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Archive for month: August, 2020
Optimal management of the ICU: some problems and potential solutions
The costly critical care provided by highly qualified personnel using state-of-the-art equipment in today
4D imaging: cardiac ultrasound leads the way
The transformation of imaging from diagnosis to intervention has been among modern medicine
Advanced ultrasound imaging: user experience makes the difference
Low in cost and high in diagnostic value with applications that cover nearly every tissue in the human body, medical ultrasound has become one of the most popular imaging exams worldwide – and not just among healthcare professionals. Its popularity is likely to grow in coming years as practitioners look for ways to reduce costs while improving quality of care. The clinical and cost-saving potential of ultrasound might be better realized if the systems were more efficient and easier to use. Even though the clinical capability of ultrasound has increased remarkably over the last decade and a half, the operational aspects of ultrasound scanners have failed to keep pace with technological advances. Their computing architecture remains based on central processing units. Consoles are still relying on knobs, pods and trackballs. As a new entrant in the ultrasound arena, Carestream was free to seek higher value from leading edge technologies, building a computer architecture based on graphics processors, a touch screen and mechanical innovations that let the sonographer choose the best position for performing exams. International Hospital talked to Fabrizio Benigni about the CARESTREAM Touch Ultrasound System unveiled at RSNA 2014 and ECR this year.
Q. Why has Carestream entered the ultrasound business at this time?
Carestream investigated this market and found many unmet customer needs where we believe we have an opportunity to make things better. The radiology ultrasound market is growing as more imaging is shifting to the non-radiation modality of ultrasound. Carestream can innovate in this space and it represents an opportunity for growth and expansion of our business while utilizing our sales and service infrastructure that we currently have in place.
Q. What segments will Carestream be addressing?
Carestream will initially be entering the premium general imaging/radiology market. The product will be used in the Radiology department. Thus it was designed with a small footprint and advanced solutions from an ergonomic and workflow point of view so that it can easily be transported to image patients in other areas such as the ICU, NICU, Emergency Department, Operating Room, and Labour & Delivery. Last but not least, its imaging capabilities and wide range of probes will make the difference in a wider number of applications.
Q. What is the current product range and what are the intentions moving forward?
This is the first in a family of ultrasound products built with the same innovative architecture and differentiated by imaging performance and specific software features. The first product will compete in the premium tier and future releases will include mid and value tier offerings
Q. What are the significant differentiating features of the Carestream products vs the offering of other vendors?
One of the unique product features is the All-Touch control panel. The panel provides familiarity to the user with etched-patterned primary controls that provide tactile feedback but also has the flexibility of configurable secondary controls. Its sealed, flat surface is easy to clean and the configurable controls allows for easy upgrading to the latest features and functionality.
There are a number of additional user features that set it apart from the competitors including:
- High-level computing power providing both speed and excellent image quality;
- Easy manoeuvrability and a small, lightweight footprint making the imaging process faster and easier;
- The“Swipe and go” badge log-on which saves time and promotes secure access;
- The “Smart connect” transducer technology that enables easy one-touch selection of the desired transducer;
- Cold boot time of an unprecedented 18 seconds to further enhance productivity, with no need for standby mode or battery backup; and
- Easy cart adjustments to allow sonographers to position the system where it is most comfortable to help reduce repetitive stress injuries.
Q. Can you tell us a bit about how the product was designed?
First of all by applying Voice of Customer to create a smarter solution; then the design process had the benefit of utilizing the best-in-class strategic suppliers. Because Carestream is new to the market and unhindered by legacy products, we chose to work with a combination of best-in-class suppliers, state-of-the-art technology and our own design innovation team to enable us to get to the market very quickly with a unique product that addresses the unmet needs of ultrasound professionals.
Q. What are Carestream’s mid term sales objectives for this new product line?
The initial primary markets will be the United States and Canada and Europe. We will expand to other regions soon.
Are we really ready for the next pandemic?
Pandemics – derived from the Greek pandemos (affecting all people) – are not new events, but have occurred sporadically throughout history. These large, infectious epidemics threaten not only global health but can also have catastrophic social, economic and financial effects. Given the periodic nature of pandemics, we know there will be another one sometime, we just don
High-speed communications and healthcare – Tele-ICUs and ambulance telemedicine
The communications revolution has opened up dramatic possibilities for healthcare delivery across physical/geographical boundaries. Telemedicine, once held up as a miracle, and then seemingly forgotten, has been making a comeback in one of the most challenging frontiers of modern medicine – the ICU.
High-speed communications have also paved the way for ambulance-based telemedicine.
ICU Telemedicine
Video observation and advanced algorithms
The greatest benefit of ICU telemedicine or Tele-ICU care involves continuous surveillance and interactive care by offsite clinicians. This is achieved by direct video observation of the patient and interrogation of ICU equipment. Advanced computer algorithms, based on clinical data available in a patient
Blood conservation with a patient dedicated arterial blood gas analyser
Anemia is a common complication of critical care, with up to 90% of ICU (Intensive Care Unit) patients being anemic by their third day in the ICU [1]. Anemia is associated with poor patient outcomes, especially amongst those patients with cardiovascular disease. The treatments of choice for anemia are the minimization of blood loss and the transfusion of red blood cells when necessary.
This article considers the issues in critical care around anemia, transfusions and blood conservation. With blood-based diagnostic testing being a significant factor in cumulative blood loss and the risk of anemia, the use of a patient dedicated arterial blood gas analyser to minimize blood loss is also described.
Anemia in the intensive care unit
Causes
The reasons for anemia in critically ill patients are multifactorial and include acute blood loss (e.g. from trauma, surgery or internal bleeding), iatrogenic blood loss associated with diagnostic sampling and blunted red blood cell production. Of these, blood loss associated with diagnostic testing is the factor that is most easily controlled by the intensivist.
Laboratory results are an important tool to achieve diagnosis and guide medical care, and a certain amount of blood is required to obtain this information. The gold standard for monitoring oxygenation, acid-base status and ventilation is an arterial blood gas measurement
Video laryngoscopy – ease of use and quick training drive acceptance
Introduced in the early 2000s, video laryngoscopy marks the first major development in airway management since the advent of laryngeal mask airways. In 2012, Ron Walls, then the Neskey Family Professor of Emergency Medicine at Harvard Medical School provoked considerable controversy after he
