Why it feels so good:“This is pleasurable to both of you because you’re giving and receiving on your own terms,” she says. If using photoplethysmography (PPG), the sensor should sit snugly on the index or middle fingers of the patient, at which point a waveform will be seen pulsing on the instrument screen. Several investigators have recommended using a three-cuff technique incorporating a wide thigh cuff (17–22cm width). It allows them to tap into their bodies sexually and let go without worrying about anyone else’s pleasure but their own. This ensures that the artery is completely occluded—an important step since a significant difference can occur between the closing and opening pressures, or the points at which the arterial pulse ceases and reappears.

Principles of Pressure Measurements for Assessment of Lower Principles of Pressure Measurements for Assessment of Lower

The ‘top’ gets the delicious feeling of power and that the ‘bottom’ is there for the taking — quite literally. Acknowledgements: This article is edited and distributed by Touch Briefings and supported by Unetixs Vascular, which designs and manufactures advanced non-invasive vascular diagnostic systems that provide early detection of vascular disease. As vessel calcification can also create abnormal segmental pressure, it is helpful to correlate SLP values with waveforms taken at multiple levels using either Doppler or pulse volume recording. Complications around the medial malleolus can mean that a Doppler angle of 90º to the skin surface might yield better signals for the posterior tibial artery.

The main difference is that the long tube cuff is slightly longer, and therefore potentially able to accommodate a greater range of patients. We’v also rounded up a few more cute and comfortable sets of sex cuffs great for beginners and experienced players. This site is protected by reCAPTCHA Enterprise and the Google Privacy Policy and Terms of Service apply.

Thigh Cuffs - Etsy UK

The thigh cuff allows for blood pressure readings to be taken by an alternate method to the standard cuff, ideal for patients for whom this method is ineffective or impossible. However, it is not uncommon for the left arm pressure to be 15–20mmHg lower than the right arm pressure if Doppler is used—this is often an artifact caused by the patient tensing up upon hearing the Doppler sound. The appropriately sized cuffs should be applied to both lower calves immediately above the ankles, taking care not to position the cuff too low on the ankle, which could interfere with Doppler probe positioning. Unetixs Vascular has a long-standing commitment to education and training in the growing field of peripheral vascular diagnostics.

As in any medical examination, the length of the examination and the accuracy of the test results will depend on the knowledge and experience of the practitioner carrying out the examination. If PPG sensors are used to obtain SLP, the sensors should be placed on the great or second toe while the pressure cuffs at the calf and above the knee and thigh are inflated and deflated. A patient presenting with critical limb ischemia may warrant a different initial examination from a patient presenting with intermittent claudication or an asymptomatic diabetic patient with no palpable pulses.

Thigh Cuffs - Etsy

PVRs or CW Doppler waveforms are also necessary for Medicare reimbursement under CPT codes 92922, 93923, and 93924. It may not be possible to take both brachial pressures in mastectomy patients if axillary node dissection was performed; one arm pressure will suffice in such a situation. Sex isn’t supposed to be perfect, but it does get better when you stretch your sexual boundaries (to a certain point). The PPG gain should be appropriately adjusted so that the opening arterial pulse pressure wave can be differentiated from artifact waves. pdf) or the complementary guidelines from the Intersocietal Commission for the Accreditation of Vascular Laboratories (ICAVL; www.How you do it:“Find a spot, like a towel rod or a hook against the wall, where you can handcuff your partner’s arms while standing up,” Morse says.

Cuffs | Health and Care Welch Allyn FlexiPort Blood Pressure Cuffs | Health and Care

The high thigh pressure should exceed the brachial pressure by approximately 20–30mmHg when using the standard 12cm-wide high thigh cuff. Why it feels so good:“One thing the Fifty Shades of Grey reader doesn’t really get is a positive look at a woman on top,” she says. The SLP examination is essentially identical to the ABI examination, with additional pressure readings at the calf and, patient height permitting, at sites above the knee and on the high thigh.The current gold standard for obtaining arm and ankle pressures is by a continuous-wave Doppler probe for determining the presence or absence of blood flow. This session ends when you say so or your partner can’t take it anymore because they just have to have sex with you now. This may also present with increased warmth in the skin of the affected leg, erythema, and a palpable cord or red streak along the course of a vein. There are certain medical conditions that can preclude the performance of pressure measurements, such in cases where patients have deep vein thrombosis, a history of lower limb stent replacement, or recent saphenous vein arterial bypass grafting or are mastectomy patients. A very light touch should be used when applying the Doppler probe to the dorsalis pedis artery to avoid compressing the artery.