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Neonatal Transport Monitors


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#1 SnowPika

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Posted 04 January 2010 - 09:47 PM

Our program is currently working on getting new transport isolettes. In searching for monitors that are small enough to fit in the isolette, we have found only 2 monitors both made by Propaq. The CS and the Encore. I have liked Escort Monitors in the past; however they are no longer in business. Are there other companies out there that provide small transport monitors?
Our criteria includes the ability to monitor ECG, Resp, NIBP, SpO2, EtCO2, and Invasive pressure monitoring, plus the possibility of a printer.
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#2 Mike Mims

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Posted 05 January 2010 - 07:15 AM

We use the Propaq Encore 204EL with all the functions you listed. As for the IBP, there's an issue with IBP cables, transducers and a "adapter"??????? Not sure, but we perform about 300 neonate flights a year and to this point have not performed IBP.

We do not have a printer due to space issues, which you'll run into. Our isolette is the Voyager L/W by AirBorne Life Support Systems.

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Mike Mims

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#3 SnowPika

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Posted 12 January 2010 - 06:06 PM

Mike, Do you use the ETCO2 on your monitor? One thing that is detering us from the propaq is the current cable and device for the ETCO2 monitoring. It seems pretty heavy to be on a 2.5 ETT. Have you found this to be true? Have you experienced any unplanned extubations that could be contributed the device or difficutly with tube positioning? Thanks for your input!
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#4 Mike Mims

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Posted 13 January 2010 - 08:03 AM

We can use the ETCo2 on the monitor, but we no longer use the ETCo2 cable OR or the ETCo2 filter because of issues with back-ordering, plus the replacement cable is expensive ~ $1500.00

So what we use is the Nellcor NPB 70 that we have mounted to the bracket that holds our Nitric monitor. It has a 110 AC power supply that is plugged in one of the outlets on the isolette.
The NPB 70 uses the same ETCo2 filter as the LP 12's (which we carry in the AC as a secondary monitor) so we don't have to order two different filters, and both are interchangeable.

No extubations in my experience........
It all comes down to how you secure the ETT for transport. The ETT holder we use is called the Neo-fit along with Mastisol liquid adhesive (my opinion it's better that benzoin)
The neo-fit has an adhesive backing on the holder itself, plus two "lollypop" looking adhesive pads for additional securement.
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Mike Mims

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University of Mississippi Medical Center


#5 SnowPika

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Posted 14 January 2010 - 11:12 PM

Mike,
Thanks for the info. I like the idea of using the same ETCO2 sampler that we're already using on the LP-12. It's light and small. We also use the Neo fits and love them.
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#6 csanborn

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Posted 30 March 2010 - 03:09 PM

I worked for a neo/peds team in Boston and Virginia. They both used Pro-paq encore. They were the tride and true monitors but haven't seen any updated in technology for years.

The CS is just a bulky version of the encore with the added feature of a colored screen. Not worth it in my mind.

We looked at and field trialed the Philips IntelliVue MP2. Awesome monitor if monitor printing isn't highest priority. It doesn't have a built in printer but you can hook it up to a computer and print. Also I'm not sure what you are using for charting but it can download directly into ImageTrends software (I'm sure it can download to other vendors software). the other downside is the screen is small but there wasn't any issue with clarity.

If you really need a printer check out the Philips IntelliVue MP5. This is very similar to the Pro-Paq CS, but slightly smaller.

Both offer ECG (12-lead), Resp, SPO2, NIBP, Invasive pressure monitoring, and EtCO2. They both also use Philips new micro-stream EtCO2 when requires even less flow then side-stream and mainstream. The down side is there is a small egg shaped piece that needs to be close to the pt and i was scared that it could get broke, but we never did.

If you have any other questions let me know and I can give you all the info I have.

Chris
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#7 nelsonbk

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Posted 30 March 2010 - 03:31 PM

Our program is currently working on getting new transport isolettes. In searching for monitors that are small enough to fit in the isolette, we have found only 2 monitors both made by Propaq. The CS and the Encore. I have liked Escort Monitors in the past; however they are no longer in business. Are there other companies out there that provide small transport monitors?
Our criteria includes the ability to monitor ECG, Resp, NIBP, SpO2, EtCO2, and Invasive pressure monitoring, plus the possibility of a printer.


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#8 nelsonbk

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Posted 30 March 2010 - 03:34 PM

we are looking at the Phillips MRX extremely small- plus a separate ECT02 and Sat monitor - which would allow us to do pre and post ductal sat monitoring - no printer size is always an issue - , this monitor holds a ton if information, we are looking at the aviator model for our new isolette.
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