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Telehealth participants in Cornwall and Kent received a home monitoring system comprising a base unit (the Tunstall RTX 3370 or the Viterion V100 respectively), which is a small device with an LCD screen and response buttons to allow navigation of symptom questions and educational messages to be transmitted to participants, together with up to four peripheral monitoring devices.
In Newham, telehealth participants received the Philips Motiva Personal Healthcare System comprising a set top box that connects to a television allowing symptom questions, educational videos and a graphical history of recent clinical readings to be accessed via a dedicated channel, plus an equivalent range of peripheral monitoring devices.
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The social cues are displayed in the Glass's peripheral monitor (as audible words, emoticons, or both, depending on the feedback selection) and the audio cues use Glass's bone-conduction speaker.
Oxygen status is commonly monitored noninvasively by peripheral saturation monitoring (SpO2).
Thus, peripheral perfusion monitoring appears as a simple but powerful tool to assess global resuscitation status and outcome.
The fundamental challenge is the validation of low-cost peripheral perfusion monitoring tools that can be readily available worldwide.
Nevertheless, the true clinical usefulness of peripheral perfusion monitoring can be supported only if it can be used to guide therapy to change outcome.
The report in a previous issue of Critical Care by He and colleagues on two techniques for peripheral perfusion monitoring adds new insights into this topic [ 1].
We inferred that peripheral circulation monitoring could provide useful information to determine the causes of hyperlactatemia (perfusion-related or non-perfusion-related hyperlactatemia) in critically ill patients.
Its importance will be affirmed if peripheral perfusion monitoring during shock resuscitation becomes routine, and if the critical values defined in this paper are validated by further study.
The persisting challenge is the validation (effect on outcome parameters) of peripheral perfusion monitoring tools that can be simple and readily available worldwide.
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