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9: Surely air perfusion gives an unreliable pressure recording?
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Yes, if you want
to measure pressure accurately, as air is
too compressible to transmit large pressures
faithfully to an external transducer.
For swallow monitoring though, all that is
needed is recognition of the occurrence of
a pharyngeal pressure wave. Our unique air
perfusion feature, developed by us, detects
pharyngeal peristalsis and is the best way
to monitor swallowing. |
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10: How do I change to different perfusion rates for different
applications? |
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Just by changing
to a different set of hydraulic resistors,
the standard resistors being colour coded
for the perfusion rate they deliver. The compact
resistors have their flow rate engraved on
them. The design of Dentsleeve
pumps makes it very simple to change resistors,
which is also important for infection control.
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11: Other pumps just provide one perfusion rate of 0.6ml/min.
Why do Dentsleeve pumps come with such a wide
choice of perfusion rates?
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This may seem an
unwelcome complexity, but this unique feature
ensures that your Dentsleeve
pump is versatile and tailored to your needs.
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12: Why is it sensible to provide a range of hydraulic
resistors with different perfusion rates? |
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For some uses of
perfusion manometry, such as studies in children
and neonates, much smaller diameter manometric
channels are used which require low perfusion
rates. This has two major advantages:
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Very small overall
diameter catheters can be used, giving
much better tolerance of the procedure. |
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The child, infant
or neonate does not receive an excessive
fluid load. |
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13: I don't care how much water is being perfused, why can't I
just use standard resistors which give a perfusion
rate of 0.6ml/minute for all applications?
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Use of this flow
rate for smaller diameter manometric channels
(less than 0.6mm) generates a very high back
pressure because of the resistance of the
manometric channel to such a relatively high
flow rate.
This makes it impossible to make technically
adequate pressure measurements with both the
sleeve and sideholes.
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14: Why can't I adjust the perfusion rate by varying the pump
driving pressure (the pressure applied to
the perfusate reservoir)? |
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This can be done,
but only over a narrow range. If the pump
driving pressure is set below 10 psi/67 kpa,
measurement accuracy is unacceptably impaired.
At 10 psi/67 kpa, a 0.6ml/min resistor delivers
0.4ml/min, still at least 6 times higher than
is appropriate for the micro-manometric recording
channels used mainly in children and infants.
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15: What is the best choice of hydraulic resistor flow
rate? |
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This is very simple
for most users, as clinical manometry is done
with catheters that have standard sized manometric
channels, which need a standard perfusion
rate of 0.6ml/min.
More specialised applications of manometry
may use smaller diameter manometric channels
which require resistors that give a lower
flow rate.
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16: What is routinely included with each pump supplied
by Dentsleeve? |
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Essentially everything
that is needed to do manometry, apart from
catheters and the air supply system which
are ordered separately.
We also do not supply transducers, but tailor
the transducer bar to suit a particular transducer
type.
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