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Carescape monitor b850

Manufactured by GE Healthcare

The CARESCAPE Monitor B850 is a multiparameter patient monitor designed for use in critical care environments. It provides continuous monitoring of a patient's vital signs, including ECG, heart rate, respiratory rate, blood pressure, and oxygen saturation. The CARESCAPE Monitor B850 is capable of displaying and recording these physiological parameters in real-time, enabling healthcare professionals to closely monitor a patient's condition.

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Lab products found in correlation

7 protocols using carescape monitor b850

1

Prognostic Factors in Emergency Department Patients

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Blood pressure, oxygen saturation and heart rate were measured using a fully automated oscillometric device (CARESCAPE Monitor B850 or B650, General Electric Healthcare) [10 , 11 ]. Level of consciousness was determined using the “Reaction Level Scale” (RLS) [12 (link)]. Respiratory rate was manually counted by an ED nurse. After study inclusion, patients were interviewed regarding their smoking status (never smoked/former smoker/active smoker, which included occasional smoker), prevalence of chronic diseases known to cause dyspnea (including congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), asthma, coronary artery disease (CAD), atrial fibrillation, restrictive lung disease, cancer, thromboembolic disease, and rheumatic disease), and current medications. The research nurses also examined the patient’s medical records validating any previously reported diagnoses.
The primary endpoint was all-cause mortality within 90 days from presentation to the ED. The patients’ personal identification numbers, linked to Swedish the national civil registry, were used to retrospectively collect survival status up to 90 days after presentation, as well as date of death, if the patient was deceased.
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2

Assessing Respiratory Function and Biomarkers

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Respiratory rate was manually counted. Blood pressure, oxygen saturation, and heart rate were measured with a fully automated oscillometric device (CARESCAPE Monitor B850 or B650, General Electric Healthcare) [6] , [7] , and degree of consciousness was determined according to the Reaction Level Scale +[8] (link). After inclusion, patients were asked about smoking habits in 3 categories (never smoked, former smoker, and active smoker which included occasional smoker), prevalence of chronic diseases known to cause dyspnea (eg, CHF, COPD, asthma, coronary artery disease, atrial fibrillation, restrictive lung disease, cancer, thromboembolic disease, rheumatic disease), and current medication. Patient journals were examined by the research nurses to confirm previous diagnoses. Plasma concentration of CRP was measured using a Radiometer ABL800 Flex machine [9] or Afinion AS100 Analyzer System [10] . Blood samples were collected immediately at presentation with separation of serum and plasma and were frozen and stored at − 80°C for later analysis of biomarkers.
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3

Triage Criteria Assessment in Dyspnea Patients

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Blood pressure, oxygen saturation and heart rate were recorded by an automated oscillometer (CARESCAPE Monitor B850 or B650, General Electric Healthcare); consciousness was determined according to the Reaction Level Scale [9 (link)].
After inclusion, patients were questioned regarding smoking habits and categorized as non-smokers, former smokers (cessation one month ago or longer) or active smokers (regularly smoking the past month or longer), disease history associated with dyspnea (i.e., congestive heart failure, chronic obstructive pulmonary disease, asthma, coronary artery disease, atrial fibrillation, restrictive lung disease, cancer, thromboembolic disease or rheumatic disease) and current medications. The research nurses reviewed the patient journals in order to confirm the details, with the support of senior physicians whenever uncertainties occurred. Originally, METTS-A uses a five clinical priority levels with increasing clinical priority: blue (the lowest clinical priority—not life threatening), green, yellow, orange and red (the highest clinical priority—life threatening). The lowest clinical priority level blue was not used in the clinical triage of the patients included here due to the local triage routines; the lowest clinical triage priority here was green.
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4

Invasive Blood Pressure Monitoring in Neonates

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As invasive BP monitoring is considered the gold standard, only infants with invasive arterial lines were included in this study. Umbilical arterial catheters (UAC) were inserted aiming for the tip of the catheter to be maintained between 6th and 10th thoracic vertebral levels. Following insertion of the UAC, patency of the line was maintained by continuous infusion of heparinised saline. GE Healthcare medical systems monitor (Carescape Monitor B850) were used to trace the heart rate, BP, oxygen saturations levels, and respiratory rate. BP calibration was performed with the transducer being held in the mid axillary line at the start of the study and every 24 h thereafter. The UAC was only used after ensuring that the line was free from air bubbles, it sampled and flushed well and produced a good arterial waveform tracing. If the UAC was malpositioned or blocked, a peripheral arterial line was inserted and used after the above-mentioned precautions were taken. The heart rate, systolic, diastolic, and mean BP were monitored and downloaded every 10 s for the first week. A 2-h artefact free period of BP data, before measurement of common carotid artery blood flow (CCAF), was chosen for analysis.
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5

Hemodynamic Monitoring During PEEP Challenge

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Heart rate, mean arterial blood pressure and PPV were recorded through the patient monitor (CARESCAPE Monitor B850; GE Healthcare). Dynamic compliance, mean airway pressure and peak inspiratory pressure were obtained from the anesthesia ventilator machine (Datex Ohmeda Avance CS Anesthesia Machine; GE Healthcare, Helsinki, Finland). Cardiac index, stroke volume and SVV were acquired from CardioQ-ODM+ monitor. PPV and SVV were calculated as follows:
The parameters were displayed on the CardioQ-ODM+ monitor every 10 seconds. The parameters were recorded on three consecutive respiratory cycles and averaged for statistical analysis. Each measurements were performed under stable hemodynamic state with no inotropes or vasopressors. The changes in PPV and SVV after PEEP challenge were calculated as follows:
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6

Biomarker assessment in sepsis

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High sensitivity plasma CRP was analyzed by a particle enhanced turbidimetric assay (PETIA), and creatinine was analyzed by an IDMS calibrated enzymatic creatinine assay [16] . The respiratory rate was calculated manually by ED nurses and blood pressure, oxygen saturation and heart rate were measured with a fully automated oscillometric device (CARESCAPE Monitor B850 or B650, General Electric Healthcare) [17, 18] . Plasma concentration of CRP was measured using a Radiometer ABL800 Flexmachine [19] , or Afinion AS100 Analyzer System [20] . Lactate and creatine were analyzed according to local clinical routines at the University hospital laboratory. Within an hour of presentation at ED, blood was sampled, serum and plasma separated and subsequently put away for storage at À80 C for future analysis. Blood samples were taken before administration of antibiotics. Calprotectin was analyzed in EDTA plasma samples on a Mindray BS380 chemistry analyzer (Mindray, Shenzhen, China) using calprotectin reagents from Gentian AS (Moss, Norway).
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7

Invasive and Non-Invasive Blood Pressure Monitoring in Infants

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Infants with both invasive and non-invasive BP monitoring were included to reflect clinical practice, where invasive BP monitoring is not universally instituted. The decision to monitor BP invasively was made by the responsible clinician.
Invasive BP measurements were obtained from transducers attached to umbilical arterial catheters in a high position (thoracic vertebral body level T6-10) calibrated daily at the mid-axillary line. Precautions were taken to ensure good quality waveforms, displayed using GE Healthcare systems (Carescape Monitor B850) and downloaded onto a laptop every 10 seconds for the first week.
Non-invasive BP was performed every 15 minutes if below threshold, otherwise hourly for the first 12 hours and 4-hourly thereafter, using the GE oscillometric method with appropriate sized cuffs.
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