Vital Signs Trending. with the HeartStart MRx and XL+ PUBLISH. Application Note. Introduction

Transcription

1 Vital Signs Trending with the HeartStart MRx and XL+ Application Note Introduction Clinicians continually monitor and assess their patients vital signs for patterns and significant deviations. To assist with these tasks, the HeartStart MRx s and XL+ s Vital Sign Trending feature provide vital signs trending data directly on the device display or printed on paper. The feature gives clinicians a powerful tool to display real-time clinical data to assess whether a patient s status is improving, stabilized, or worsening.

2 Vital Signs Trending Trending Overview In Monitor Mode, the HeartStart MRx and XL+ enable you to view and print numeric vital sign trending for the current patient. The trend data are visible at 1, 5, 10, 15, 30, or 60-minute intervals for up to the most recent 12 hours of monitoring on the MRx and 8 hours on the XL+. Data are automatically acquired if any of the following parameters are on for the MRx and XL+: HR SpO 2 Pulse NBP The MRx can also automatically acquire data if any of the following parameters are on: EtCO 2 AwRR Invasive Pressures (P1, P2, ABP, Ao, ART, PAP, RAP, CVP, LAP, ICP, CPP) 2 channels Temperature When viewing trending on the HeartStart MRx, the trending data is displayed in the lower two wave sectors. (See Figure 1 for a sample display.) Soft keys scroll left and right ( and ), and navigation buttons below the display scroll up and down ( and ), so you can see the entire report for all time intervals and monitored parameters. Figure 1 HeartStart MRx Trending Display (12 hours) Report date Determined by the earliest time displayed in the table Time intervals Trends displayed at the selected time interval Parameters The vital signs monitored during the displayed time period Vertical scroll bar indicator Timestamp indicator ^ indicates that multiple measurements were taken during the interval. Horizontal scroll soft keys 2

3 About the Measured and Displayed Data When viewing trending on the HeartStart XL+, the trending data is displayed on the HeartStart XL+ s lower two wave sectors. (See Figure 2 for a sample display.) Soft keys scroll left and right ( and ), and navigation buttons scroll up and down ( and ), again to see all monitored parameters and time intervals. Figure 2 HeartStart XL+ Trending Display (8 hours) II Date Parameters Sinus Rhythm Aug 26 9:00 9:05 9:10 9:15 9:20 9:25 9:30 9:35 9:40 9:45 HR SpO Pulse NBPs NBPd Time intervals Vertical scroll bar indicator Close Trends Menu Horizontal scroll soft keys About the Measured and Displayed Data The most recent data appear in the far right column when trending is displayed or new data is available. Older data moves to the left. When the display is full, the oldest displayed data is removed but saved in an associated event summary. If you scroll horizontally to view older data, the HeartStart MRx or XL+ updates the newest data when you scroll back. A -?- displays for a parameter with invalid information, Questionable data are indicated by a question mark just before the numeric value. Unavailable data are indicated by a blank space. If a parameter has not been measured during the display period, it is not listed in the far left column. If an inactive parameter becomes active when viewing the trending display, then the added parameter automatically appears in the report when the interval is updated and the latest data become available. Aperiodic measurements (e.g. NBP) are displayed with a measurement timestamp below the readings. The units of measure for trend data are not shown on the device display but are available on the printed report. 3

4 Vital Signs Trending Printing the Trending Report For the HeartStart MRx, you can print a report for: the displayed period and interval using the Print Trends soft key. the entire incident period using the Summary button. a previous incident using the Data Management menu. Figure 3 provides a sample report. Figure 3 Printed HeartStart MRx Trending Report Trend Report 26 Apr 10:50 10:45 10:40 10:35 10:30 10:25 10:20 10:15 10:10 26 Aug :50 HR bpm ABPs mmhg Event ID: 0123 ABPd mmhg Jones, Samuel ABPm mmhg Patient ID: PAPs mmhg PAPd mmhg PAPm mmhg M3535A S/N:US SW Rev: American English 26 Apr 10:50 10:45 10:40 10:35 10:30 10:25 10:20 10:15 10:10 NBPs mmhg NBPd mmhg NBPm mmhg :47 10:38 10:23 10:06 EtCO2 mmhg AwRR rpm SpO2 % Pulse bpm Temp F

5 Conclusion For the HeartStart XL+, you can print a report for the current incident using the Reports button. Figure 4 provides a sample report. Alternatively, you can print one from Data Management Mode. Figure 4 Printed HeartStart XL+ Trending Report Trend Report 26 Aug 9:45 9:40 9:35 9:30 9:25 9:20 9:15 9:10 9:05 Event ID: (XXXXX) HR bpm SpO2 % Patient ID: (xxxxx) Pulse bpm Patient Sex: (M or F) NBPs mmhg NBPd mmhg (Incident date and NBPm mmhg print time) 9:39 9:29 9:19 9:09 HeartStart XL+ S/N: (device serial #) SW Rev: (xx.xx.xx) Conclusion Philips collaborated with clinicians who use our HeartStart monitor/defibrillators to develop vital sign trends representations of patient information to support clinical decision making. The Vital Sign Trends: provide context to assess the patient s status and support clinical decision making, eliminate the necessity to record the vital signs during a cardiac emergency or during a transport, provide alignment between different measurements in time, and help clinicians to focus on relevant information and correlate different parameters. 5

6 Vital Signs Trending 6 Philips Healthcare is part of Royal Philips Electronics On the web By healthcare@philips.com By postal service Philips Healthcare 3000 Minuteman Road Andover, MA Europe, Asia, and Africa Tel: Latin America Tel: North America Tel: (USA only) 2011 Koninklijke Philips Electronics N.V. All rights are reserved. Reproduction in whole or in part is prohibited without the prior written consent of the copyright holder. Philips Healthcare reserves the right to make changes in specifications or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication. Published Aug. 2011, Edition 2 Printed in the USA * * *2*