In response to the letter from David Sherman in which he describes the difficulty of measuring blood pressure in patients whose upper arms are too large for conventional blood pressure cuffs (“Manufacturers Can Solve Our Blood Pressure Cuff Problem,” November 2006: 540), I would like to comment. The Critikon company does indeed make long cuffs that are not wide but normal length. The reference number for the cuff is 2140. It is 23 to 33 cm in length. We use them all the time at our facility and they have been great for solving the problem Mr Sherman describes.

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