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MSI News - Spring 2009 | Volume 32 In this issue of MSI News:
1. Vapotherm announces release of the Precision Flow Vapotherm announces release of the Precision Flow
Use of a High Flow Oxygen Delivery System in a Critically Ill Patient with Dementia by Tatjana P. Calvano DO, Joshua M. Sill MD, Kenneth R. Kemp, MD and Kevin K. Chung MD Calvano describes how they used High Flow Therapy (HFT; Vapotherm 2000i) to comfort and provide high oxygen fractions to an end-stage multi-lobar pneumonia patient who would not tolerate a mask to receive her prescribed non-invasive ventilation (this patient could not be intubated as per a DNR order). The paper describes how HFT improved not only oxygenation but also work of breathing, comfort and nutrition. (Respiratory Care • December 2008 Vol 53 NO 12) The New Vapotherm Precision Flow Working with the respiratory community, Precision Flow™ was designed with the clinician in mind,
providing easy set up, operation and maintenance including:
Engineered for reliability and streamlined maintenance SurThriving These Tough Economic Times -- Terry L. Forrette, M.H.S., RRT – Clinical Specialist,
Medical Specialties, Inc. Yes, I know that SurThriving is not an actual word but it best describes what the medical industry is
currently going through. Medical Specialties is dedicated to continuing our level of excellence in
providing products that make a difference in patient care during these uncertain times of economic
crisis. Not only are we determined to survive but our goal is to also grow and thrive so as to better
meet the needs of our customers. We are committed to helping you and we ask for the same level of
commitment from our customers. We have earned your business in the past and all we want is the
opportunity to continue earning your business in the future. Let’s continue to be partners in patient
care and SurThrive these hard times together. How Are We Doing? We value your comments and suggestions. Please feel free to contact us
either through your sales representative or by calling (504) 734-1171.
Is the New Digital Non-Invasive CO2 Monitoring Technology Accurate? The Sentec transcutaneous monitor, using the digital V-Sign™ Sensor enables simultaneous monitoring of pCO2, SpO2 and pulse. It incorporates the latest opto-electronics and digital signal processing technologies. In combination with local arterialization of the warmed measurement site, V-Sign™ Sensor achieves excellent measuring performance. For many of us who have had experience with the older TCCO2 analog technology calibration, accuracy problems and topical burns outweighed the usefulness of the device. It looks like the days are behind us now that the newer digital technology has arrived. In a recent abstract at the SCCM these authors describe how this technology was useful in performing a
PDT. This group looked at using the Sentec monitor in the NICU and found excellent correlation with blood gas
results. The study was published as an abstract at the 2008 AARC Open Forum EVALUATION OF A DIGITAL TRANSCUTANEOUS PCO2 SENSOR AND ITS CORRELATION
TO ARTERIAL BLOOD GAS PCO2 MEASUREMENTS
DURING NEONATAL HIGH FREQUENCY OSCILLATORY VENTILATION Conclusion from their findings: “The SenTec Digital Monitor yielded an excellent correlation when compared
to ABG PaCO2 measurements and it may be used as a surrogate for ABG PaCO2 determination
during neonatal HFOV. The difference between our sampled CO2 measurements may be related to the
standard deviation of the compared measurement devices, pre-existing medical conditions, pharmacologic
agents that are known to cause vasoconstriction, and user sampling error."
MSI CEU Seminar Announced
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