Chapters Transcript Video Anorectal Manometry Analysis using GIM-6000D This tutorial will describe how to open an acquired study in the BioVIEW® Software, open a measurement and analyze the data, and generate the report. anal rectal Manama Tree Analysis tutorial. This tutorial will guide you through the analysis of an annual rectal Manama tree procedure, using either a solid state water perf used or air charged catheter. Upon completion of this tutorial, the participant will be able to describe how toe open an acquired study in analysis, view. Describe how toe open a measurement and analyze the data. Generate a report after reviewing the findings, it is important to review the tools available for editing in bio view analysis prior to editing the study. The icons Air grouped according to their purpose application icons include the ability to open additional studies from the folder icon, save editing changes, undo a change or redo a change or print. The navigation icons will make it easy to move forward or back on the tracing, either one page at a time or from event to event or measurement to measurement. The study viewing icons allow you to magnify an area of the study on either the X or y axis or both, or to quickly return to Uran magnified view. The time range box will be used to open the study in smaller segments. The study editing icons provide you with tools such as the analysis tool, which, when activated, will display the measurement points and results. With these tools, you can create additional events or measurements in your study. The display icons provide different ways to view the study, such as utilizing sink view, which provides a graphic display of the pressure activity over a selected area. In addition to the toolbar icons, the View menu offers different methods to view the screen. Functions under the word analyzed include the Elektronik ruler to measure way forms and data points manually. When the study is open, the computer will automatically analyze all measurements. But if you choose to have the computer reanalyze all measurements select, analyze all measurements. Note that any user directed editing will be lost and the measurements will be re analyzed by the computer. If using this function. To reanalyze the selected measurement, select analyze selected measurement. Set default marks allows the user to set analyze marks if needed. The onset and end marks or vertical lines and the amplitude or relaxation marks or than X will need to be manually edited by the user. View Data table opens the data spreadsheet of all calculated values for each study section. Functions under the report option allow the user to either create a report. If no previous report has been created, this will be the only option available at that time. A new report should be created if there has been any changes in the editing of the study. If a report exist, view Edit report will be highlighted and can be used as an option. Use this option if you need to edit any of the patient information on the report. The View Edit report function will not re calculate any values based on editing changes. Delete Report will delete the current report to open the analysis software. Double click on the sandhill application's icon on the desktop. Double click on either bio view analysis or at the analysis icon. Depending on your version of software, click on the file in the top left of the screen. The patient file will be found in the following path. See sandhill patients anal rectal. The entire study is displayed on the screen. A general impression can often be made from this display. The study can be magnified into its individual parts for editing and printing or the time range can be set to a smaller window for easy viewing. The access magnifier is used to zoom in on specific areas of the study. Click and release on this axis magnifier in the toolbar. This will activate the magnifier, Move the cursor onto the way form and the cursor will become a magnifying glass with two vertical lines left, click and drag left to right across the area. This view displays the entire resting study. This area should include the rectal baseline measurement at six centimeters and extend to the anal verge at zero centimeters. Open the study to the rectal baseline measurement. Adjust the baseline so that all channels air on the zero access before evaluating the measurement. If a channel is off zero access, click and drag the zero access line to the way form. When the cursor is placed on the zero access, it will change into a double black arrow left click and drag it up to the wave form mine. If changes air made to this measurement, you will then need to select, analyze and then select Analyze all measurements so that future measurements will reflect this new baseline. Adjust the range for the way forms, if necessary, toe optimally visualize each way form within its graft. Review the resting pull through to check for accuracy of the catheter depth annotations and measurement areas. Correct catheter depths by double clicking on depth event and changing depth appropriately within the editing window. The measurement areas should reflect a stable resting pressure free of any motion artifact. To move the measurement box, place the cursor on the edge of the box. The cursor will change to a dashed box with a double arrow click and drag each side of the box to the desired area. On the study. Evaluate the data in the analysis box. Activate the analysis icon by clicking on it. Check each resting measurement for cursor accuracy. The horizontal bar should be at the resting pressure. Save the changes in print. The Resting study strip chart. If desired, click on screen to print the actuals tracing displayed on the screen. Click on fit to page, then click OK. Next. Magnify the squeeze study. This area should encompass the squeeze area from five centimeters toe one centimeter. Review the squeeze study for catheter depth accuracy and ensure the measurement encompasses the squeeze effort. Click on the analysis icon and check each squeeze measurement for cursor accuracy. The uppermost horizontal line in each channel reflects the resting pressure before the increased squeeze pressure. This horizontal cursor requires placement on the resting pressure wave form. Moving this resting pressure bar will change. Squeeze value. The bottom horizontal line in each channel reflects the rectal baseline. Review each squeeze measurement, making adjustments of the horizontal resting baseline cursor as necessary. This squeeze pressure after editing reflects the true change in pressure over rusting pressure. Save your changes in print. The squeeze Study Strip chart, if desired, Magnified Squeeze Duration Measurement area by using the access magnifier to enlarge the squeeze. Duration. Edit. The cursors is necessary. Left vertical cursor is placed at the onset of the squeeze. Contraction and the right vertical cursor is placed where the squeeze fatigues at 50% of the initial squeeze pressure save and print the duration strip chart, if desired. Next magnify the rare study. This is the area of increasing volumes of rectal balloon inflations starting at 10 ccs. Ensure each measurement encompasses the internal anal sphincter relaxation and that the balloon volume and sensation responses annotated correctly enlarge or move the measurement if necessary. Check annotation of sensory response, adding a positive or negative sensation annotation if needed by clicking. Once on the study, a flashing reference line will appear. Click on the create event button in the toolbar. Click on the down arrow next to the name and name the event. Positive sensation. Click OK measurement cursors air placed with the horizontal bar at the resting pressure and an ex at the the deer or a low point. Sometimes the horizontal resting pressure measurement cursor requires slight adjustment to accurately reflect the resting pressure before the internal anal sphincter relaxation, click and drag the horizontal line Appropriately. Editing this cursor will ensure correct percentage of relaxation. A positive rare is relaxation greater than 15% save and print. The rare strip chart. If desired, magnify the to push measurements using the access magnifier. The push responses normally a qualitative measurement and can be recorded simply as increase decrease or no change in pressure. A normal response is a decreased pressure. Adjust the horizontal cursor to the push and a deer. If you desire quantitative measure, compare this value to resting pressures at this probe. Depth normal value is less pressure than the resting pressure. Print the push strip chart, if desired, magnified this slow inflation sensation. Study. This area includes the beginning of the inflation and includes the first sense urge and maximum tolerated volume annotations. Check the accuracy of the volume imitations for first sense urge and maximum tolerated volumes. To edit an event mark, place the cursor on the event line. On this study, the cursor will change to a double black arrow and double click. A change event dialog box will open. Change the name of the event or the volume as needed. Click okay to make the change. Magnify the rectal compliance study area to include all the rectal inflation's from 50 to 200 CCS. Assess the measurement areas that each inflation measurements should be in the Stimulation Balloon channel on Lee Measurement should start 30 seconds after the inflation To measure. Interrupt all pressure after giving the rectum time to accommodate the volume. Assess that balloon volume Annotations are correct. Save the changes in print district chart if desired. The Anal Rectal man ometer report displays several data display options. You may select the desired data in your report. The report will default to these selections on subsequent reports. The following are common data selections to include in the report under tables include a table of resting, maximum voluntary contraction and squeeze tables for profile. Select sphincter length average squeeze duration for linear plots include rest and maximum voluntary contraction and for vector plots include resting pressure and maximum voluntary contraction. Thes air Common selections for the rare and sensation reporting for rare enable your rare positive and rare negative table, as well as the table of percentage of drop for sensation enable First sense urge maximum tolerable volume and show the normals. These air common selections for the compliance report enable the rectal compliance table the plot and show normal values. The report is a word document. Add or delete text as desired, then printer report. Created by
