Journal of clinical monitoring and computing
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J Clin Monit Comput · Aug 1999
Comparative StudyMicrostream capnograpy technology: a new approach to an old problem.
Significant technical limitations inherent in black-body infrared technology used in conventional sidestream and mainstream capnography have hindered the acceptance and growth of capnography as a monitoring tool outside the operating room environment. We describe a new technology (Microstream) for CO2 monitoring, based on molecular correlation spectroscopy, which results in a highly efficient and selective emission of a spectrum of discrete wavelengths exactly matching those for CO2 absorption. The CO2 specific emissions allow for an extremely small sample cell (15 microl), which in turn, permits the use of a very low sample flow rate (50 ml/min) without compromising waveform integrity or end-tidal CO2 accuracy. Design and technology features of the CO2 emission source, sample cell, and breath sampling circuits are described.
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J Clin Monit Comput · Aug 1999
Artifact detection in the PO2 and PCO2 time series monitoring data from preterm infants.
Artifacts in clinical intensive care monitoring lead to false alarms and complicate later data analysis. Artifacts must be identified and processed to obtain clear information. In this paper, we present a method for detecting artifacts in PCO2 and PO2 physiological monitoring data from preterm infants. PATIENTS AND DATA: Monitored PO2 and PCO2 data (1 value per minute) from 10 preterm infants requiring intensive care were used for these experiments. A domain expert was used to review and confirm the detected artifact. ⋯ Based on the judgement of the expert, our detection method detects most PO2 and PCO2 artifacts and artifactual episodes in the 10 randomly selected preterm infants. The method makes little use of domain knowledge, and can be easily extended to detect artifacts in other monitoring channels.
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J Clin Monit Comput · Aug 1999
Ergonomic automated anesthesia recordkeeper using a mobile touch screen with voice navigtion.
To develop an ergonomically designed computerized recordkeeping tool for anesthesiologists that allows the clinician to maintain visual contact with the patient while performing recordkeeping. ⋯ An EARK system was designed to allow the user to maintain visual contact with the patient while performing recordkeeping tasks. The combination of a mobile touch screen and voice response/recognition facilitated the design goals of the system. Although the system has enjoyed universal clinical acceptance, the voice functions remain too limited to satisfy the needs of a completely handsfree user interface. Enhancements to voice recognition technology will offer the potential for improved functionality. Additional research is also needed to better define the relationship between vigilance and visual contact with the patient.
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J Clin Monit Comput · Jul 1999
Lithium dilution cardiac output measurements using a peripheral injection site comparison with central injection technique and thermodilution.
The lithium dilution technique for the measurement of cardiac output by the central injection of lithium chloride was introduced by Linton et al. in 1993. In the present report, we compare lithium dilution cardiac output measurement (LD) by the peripheral injection of lithium chloride (pLD) and by central venous injection (cLD), cardiac output determined by electromagnetic flowmetry (EM), and conventional thermodilution cardiac output measurement (TD) on ten swine. ⋯ The results of the present study indicate that pLD is a reliable technique.