NIPE Monitor V1 - Continuous monitoring system of comfort
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discomfort for newborn infants
MD/PRD/IN16.NIPEV1 v.10 - 12 MAR 2020
16
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Check the connection of the cable between the monitor and the multi-parameter
monitor.
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Try at least one time to disconnect and plug again the connection between both
monitors to get back a correct ECG signal.
Case n°2 – Medium quality signal:
When the quality signal is medium, it is to warn the user that the signal quality may become
bad soon.
Case n°3 – Poor signal quality
: The indications provided by the monitor can’t be taken in
account if the signal quality reported by the monitor is bad (red colored indicator).
In that case, the NIPE index is not displayed anymore, the curve is not dawned anymore and a
message “poor signal quality” appears in the middle of the screen to warn the user.
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Select the button
“Auto Gain”
in the bottom right hand corner of the screen to
recalibrate automatically the acquisition of the ECG signal.
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If the signal quality is still medium or poor, choose another ECG lead (on the multi
parameters monitor). Finally, check the good position of the electrodes and their
adhesion on the skin. Stick them again or change them if it is necessary.
6.2
NIPE index
A continuous indicator is displayed reflecting the patient parasympathetic tone (each
elementary measure has been realized on 64 seconds with 1 second of sliding window). A
calculation is realized every second then averaged within a “short” period and a “long”
period. The monitor displays in blue the NIPE averaged over 20 minutes (long period) and, in
red, the instantaneous NIPE when it falls suddenly (significant of the answer to a painful or
stressful stimulus). See figure 9.
