Memo for a measurement on ANESA

MEMO FOR MEASUREMENT ON ANESA ANALYZER

Main points before measurement

  1. Supine position  is recommended for a patient during measurement.
  2. A patient must be placed in an area where isn’t direct airflow from conditioner or open window, door etc.
  3. Any perfumes, deodorants or cosmetics must be removed from the skin surface, where the sensors will be placed.

Main points during measurement

  1. Connect the cable (cables) with microprocessors to the device, then connect the device to PC
  2. Run program USPIH,
  3. Add a new patient into database or choose the patient from database (if this is not the first visit).
  4. Place five microprocessors (hereinafter “sensors”) on the "reference" points (microprocessors must be cleaned after each measurement with alcohol wipes)

- Blue sensor – Left Carotid Artery (LCA)

- Green – Right Carotid Artery (RCA)

- Yellow – Left Axillary Crease (LAC)

- Violet  – Right Axillary Crease (RAC)

- Red – Abdominal area (ABD)

  1. Process of measurement usually takes 360 seconds (such period of time is used on default). It can be changed during examination to bigger or shorter one, if it is necessary.
  2. During examination a doctor need to control the process of temperature’s changes. TEMPERATURE figures MUST NOT GO DOWN! All the time temperature figures should go up or remain stable. If it happens that any figure goes down, a doctor needs to check the placement of the sensor, because the contact between the sensor and skin is not good/lost.
  3. Visual indicators that can help to determine if the temperature on sensors is stabilized or not are shown on the picture.

 

Color fields below the temperature figures of each area can change their color from red to yellow and then to green. At the beginning of the measurement indicators are red. After 30 seconds the program proceeds to analyze the temperature stabilization. As the temperature is about to stabilize, the color indicators vary from yellow to green. Pure green color means the temperature on the sensor is stabilized: temperature figure is not changed by more than 0.15 C.

 

RCA-LCA– indicator of the difference between left and right carotid artery bifurcation temperatures;

RAC-LAC - indicator of  the difference between left and right axillaries’ temperatures.

Indicators RCA-LCA and RAC-LAC show the temperature difference between bifurcation points of left and right carotid arteries and between left and right armpit accordingly. The difference should not exceed 0.5 C.

These are two main indicators by which a doctor may decide to complete the measurement, or to continue the measurement on a larger interval.

If the difference does not exceed 0.5C and temperature of the sensors (including sensor of abdominal area!) stabilized, the indicator is green, otherwise - red.

Sometimes the difference can be bigger than 0.5C. But it is typically for special pathologies, which are described during training courses. In such situation, a doctor need ensure that all sensors are right placed or even replace them. Then he/she makes one more measurement and recommends proper special tests and examinations (as confirmation) in case both received results are similar.

  1. During the measurement there is a "floating window" on the graph, which illustrates changes in each temperature value. The window has a red border if the stabilization of temperatures is not reached. After reaching stabilization a window becomes green.

 

  1. If a doctor have any doubts about results in a report, it is better to check the position of sensors and repeat the test.

More details can be found in the User’s Manual, chapter “Working with the software”