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使用带有三通旋塞的Planecta™端口对血压传感器套件固有频率的影响。

Effect of using a Planecta™ port with a three-way stopcock on the natural frequency of blood pressure transducer kits.

作者信息

Fujiwara Shigeki, Tachihara Keiichi, Mori Satoshi, Ouchi Kentaro, Yokoe Chizuko, Imaizumi Uno, Morimoto Yoshinari, Miki Yoichiro, Toyoguchi Izumi, Yoshida Kazu-Ichi, Yokoyama Takeshi

机构信息

Department of Anesthesiology, Graduate School of Dentistry, Kanagawa Dental University, 82 Inaoka-cho, Yokosuka-shi, Kanagawa, 238-0003, Japan.

Department of Dental Anesthesiology, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.

出版信息

J Clin Monit Comput. 2016 Dec;30(6):925-931. doi: 10.1007/s10877-015-9795-3. Epub 2015 Oct 14.

DOI:10.1007/s10877-015-9795-3
PMID:26467334
Abstract

Blood pressure transducer kits are equipped with two types of Planecta™ ports-the flat-type Planecta™ port (FTP) and the Planecta™ port with a three-way stopcock (PTS). We reported that FTP application decreased the natural frequency of the kits. However, Planecta™ is an invaluable tool as it prevents infection, ensures technical simplicity, and excludes air. Hence, an ideal Planecta™ port that does not decrease the frequency characteristics is required. As a first step in this direction, we aimed to assess the influence of PTSs on the natural frequency of blood transducer kits. A DTXplus transducer kit (DT4812J; Argon Medical Devices, TX, USA) was used along with ≥1 PTSs (JMS, Hiroshima, Japan), and the frequency characteristics were assessed. The natural frequency and damping coefficient of each kit were obtained by using frequency characteristics analysis software, and these parameters were evaluated by plotting them on Gardner's chart. Regardless of whether one or two PTSs were inserted, the natural frequency of the kits only slightly decreased (from 42.5 to 41.1 Hz, when 2 PTSs were used). Thus, the frequency characteristics of the kits with PTSs were adequate for pressure monitoring. The insertion of ≥2 FTPs in pressure transducer kits should be avoided, as they markedly decrease the natural frequency and lead to underdamping. However, the effect of PTS insertion in pressure transducer kits on the frequency characteristics is minimal. Thus, we found that the use of PTS markedly improved the frequency characteristics as compared to the use of FTP.

摘要

血压传感器套件配备了两种类型的Planecta™端口——扁平型Planecta™端口(FTP)和带三通旋塞的Planecta™端口(PTS)。我们曾报道,应用FTP会降低套件的固有频率。然而,Planecta™是一种非常有价值的工具,因为它能预防感染、确保技术操作简便且能排除空气。因此,需要一种不会降低频率特性的理想Planecta™端口。作为朝这个方向迈出的第一步,我们旨在评估PTS对血液传感器套件固有频率的影响。使用了一个DTXplus传感器套件(DT4812J;美国德克萨斯州的氩气医疗设备公司)以及≥1个PTS(日本广岛的JMS公司生产),并对频率特性进行了评估。通过使用频率特性分析软件获得每个套件的固有频率和阻尼系数,并将这些参数绘制在加德纳图表上进行评估。无论插入一个还是两个PTS,套件的固有频率仅略有下降(使用2个PTS时,从42.5赫兹降至41.1赫兹)。因此,带有PTS的套件的频率特性足以用于压力监测。应避免在压力传感器套件中插入≥2个FTP,因为它们会显著降低固有频率并导致欠阻尼。然而,在压力传感器套件中插入PTS对频率特性的影响最小。因此,我们发现与使用FTP相比,使用PTS能显著改善频率特性。

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Effect of using a Planecta™ port with a three-way stopcock on the natural frequency of blood pressure transducer kits.使用带有三通旋塞的Planecta™端口对血压传感器套件固有频率的影响。
J Clin Monit Comput. 2016 Dec;30(6):925-931. doi: 10.1007/s10877-015-9795-3. Epub 2015 Oct 14.
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引用本文的文献

1
Influence of the marvelous™ three-way stopcock on the natural frequency and damping coefficient in blood pressure transducer kits.Marvelous™ 三通旋塞对血压传感器套件固有频率和阻尼系数的影响。
J Clin Monit Comput. 2018 Feb;32(1):63-72. doi: 10.1007/s10877-017-9979-0. Epub 2017 Jan 10.
2
Journal of Clinical Monitoring and Computing 2016 end of year summary: cardiovascular and hemodynamic monitoring.《临床监测与计算杂志》2016年年终总结:心血管与血流动力学监测
J Clin Monit Comput. 2017 Feb;31(1):5-17. doi: 10.1007/s10877-017-9976-3. Epub 2017 Jan 7.
3
Frequency characteristics of pressure transducer kits with inserted pressure-resistant extension tubes.

本文引用的文献

1
Effect of planecta and ROSE™ on the frequency characteristics of blood pressure-transducer kits.行星(Planecta)和ROSE™对血压传感器套件频率特性的影响。
J Clin Monit Comput. 2015 Dec;29(6):681-9. doi: 10.1007/s10877-014-9650-y. Epub 2014 Dec 17.
2
Dynamic response of liquid-filled catheter systems for measurement of blood pressure: precision of measurements and reliability of the Pressure Recording Analytical Method with different disposable systems.充液导管系统测量血压的动态响应:不同一次性系统的压力记录分析方法的测量精度和可靠性。
J Crit Care. 2011 Aug;26(4):415-22. doi: 10.1016/j.jcrc.2010.08.010. Epub 2010 Oct 30.
3
带有插入式耐压延长管的压力传感器套件的频率特性
J Clin Monit Comput. 2017 Apr;31(2):371-380. doi: 10.1007/s10877-016-9854-4. Epub 2016 Mar 5.
Recommendation of a clinical impulse response analysis for catheter calibration-dumping coefficient and natural frequency are incomplete parameters for clinical evaluation.
关于导管校准的临床脉冲响应分析的建议——倾倒系数和固有频率是用于临床评估的不完整参数。
J Clin Monit Comput. 2006 Feb;20(1):37-42. doi: 10.1007/s10877-005-9008-6. Epub 2006 Mar 7.
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Evaluation of dynamic performance in liquid-filled catheter systems for measuring invasive blood pressure.用于测量有创血压的充液导管系统的动态性能评估。
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Direct blood pressure measurement--dynamic response requirements.直接血压测量——动态响应要求。
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An evaluation of blood pressure measurement.血压测量的评估
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7
Microbial contamination of arterial infusions used for hemodynamic monitoring: a randomized trial of contamination with sampling through conventional stopcocks versus a novel closed system.用于血流动力学监测的动脉输液的微生物污染:一项关于通过传统旋塞阀采样与新型封闭系统采样污染情况的随机试验。
Infect Control Hosp Epidemiol. 1989 Dec;10(12):557-61. doi: 10.1086/645951.