist or during manual compression
although more difficult to compress, the ulnar a can be evaluated similarly to asses
radial a flow
15-20 mmHg difference from one brachial pressure to the other suggest a > 50% stenosis of
subclavian a and vessel under cuff
< 15-20 mmHg drop from upper arm to forearm suggest
brachial a obstruction distal to upper cuff
obstruction in single forearm a which has decreased presure
obstruction in both radial and ulnar a
difference of > 20 mmHg between radial and ulnar pressure suggest obstruction in vessels with lower
P