Videos
Communicore has extensive experience in all phases of video production, placing high value on the multidimensional potency of this communication medium. We specialize in issue- and technology-oriented video production for closed-circuit and broadcast distribution, occasionally producing more product-specific or traditional in-service videos.
Copies of more recent video productions are available on request. Please e-mail us regarding your particular interests in this area.
Issues Videos
Avoiding Electrosurgical Injury During Laparoscopy:
An Emerging Patient Safety Issue
Continuous and Noninvasive: A New Approach toBlood Pressure Monitoring
Conversations on Endotoxic Shock
Endotracheal Intubation in the Emergency Setting:Is Patient Safety Protected?
Enhancing Objectivity in the Diagnosis of Coronary
Artery Disease:Functional
Angiometry as a New Standard
Frontiers in Cardiovascular Surgery
Hypoxemia on the General Care Floor:Economic and Risk Management
Issues
Information Management in Anesthesia
Information Management in Anesthesia II
Managing the Risk of Sudden Cardiac Death: Issues in ICD Therapy
New Roles for Echocardiography in the Changing
Practiceof Cardiology
New Roles for Echocardiography in the Changing
Practiceof Cardiology
(Shortened Version)
Noninvasive Safety Monitoring in Obstetric Patients
Patient Monitoring in Mechanical Ventilation
Reducing ICU Costs Through Improved Mechanical
Ventilation Monitoring
Safety in the Intensive Care Unit
Safety in the Post Anesthesia Care Environment
Safety on the General Care Floor
Sudden Cardiac Arrest: A Treatable Public Health Crisis
Supportive Therapies for Cancer Chemotherapy
Patients:The Intersection
of Quality of Life and Economics
Technology Videos
Advances in Central Venous Catheterization
Continuous Photoplethysmographic Blood Pressure Monitoring
Efficacy By Design: Quinolones in Today's Bacterial Environment
Issues Videos
Avoiding Electrosurgical Injury During Laparoscopy: An Emerging Patient Safety Issue
The dramatic increase in the number of minimally invasive surgeries performed in the U.S. each year has lead to a corresponding increase in iatrogenic complications, especially those associated with electrosurgical procedures. These complications generally result from unintentional and usually undetected burns to otherwise normal tissues, with consequent tissue trauma, necrosis, infection, and even death. Available technology, including active electrode monitoring, can effectively protect patients from this entirely avoidable negative outcome. Accompanies White Paper of the same title. 1997, 18:55 TRT
Continuous and Noninvasive: A New Approach to 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. 1991, 19:01 TRT
Conversations on Endotoxic Shock
Three experts in the field discuss endotoxic shock in the context of its place in the clinical progression from gram-negative infection to sepsis. Hypotension and end organ dysfunction secondary to impaired tissue perfusion or oxygen utilization is discussed, as is the potential role of immunotherapy in preventing or ameliorating endotoxic shock through modulating the release of mediators produced in the infection/inflammation cascade. 1990, 12:33 TRT
Endotracheal Intubation in the Emergency Setting: Is Patient Safety Protected?
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. 1992, 15:48 TRT
Enhancing Objectivity in the Diagnosis of Coronary Artery Disease: Functional Angiometry as a New Standard
Anatomic diagnosis of coronary artery disease, including angiography and thallium scintigraphy, indirectly and imprecisely identifies the functional significance of coronary artery lesions. An analysis of currently available diagnostic techniques includes a look at functional angiometry--direct, quantitative measurements of blood flow impairment--to more accurately determine the need to treat an observable coronary artery occlusion, thereby potentially avoiding unnecessary angioplasty or bypass grafting. Accompanies White Paper of the same title. 1994, 17:43 TRT
Frontiers in Cardiovascular Surgery
Leading cardiovascular surgeons from the U.S., U.K. and Canada discuss the history of cardiovascular surgery in terms of the technological advances of the last 30 years and those that are now being explored--with a particular focus on ethical issues. 1988, 20:00 TRT
Hypoxemia on the General Care Floor: Economic and Risk Management Issues
The economic and risk management aspects of this emergting clinical issue [see Safety on the General Care Floor video] are given particular focus in this complemetary video. Expanded monitoring capabilities, including telemetric pulse oximetry, can improve risk management and result in significant cost savings, including those resulting from being able to transfer patients who only require continuous monitoring from acute care areas to less expensive general care areas. Accompanies White Paper of the same title. 1996, 16:56 TRT
Information Management in Anesthesia
Handwritten anesthesia records are no longer adequate to track a patient's clinical course during modern anesthesia. Computerized data collection and recording not only enhances the quality of the anesthesia record--improving accuracy, reliability and credibility--but can also integrate management information in databases that can significantly enhance resource and risk management strategies. Accompanies White Paper of the same title. 1989, 22:04 TRT
Information Management in Anesthesia II
The administrative issues surrounding automated anesthesia information systems are given particular focus in this administrative complement to the more clinically-oriented video produced earlier. Particular emphasis is given to the potential contributions of this emerging technology to case management, anesthesiology department management, OR scheduling, pharmacy resource management, among others. Accompanies the White Paper, Information Management in Anesthesia. 1991, 14:05 TRT
Managing the Risk of Sudden Cardiac Death: Issues in ICD Therapy
Sudden cardiac death is a silent epidemic in the United States, taking the majority of the 350,000 lives it affects annually. The condition that generally underlies this traumatic event--ventricular fibrillation--has continued to challenge the medical community. Drug therapy has proven to be of only limited effectiveness, but also costly in terms of patient intolerance of side effects and of the significant cost of frequently required rehospitalizations. These problems have increasingly illuminated the value of implantable defibrillators, particularly biphasic defibrillators that have largely overcome the significant limitations of earlier "shock boxes". 1994, 18:04 TRT
New Roles for Echocardiography in the Changing Practice of Cardiology
Echocardiography is a more accurate and versatile diagnostic tool for assessing coronary artery disease than hitherto recognized. A panel of distinguished cardiologists discusses the benefits of using echocardiography for initial diagnosis and to assess the success of treatment interventions at predetermined intervals. Initially broadcast on the LifeTime television network. 1988, 28:18 TRT
New Roles for Echocardiography in the Changing Practice of Cardiology (Shortened Version)
Echocardiography is a more accurate and versatile diagnostic tool for assessing coronary artery disease than hitherto recognized. A panel of distinguished cardiologists discusses the benefits of using echocardiography for initial diagnosis and to assess the success of treatment interventions at predetermined intervals. 1988, 21:34 TRT
Noninvasive Safety Monitoring in Obstetric Patients
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.1990, 17:25 TRT
Patient Monitoring in Mechanical Ventilation
Patients on ventilators should be weaned as early as possible so as not to become ventilator-dependent, but not so early that avoidable relapses occur. Imprecision in pulmonary function monitoring can result in inappropriate ventilation, lung tissue trauma, and premature weaning. Advanced pulmonary function monitoring can optimize ventilation, decreasing the incidence of trauma and, improving the weaning success rate, with significant clinical and economic benefits. Accompanies the White Paper, Emerging Issues in Mechanical Ventilation Management. 1992, 19:13 TRT
Reducing ICU Costs Through Improved Mechanical Ventilation Monitoring
Mechanical ventilation is an effective and widely used technology, but it is also largely responsible for the high cost of intensive care unit patient care--as high as eight times the cost of routine hospital admissions. Advanced pulmonary function monitoring can optimize the interaction between the patient and the machine, potentially resulting in significant cost savings while actually improving the quality of patient care. Accompanies the White Paper, Emerging Issues in Mechanical Ventilation Management. 1994, 14:47 TRT
Safety in Anesthesia
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. 1986, 19:05 TRT
Safety in the Intensive Care Unit
Safety in the intensive care unit has traditionally received less attention than other acute care areas of the hospital, primarily because many consider it an inherently unsafe place. Others disagree, believing that there is ample room for improved outcomes so long as the appropriate levels of staff and technology resources are provided. This video explores these issues and the opportunities for improved clinical monitoring, particularly including pulse oximetry and capnography. 1989, 16:15 TRT
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. 1987, 16:25 TRT
Safety on the General Care Floor
Undetected hypoxemia--inadequate oxygenation of the blood--raises several economic and risk management issues in addition to the significant clinical issues. Expanded monitoring capabilities, including telemetric pulse oximetry, can improve clinical safety and facilitate better risk management. Accompanies White Paper of the same title. 1991, 14:50 TRT
Sudden Cardiac Arrest: A Treatable Public Health Crisis
Sudden cardiac arrest (SCA) takes the lives of more than 350,000 Americans each year. Defibrillation administered within minutes of SCA is generally the only successful method of preventing a fatal outcome. A new generation of automatic external defibrillators (AEDs), with enhanced ease of use and maintenance, can now be deployed among a wider range of emergency responders, such as police and fire department personnel, significantly improving the survivability of SCA, as can its availability in workplaces, sports facilities, airplanes and other public areas. Accompanies White Paper of the same title. 1996, 17:20 TRT
Supportive Therapies for Cancer Chemotherapy Patients: The Intersection of Quality of Life and Economics
The inherent toxicity of cancer chemotherapy underscores the importance of quality of life as a treatment goal along with prolonging survival. As the potential benefit of chemotherapy increases, so does the responsibility to attend to the risks and side effects--physical, psychological, economic and societal--of that treatment. Accompanies White Paper of the same title. 1995, 16:11 TRT
Technology Videos
Advances in Central Venous Catheterization
When first introduced some 30 years ago, central venous access offered therapeutic and diagnostic options that peripheral access could not provide. However, this significant advance brought with it the risk of some serious complications. Employing advanced bio-engineering and design techniques, the development of Aquavene-containing intravenous catheters promises to make longer term central venous catheterization--particularly in home healthcare--more cost effective as well as more convenient and comfortable for the patient. 1992, 10:02 TRT
Continuous Photoplethysmographic Blood Pressure Monitoring
This video explores the technical aspects of continuous photoplethysmographic blood pressure monitoring in the context of a brief look at the history of blood pressure monitoring technologies. 1991, 8:52 TRT
Efficacy By Design: Quinolones in Today's Bacterial Environment
The development of quinolone antibacterial agents is discussed against a background of antimicrobial drug development over the past several decades. Beginning with basic structure and design aspects and leading through to clinical application, the basis for the application of this new class of agents to the treatment of ocular infection is explored, with particular reference to the relative features and benefits of ofloxacin vis-a-vis other quinolones. 1990, 14:02 TRT
A Matter of Time
This technology video explores the development of the Arkive Patient Information Management System as a leading computerized alternative to handwritten anesthesia records. The harnessing of digital technology to not only track a patient's clinical course during anesthesia, but also to enhance the quality of the anesthesia record is explored, as is the ability of the technology to integrate management information that can significantly enhance resource and risk management strategies. 1988, 12:34 TRT
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