Clinical Monitoring

Continuous Non-Invasive Blood Pressure Monitoring

Detection of Patient Awareness During General Anesthesia

Expanding Capnometry to Nontraditional Settings

Hypoxemia Monitoring on the General Care Floor

Hypoxemia Monitoring (Pulse Oximetry) in the
Labor and Delivery Ward

Infrared Thermometry

Mobile Telemetric Vital Signs Monitoring

Objective Pulmonary Function Monitoring during
Mechanical Ventilation

Portable Capnometry in Detecting Inadvertent Esophageal Intubation

Safety in the Intensive Care Unit

Safety in the Operating Room

Safety in the Post Anesthesia Care Environment


Continuous Non-Invasive Blood Pressure Monitoring

The ability to continuously monitor the blood pressure of patients in a noninvasive manner offers benefits to clinicians and patients alike. Clinicians benefit from having an ongoing early warning capability for measuring fluctuations in blood pressure during surgical and obstetric procedures. Patients are afforded greater comfort and safety as well as fewer interruptions.

Some related materials produced by Communicore:

Issues Video
Continuous and Noninvasive: A New Approach to
Blood Pressure Monitoring

Technology Video
Continuous Photoplethysmographic Blood Pressure Monitoring

 

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Detection of Patient Awareness During General Anesthesia

Awareness during anesthesia may occur in up to 150,000 patients who undergo general anesthesia in the U.S. each year. Patients may suffer severe physical and psychological trauma from such an experience, which not surprisingly can also lead to significant malpractice claims. New EEG technology can greatly improve the accuracy of patient awareness monitoring during anesthesia.

Some related materials produced by Communicore:

White Paper
Patient Awareness During Anesthesia

Article
Stack, JF. Patient awareness during general anesthesia poses risks. QRC Advisor. 1997; 13(3):1,6­8.

 

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Expanding Capnometry to Nontraditional Settings

Deployment of microstream capnography in a variety of inpatient and outpatient settings now enables physicians to rapidly, accurately, and noninvasively detect changes in the status of patients suffering a variety of emergency, acute, and chronic cardiopulmonary conditions. Critical decisions to admit patients for treatment, to transfer patients from intensive care units, to switch from bi-level to mechanical ventilation, and to wean patients from ventilation can be made more objectively and cost effectively using microstream capnography.

Some related materials produced by Communicore:

White Paper
Microstream Technology--Expanding the Role of
Clinical Capnography

 

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Hypoxemia Monitoring on the General Care Floor

Hypoxemia--inadequate oxygenation of the blood--raises several significant clinical issues on the general care floor of healthcare facilities. Institution of safety standards and advances in monitoring for hypoxemia via telemetric pulse oximetry networks appear to be the most promising means of ensuring safety for patients at risk for the serious clinical effects of this preventable condition.

Some related materials produced by Communicore:

White Papers
Hypoxemia on the General Care Floor
Hypoxemia on the General Care Floor:
Economic and Risk Management Issues

Issues Videos
Hypoxemia on the General Care Floor:
Economic and Risk Management Issues
Safety on the General Care Floor

Roundtable Proceedings
Hypoxemia on the General Care Floor

Annotated Bibliography
Hypoxemia on the General Care Floor

Article
Consortium on Respiratory Monitoring on the General Care Floor. Principles and guidelines for respiratory monitoring on the general care floor. Journal of Clinical Monitoring. 1996; 12:211­416.

 

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Hypoxemia Monitoring (Pulse Oximetry) in the Labor and Delivery Ward

Undetected hypoxemia--inadequate oxygenation of the blood--during labor and delivery is a hidden problem that has only recently been recognized. New clinical monitoring, particularly pulse oximetry, is not only helping identify hypoxemia when it occurs in the labor and delivery suite, but can assist in improving clinical outcomes.

Some related materials produced by Communicore:

Issues Video
Noninvasive Safety Monitoring in Obstetric Patients

 

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Infrared Thermometry

The advent of the infrared (IR) aural thermometer with infrared optical sensors marks a significant change in both the method and location of temperature taking, resulting in accurate, rapid and convenient temperature monitoring in a variety of clinical settings.

Some related materials produced by Communicore:

White Paper
Evolution of Clinical Thermometry

Newsletter
ThermoPerspectives

Monograph
Transmission of Microorganisms in the Hospital

Environment:The Role of the Electronic Thermometer

 

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Objective Pulmonary Function Monitoring during Mechanical Ventilation

Mechanical ventilation, while one of the most effective procedures in critical care medicine, has long been practiced more as an imperfect art than a science. Inadequate patient monitoring by the ventilator's built-in monitors has too often resulted in the patient fighting with, rather than being assisted by, the ventilator. New technology that monitors the patient's pulmonary function rather than the ventilating machine can effectively address this significant clinical challenge.

Some related materials produced by Communicore:

White Paper
Emerging Issues in Mechanical Ventilation Management

Issues Videos
Patient Monitoring in Mechanical Ventilation
Reducing ICU Costs Through Improved Mechanical Ventilation
Monitoring

 

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Portable Capnometry in Detecting Inadvertent Esophageal Intubation

Endotracheal intubation is a basic airway management strategy in emergency resuscitation. Correctly placed, an endotracheal tube can be life saving; incorrectly placed and undetected, it can be life threatening. In the noise and distraction of an emergency setting, however, an effective procedure can all too easily become an unsafe procedure. When an endotracheal tube is misplaced in the esophagus--and this misplacement is detected late or not at all--the compromise of patient safety can be significant. End-tidal CO2 monitoring of correct tube placement offers a solution to this potentially life threatening problem, and is playing an increasing role in emergency medicine.

Some related materials produced by Communicore:

Issues Video
Endotracheal Intubation in the Emergency Setting:
Is Patient Safety Protected?

 

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Safety in the Intensive Care Unit

Paradoxically, the intensive care unit can itself be a dnagerous place, and is well recognized for its contribution to iatrogenic mishap in the hospital. Non-invasive monitoring technologies such as pulse oximetry and capnometry are contributing to improved clinical, risk and resource management in the ICU.

Some related materials produced by Communicore:

Issues Video
Safety in the Intensive Care Unit

 

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Safety in the Operating Room

Undetected hypoxemia--inadequate oxygenation of the blood--has been responsible for 5,000-10,000 unexpected deaths in U.S. operating rooms. The availability of pulse oximetry, along with capnometry and halometry as newly enhanced clinical monitoring technologies promises to dramatically improve patient safety in the operating room.

Some related materials produced by Communicore:

Issues Video
Safety in Anesthesia

 

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Safety in the Post Anesthesia Care Environment

Expanded monitoring capabilities, particularly pulse oximetry, can improve clinical and risk management in the post anesthesia care unit (PACU) and result in significant improvement in both clinical outcomes and efficient utilization of hospital resources.

Some related materials produced by Communicore:

Issues Videos
Safety in the Post Anesthesia Care Environment

 

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