Elevation of the hand is recommended for all patients undergoing hand surge
ry to decrease the swelling in the hand. This study was designed to look at
the effects of elevation of the hand on digital blood pressure at differen
t elevation positions. Digital blood pressure was recorded using a digital
plethysmograph in 30 subjects for increasing levels of elevation above the
heart. Friedman's test was applied to the blood-pressure changes recorded i
n the four positions of the upper limb and showed a significant sustained f
all in mean blood pressure with increasing elevation, bringing into questio
n the use of elevation in certain clinical situations. (C) 2001 The British
Association of Plastic Surgeons.