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News & Views January 2014 Welcome to the first edition of the SCT newsletter. Our intention is to provide useful, educational and relevant information to In This Issue Advances in Neonatal Transport Advances in Nebulisation assist you in the care of your patients. Sometimes this will be based upon product information (what’s new, different uses of existing products, etc…) but hopefully more often than not we aim to provide an open forum where successful practices from one centre can be shared with others for the benefit of patients, carers, therapists, and all those charged with the responsibility of providing excellent care in a financially challenging environment. About Us SCT is a growing UK company which is focused on providing quality, unique solutions (devices and consumables) to the NHS and affiliated medical markets. Our service is based upon two important principles: 1) We are committed to providing products, support and education which will improve patient care; 2) We are very cognisant of the current financial climate within which our health system must operate – as such, providing economic value to our customers is of paramount importance. These two guiding principles have become our mantra – Better Care … Lower Costs. For more information about anything in this newsletter, including copies of publications referenced or product brochures please contact us on 01295 264 875, or email us: [email protected]. 1|Page Advances in Neonatal Transport Providing adequate heat and humidification of inspired gases when transporting critically-ill neonates has long been a challenge. A recent publication concluded that “babies on humidified CPAP had better temperature control during transport” (Braithwaite et al, Infant; vol. 8, iss. 3, pp 82-85; May, 2012). However, the various means of providing heat and humidification have had to be modified from clinical applications to meet the needs of the transport environment. HMEs are relatively simple to use, but are not as effective as active humidification. Active humidifiers which use a water-filled chamber must be secured below the level of the patient (so no water gets into the circuit during transport). More importantly, auto-fill lines are not used – this changes the compressible volume in the chamber during transport; not much of an issue with adult populations, but possibly very significant with neonates. TM Neo-Pod T The Neo-Pod T (SCT) overcomes many of these pre-existing limitations. The key to the device is the unique “Lavabed” technology (blue box in the picture above) – inside the Lavabed are numerous heated metal coils, and surrounding these coils is a porous cloth type material. When water is put into the Lavabed it is soaked up by the cloth, which is also heated by the heater coils. Because the cloth soaks up the water, there is no water to “slosh” around during transport. The other key is positioning – the Lavabed is placed inside the incubator. The temperature of the Lavabed is set on the Neo-Pod T controller, which includes a servo mechanism to keep the Lavabed temperature constant. By setting the Lavabed to the same temperature as the incubator, you ensure there is no rain-out in the circuit. Importantly, this means than lowercost standard circuits can be used (instead of the more expensive heated-wire circuits). Finally, when using the Neo-Pod T there is no change in compressible volume so it provides Better Care… at Lower Costs! “We chose the Neo-Pod T for heat and humidification in our ventilator circuits because it is the only active humidification system specifically designed for neonatal transport applications”. Dr. Charlotte Bennett, Consultant Neonatologist, Oxford New – Pick O2 Analyser for Transport Applications The Pick O2 Analyser (SCT) is a compact, lightweight and easy to use O2 analyser designed for applications where you need instantaneous, continuous measurement of your patient’s FiO2. At roughly 1/8th the size of normal analysers it is ideal for transport applications where space is always a premium. Simple one touch calibration in ambient air and you’re ready to go. Provides continuous measurement from 0-99% O2 in an in-line, compact device that is space-saving as well as cost-saving. “The Pick O2 analyser is brilliant – it’s very small yet has a clear display and is easy to use!” Children’s Acute Transport Service (CATS), London 2|Page Advances in Nebulisation Circulaire II Hybrid We are pleased to announce the introduction of a new nebuliser that is already providing superior therapy to both home and hospital-based patients in the UK – the Circulaire II Hybrid! The C2 Hybrid combines the clinically proven advances of a reservoir system (Circulaire II) with a new elastomeric reservoir ball. A recent study has shown that over a 6 minute treatment, the C2 Hybrid produced an average of 74.2% more inhaled aerosol than 5 other major competitors (see graph). In addition to providing better therapy, the C2 Hybrid also incorporates an expiratory filter, making it safer for staff and carers, as well as a built in PEP valve, allowing for simultaneous aerosol and PEP treatments. Finally, the reservoir ball can be easily cleaned between treatments, making it suitable for use with “sticky” aerosol medications. The Highest Fraction of Inspired Aerosol in the Industry For more information about anything in this newsletter, including copies of publications referenced or product brochures please contact us on 01295 264 875, or email us: [email protected]. 3|Page