Strict Leather Deluxe Locking Thigh Cuffs

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The cheap kind of handcuffs that don’t lock can continue to ratchet and clamp down on your wrists, and the metal of the heavy-duty, locking, police-grade cuffs can be dangerous if you’re writhing hard against them.

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As space does not permit, this article is not a guideline or definitive treatise on the diagnosis of lower-extremity PAD, but a resource on the importance of the ankle–brachial index (ABI) and segmental limb pressures (SLP) in the diagnosis of lower extremity PAD. 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. First, don’t do bondage with a person you don’t know well or trust, and agree on a safe word in advance. 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.After the patient has been resting in the supine position for 10 minutes, appropriately sized cuffs should be applied to both biceps areas. 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.

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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.Information provided is for reference purposes only and does not constitute medical advice or opinion. Several investigators have recommended using a three-cuff technique incorporating a wide thigh cuff (17–22cm width). pdf) or the complementary guidelines from the Intersocietal Commission for the Accreditation of Vascular Laboratories (ICAVL; www.

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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. This allows those elements to remain very important and adds a touch of power play: Hands over head and bound exposes the breasts and gives her more of a feeling of being ravished. Play with sensations: Warm oil from a massage candle, ice cubes or wet kisses will all stimulate your partner’s arousal,” Morse adds. Second: Make sure the object you’re cuffing a person to and the surface they’re resting on is stable.The Doppler probe should be held at 45º to the arm and positioned to obtain the strongest signal at the brachial artery. Similar to ABI measurements, the leg pressure cuffs should be inflated to 10–15mmHg above the point where the Doppler or PPG signal is no longer discernable and the analog waveform tracing becomes flat-lined before initiating cuff deflation.

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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. Only articles clearly marked with the CC BY-NC logo are published with the Creative Commons by Attribution Licence. High thigh pressures that are 50–60mmHg above the brachial reference pressure are not uncommon in obese patients. 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.

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. used a narrow cuff (10x40cm) at the high thigh level with additional cuffs above the knee (10 or 12cm), below the knee (10 or 12cm), and at ankle levels (10cm). It allows them to tap into their bodies sexually and let go without worrying about anyone else’s pleasure but their own. It’s perfectly acceptable to not feel totally comfortable with some of the words and actions at first, but just go with it. 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.