Health Devices. 1992 Oct;21(10):374-9.
The primary purpose of apnea monitoring is to ensure adequate warning of certain life-threatening respiratory and cardiac events, often in infants monitored at home. However, parents often become frustrated by frequent alarms, and other may not use the monitor at all. Unfortunately, ECRI has received a number of incident reports in which infants have died while not connected to their monitors or where a failure to monitor was suspected. We believe that some of these deaths may have been prevented if monitoring had been used properly. The most important step that parents can take to achieve effective monitoring is to faithfully follow the directions of their doctor. In an effort to ensure parental compliance, documentation capability has been added to many of today's monitors. In addition, those involved in providing patient care, especially the prescribing physicians, durable medical equipment (DME) providers, report scorers, interpreting physicians, and other clinicians, should carefully review their monitoring programs and the available documentation monitoring systems to determine how they can best meet their patients' needs. Below, we discuss the factors to consider when contemplating documented apnea monitoring and when selecting a documented monitoring system. The documentation features discussed are those we considered to be distinguishing factors among the systems evaluated in this issue and affected how we rated and ranked these units.
呼吸暂停监测的主要目的是确保对某些危及生命的呼吸和心脏事件有足够的预警，这通常针对在家中接受监测的婴儿。然而，家长们常常因频繁的警报而感到沮丧，其他一些家长可能根本不使用监测仪。不幸的是，美国医疗保健研究与质量机构（ECRI）收到了多起事件报告，其中婴儿在未连接监测仪时死亡，或者怀疑存在监测失败的情况。我们认为，如果正确使用监测仪，其中一些死亡可能是可以避免的。家长们为实现有效监测所能采取的最重要步骤是忠实地遵循医生的指示。为确保家长遵守规定，如今许多监测仪都增加了记录功能。此外，参与提供患者护理的人员，尤其是开处方的医生、耐用医疗设备（DME）供应商、报告评分员、解读医生和其他临床医生，应仔细审查他们的监测计划和可用的记录监测系统，以确定如何能最好地满足患者的需求。下面，我们将讨论在考虑有记录的呼吸暂停监测以及选择有记录的监测系统时需要考虑的因素。所讨论的记录功能是我们认为在本期评估的系统中具有区别性的因素，并且影响了我们对这些设备的评级和排名。
