MONSALUD,CAURRINE M.
BSN-2C
Appropriate technologies to improve the delivery of care to pregnant
mother, newborn and adolescents
For pregnant mothers:
Playback Health is a secure, HIPAA-compliant, cloud-based multimedia platform that delivers video highlights
of physician-patient encounters to patients' smartphones or computers, capturing physicians' explanations of
diagnoses, treatments, and procedures, as well as diagnostic images. Patients especially mothers can review the video
and images through an app, which includes other features such as a list of care team members and patient
responsibilities. Patients can share this information with family members, other providers, and friends. There is no
charge to the patient for the app.
Spire Health Tag, a wearable device the size of a key fob, measures patients' breathing, heart rate, sleep, and
movement, and conveys data to a clinician-monitored dashboard or a smartphone. This remote patient-monitoring
solution can be attached to clothing such as undergarments, requires no recharging, and survives accidental damage,
such as cycles through the washer and dryer. While worn, Health Tag collects and analyzes data, and uses artificial
intelligence (AI) to detect physiological patterns that are early warning signs of problems or illness.these includes
children, adults, elderly, Pregnant women to use.
MONSALUD,CAURRINE M. BSN-2C
A toco transducer, or simply toco, is a device used to detect and monitor the changes in your patient’s
abdomen during a contraction. It records how frequent the contractions happen and how long they last.
Vacuum.If your patient is having
a hard time pushing the baby out, a vacuum extractor may be necessary. This is a small suction cup that is placed on top
of the baby’s head. When a contraction comes, the doctor will slowly pull the baby out with the device as the mother
gently pushes.
An ultrasound machine is not a treatment for any condition, but
is performed only for diagnostic purposes. Ultrasounds are considered part of routine maternal-fetal care. The
benefits of having a diagnostic ultrasound in pregnancy are numerous. It can confirm the presence of a fetal
heartbeat, detect the presence of multiple babies, monitor the baby’s growth, detect some, but not all, birth defects,
establish an accurate due date, evaluate placental function and position, evaluate amniotic fluid volume, and fetal
presentation.
MONSALUD,CAURRINE M. BSN-2C
For newborn:
Respirator or mechanical ventilator. This machine helps babies who can't breathe on their own or who need
help taking bigger breaths. High frequency ventilators give hundreds of very fast puffs of air to help keep a baby's
airways open. Ventilators can also give extra oxygen to the baby.
Continuous positive airway pressure (CPAP). Through small tubes that fit into the baby's nostrils, called nasal
CPAP, this machine pushes a continuous flow of air to the airways to help keep tiny air passages in the lungs open. CPAP
can give extra oxygen as well. It may also be given through an ET tube.
Extracorporeal membrane oxygenation (ECMO). This is a special treatment for babies with respiratory disease
that does not respond to maximum medical care. With ECMO, blood from the baby's vein is pumped through an artificial
lung where oxygen is added and carbon dioxide is removed. The blood is then returned back to the baby. ECMO is only
used in specialized NICUs.
MONSALUD,CAURRINE M. BSN-2C
Heart or cardiorespiratory monitor. This monitor displays a baby's heart and breathing rates and patterns on a
screen. Wires from the monitor are attached to adhesive patches on the skin of the baby's chest, and abdomen.
Blood pressure monitor. Blood pressure is measured using a small cuff placed around the baby's upper arm or
leg. Periodically, a blood pressure monitor pumps up the cuff and measures the level of blood pressure. Some babies
need continuous blood pressure monitoring. This can be done using a catheter (small tube) in 1 of the baby's arteries.
MONSALUD,CAURRINE M. BSN-2C
A temperature probe is placed on the baby's skin with an adhesive patch. A wire connects the temperature
probe to the overhead warmer (or incubator) to help regulate the heat needed to keep the baby warm.
The fetal monitor. Along with your bed, your IV pole, and your blood pressure equipment, most labor and
delivery rooms house a bedside fetal monitor that attaches to the mother's belly to monitor contractions and the
baby's heart rate. One note: Be careful about watching those contractions on the screen -- they're usually external
monitors that measure the rate and rhythm of your contractions and can't tell you the true intensity, so what looks
like a "small" contraction on the screen might feel a bit more intense! The fetal monitor also usually houses a
computer where your nurse will input vital medication information to keep track of your labor's progress.
An incubator (or isolette or humidicrib) is an apparatus used to maintain environmental conditions
suitable for a neonate (newborn baby). It is used in preterm births or for some ill full-term babies. There is additional
equipment used to evaluate and treat sick neonates.
MONSALUD,CAURRINE M. BSN-2C
For adolescents :
Vision Screener plusoptiX S16 for those practices who wish to photoscreen children in a dedicated “screening”
room rather than bring a mobile screener into the exam room with the patient. The S16 features a handheld screener
tethered to a base (a computer in disguise) that is connected to a monitor, mouse, and keyboard (all not included).
The user interface is easy to navigate and one can print results via any network-connected printer.Plusoptix also
recently implemented a universal printer driver for Windows computers called plusoptiXconnect that facilitates
sharing your findings with patients.
Blood Glucose monitoring using digital tattoos looks to be a great solution to spare patients-both adult and
children-the discomfort of monitoring glucose. Researchers have developed an amazing electronic skin patch
(graphene patch) that detects a higher than normal level of glucose in the patient’s sweat.
MONSALUD,CAURRINE M. BSN-2C
The CHAMP App is a cutting edge PC tablet-supported application that simplifies at-home monitoring. This
device is tailor made for families of children born with a single ventricle heart defect. This app is the first to offer
effective inter-stage monitoring. Parents and medical teams are able to “track everything from the child’s oxygen
saturation levels to nutritional intake”.
The first double hand transplant on a pediatric patient: the advance of technology has enabled more complex
surgery – changing the lives of the children that need it. The world’s first hands transplant was performed on an 8
year old child. This enabled him to fulfil his dream of swinging a baseball bat for the first time with two functional
hands. This research and procedure was a successful collaboration involving the Children’s Hospital of Philadelphia and
Penn Medicine.
Cloud based Technology Thermometer: New cloud based technology is becoming increasingly popular these
days. The CliniCloud system developed in San Francisco, California includes a wireless thermometer and a stethoscope
MONSALUD,CAURRINE M. BSN-2C
that attaches to a smartphone. Parents are able to create a record of their child’s temperature and breathing sounds
from four places on the chest. These outcomes can be sent using a portal to their physician. Their physician can access
these recordings and make recommendations of what further action should be taken.
The new D-Eye and PEEK Phone Technology a device that is transforming the practice of pediatricians and their
patients. This technology enables the physician to accurately visualize the retina and optic disk and make an accurate
diagnosis of potential retinal hemorrhages or papilledema. Another similar device is called PEEK Retina (created by
Peek Vision London). This device was created by a team of interdisciplinary ophthalmologists, engineers and optics
experts from London’s Moorfield Eye Hospital.T
