In the early 1800s, pre-anesthesia, undergoing surgery was one of the most excruciating experiences imaginable. Without painkillers and often while wide awake, surgery patients were commonly restrained by six hospital aids. The pain from the experience often caused permanent psychological trauma, almost all went to great lengths to avoid it.
This changed on October 16, 1846. Spurred by dentist William Morton’s experimental—and reportedly painless—tooth extraction utilizing an inhalable gas called “ether,” Dr. John Warren put it to the test in surgery at the operating theatre of Massachusetts Hospital. Instead of the usual writhing and screams of pain, attendees witnessed a wholly silent and still operation. Many thought it miraculous.
The success of ether ushered in a new era of patient care. But how did it work? We’re still uncovering what happens to the brain during anesthesia.
“You’d think that something that’s been around since 1846 would be hammered out solid. But it’s still almost a philosophical kind of mystery,” said science writer and columnist Carl Zimmer on a Radiolab podcast episode called “Decoding the Void.”
Around 2010, biomedical engineer Patrick Purdon and his Harvard colleague Emery Brown conducted an experiment to find out what happens to the brain when the consciousness “switch” flips after anesthesia. They measured subjects’ brainwaves and had them click a button each time they heard a sound, issuing propofol every 15 minutes. Right before subjects lost consciousness, a wave of electricity swept across the brain. Then, just slow, low frequency oscillations coupled with one high frequency wave at the front of the head.
Conscious brains, even when dreaming, show incessantly firing connectivity and chaos, Purdon said. With anesthesia, the connectivity went away. Due to the rhythms of the waves, thoughts were being fired by neurons in the patient’s brain, but they were not being received, or understood, by the other neurons.
What this says about the nature of consciousness is still food for thought. But we can conclusively say that the introduction of anesthesia has allowed patients peace and comfort during operations that would have been unthinkable nearly 180 years ago.
Increased knowledge has further refined anesthesia administration to reduce the risk of “anesthesia awareness” during procedures. Product innovations include Anestand, a customizable anesthesia workstation that keeps supplies handy and helps prevent infections. For pediatric patients, PeDIA is a balloon that a child breathes in to induce sleep rather than being forced to submit to an unfamiliar mask, “turning panic into play.”
Of course, making it all possible are the stars-behind-the-scenes: the anesthesia providers dedicated to improving patients’ physical and emotional wellbeing.
Sunset Healthcare Solutions is making treatment more accessible to more patients with a new selection of ventilator circuits. Introducing the great value non-heated circuits for Respironics Trilogy and heated circuit for Fisher & Paykel MR850. Non-heated circuits come in adult and pediatric sizes, and active and passive configurations. See Sunset’s complete line of ventilator circuits HERE. Contact us for more information at 877-578-6738.
Let CPAP treatment go hand-in-hand with more fun and adventure!
Enjoy more travel, more entertainment and a healthy CPAP regimen with the newest selection of lightweight and portable CPAP batteries. We’ve chosen some of the best options for in-flight use, travel to remote destinations, or just more portable power to brighten up your surroundings.
Portable Outlet 2: a solid choice for travel and more
The Portable Outlet 2 powers every brand and model of CPAP & BiPAP machine without additional adapters (if used in the U.S.). It’s a straightforward option that runs your CPAP device for 10-14 hours in between charging.
With approval from the Federal Aviation Administration (FAA), it’s also cleared for use on airplanes.
The Portable Outlet 2 features an extra USB port so you can simultaneously run your laptop or other electronics while powering your CPAP. Whether you’re in the wilderness or just an unfamiliar room away from home, its digital display and LED power indication meter are easy to navigate and read in the dark.
Choose from several custom add-ons to suit your travel needs. An optional 12-volt inverter charges in your car during a road trip, while the Solar Charger Panel is ideal for more remote travel.
If you’re looking for longer run times, simply link up two Portable Outlet devices for double the battery life!
Zopec: a variety of options and features
Zopec offers several portable batteries, all with connectivity perks. Each model offers slightly different features and run times.
Like Portable Outlet 2, Zopec batteries work with every brand and model of CPAP machines, without additional adapters if used in the U.S.
If you’ll be using CPAP on an airplane, opt for the Zopec Explore 5700. Just like the Portable Outlet 2, the Zopec Explore 5700 is FAA approved. It offers a run time of up to three nights. It also features two USB ports, allowing you to run two devices at once in addition to your CPAP machine.
For maximum charging and longer run times, select the Zopec Explore 8200. Though it’s not FAA approved for use on flights, it is a great option for camping and remote travel, with a run time of up to four nights. The 8200 features two USB ports as well.
Zopec Explore batteries can even run a 55” television.
For the most in connectivity, Zopec Voyage definitely delivers with its Lighting Speed USB-C smart hub. The Zopec Voyage has the capacity to power devices like state-of-the-art TVs, stereos, laptops, video game consoles, and video projectors. It also charges three to four times faster than standard chargers. This multiuse battery is FAA compliant for air travel and has a run time of up to two nights.
Zopec batteries offer an optional solar panel and car charger to replenish battery power when you’re off the grid. Patients can even link up an unlimited number of batteries together for longer use.
Ask your favorite DME for more information
Let one of these portable CPAP batteries make life easier and brighter! Contact your local DME and ask for more information on Portable Outlet 2 and Zopec batteries.
Summer is here! Here are some new products designed to help patients travel easier and faster at the airport, on the road, or off the path.
H2Doze CPAP Water is a great new way to maintain health when traveling with sleep apnea.
Even though most patients know distilled water is essential for CPAP treatment, it’s often hard to find small enough portions when traveling.
Each bottle of H2Doze is labeled so that patients can check it right through airport security. It is cleared by TSA and FAA as medically necessary when accompanied by a CPAP machine.
Patients who travel often may also want to incorporate H2Doze into their regular at-home treatment routine. That way there’s no wasted water to pour out from those gallon jugs!
One 16.9 ounce bottle of H2Doze covers two nights of use.
The new Portable CPAP Battery fits in a handbag or small luggage pocket and has even more capabilities and features to benefit patients.
The battery has 110 volts, which means patients can run a CPAP machine for up to 14 hours. Patients can now also use the battery to run their other devices, such as laptops or curling irons.
The two USB outlets next to the AC outlet can charge cell phones even while running a CPAP machine.
This would be a great item for patients traveling in groups or with family!
The Transcend miniCPAP line helps free patients from the constraints of daily CPAP treatment whether traveling or at home.
They’re the smallest, lightest CPAP devices!
The new Transcend 3 is an upgrade on the classic model. It has a sturdier base and a new swivel nozzle to improve comfort. It’s still compact enough to fit in one hand, and it still weighs less than a pound.
Transcend 3 is also FAA approved, so patients can use it in flight. It’s a go-anywhere device.
Sunset’s portable Mini Mesh Nebulizer is our newest great value option for asthma patients.
We think this mini nebulizer is a fun entry into the portable market! It’s handheld, quiet and fast.
Our Mini Mesh Nebulizer is also very attainable — it’s a great option for cost-conscious patients. The NEB400 makes it possible for patients to leave compressor nebulizers at home.
It runs on just two AA batteries or any USB port.
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Sunset will be on the road again this September for the HME News Business Summit in Cleveland, and at Medtrade Atlanta this fall. We hope to see you there!
Staying healthy is an important part of the culture at Sunset, and the team regularly joins in on runs, triathlons, golfing trips and hikes. In addition to outside activities, almost everyone takes the opportunity to incorporate a short fitness routine during the workday.
Here are some of Sunset’s tips for a full and active day at the office, and beyond!
Enjoy your commute
Thinking of creative ways to start your day can set the tone for your entire morning.
Sunset’s Graphic Designer Patrick bikes eight miles to and from work nearly every day (in all seasons), and Vice President of Sales PJ and Maggie, Sunset’s Business Analyst, also cycle into work on occasion.
“I get a cardio workout while commuting, so it saves time,” explains Patrick. “There’s also something about almost always actively moving instead of getting stuck in your car, the subway, or bus that makes it anti-stressful.”
“Some people are intimidated to ride in the city,” he adds, “but I say just try it and in five minutes you’ll see why it’s not scary.”
Take a stand
Once you’re at work, try to find a way to keep the momentum going!
Lead Sales Representative Phil occasionally takes the stairs to Sunset’s 20th floor office instead of the elevators. “It generally only takes around seven to eight minutes, and it gets the heart rate going,” he says.
Standing desks are another great way to stretch out. A recent study showed that they increase concentration and job performance—among other health and wellness benefits.
“I have one and I love it,” says Mike, National Accounts Manager. “I try to stand from 10 a.m. to lunch, and from lunch to 3 or 4 p.m. I feel more energized and less lethargic than just sitting around all day, especially after lunch.”
Get out to lunch
“There are so many studies that depict how workday exercise contributes to attentiveness from employees in the afternoon,” says Christine, Lead Sales Representative at Sunset.
“It’s a good way to get moving and it splits up my day,” adds Emily, Lead Sales Representative. “Since we have a full hour, I can get a solid workout in.”
If you don’t have access to a gym, try packing a brown bag lunch and trekking to an out-of-the-way destination spot for a picnic. Bring a jumprope or small weights for a quick workout.
Make a midday break
Taking a moment to introduce a midday break is a great way to stay grounded. Sunset team members often hold a 3 p.m. mini workout in the building.
“It can be anything from pushups, sit-ups, stretching, to even just closing your eyes and meditating,” says Maggie.
“It’s just a nice little break during the day to stretch out and get a small exercise in,” adds Emily.
The sales team has also been known to participate in group jumping jacks to celebrate office milestones, lunch hour squash tournaments, and spontaneous push-up contests.
Getting up for a drink of water or a face-to-face hello at a nearby office is another way to stay limber and engage with your coworkers during the day.
Take it outside
Outdoors and afterwork fitness activities are a hallmark of Sunset’s culture—and a great way to collaborate outside the office.
“It’s a huge part of building a culture that promotes health, teamwork and friendship,” says PJ. “Not only is it a great way for coworkers to bond, but it also communicates that the company understands a part of being successful is being happy. We want to promote that in whatever way we can while staying productive.”
Consider inviting customers or clients to join in to make meetings even more productive!
National Accounts Manager Nikki, who has organized numerous afterwork activities, participated in hikes in California’s Runyon Canyon Park and a walk in Muir Woods.
PJ and Brenton, Sunset’s Director of Business Development, recall climbing a 14,000-foot mountain in Colorado with a customer.
Exercise balance
Maintaining fitness may seem like a full-time commitment, but in many cases, it’s okay to allow for flexibility. Sunset team members have been known to engage in the occasional eating competition and dessert cook-off, as well as Friday happy hours.
Think of it as a way to get even more out of your day!
✦
Spotlight On:
Tonya, Lead Software Developer
Sunset is happy to feature fitness inspiration and Lead Software Developer Tonya, who will compete in her fifth powerlifting competition on April 27, 2019.
Tonya took an interest in fitness routines in 2011, when her mom encountered health issues.
“She said things that got me thinking about taking better care of myself,” says Tonya. “In the summer of 2017, a friend invited me to come watch a powerlifting meet they were competing in. I was hooked. I kept watching the event and thinking ‘I can do this.’ It’s the first sport that ever really resonated with me.” She competed in her first powerlifting event later that year.
Tonya is a part of Sunset’s Bloomingdale team, and she exercises once a week on lunch break. She continues her workout routine at the gym three or four days a week.
“My meet prep consists of working with heavier and heavier weights on the three lift types in powerlifting (squat, bench press, and deadlift),” says Tonya. “My off season training is more about conditioning and building endurance and strength for moving forward.”
Most recently, Tonya took first place at a powerlifting meet in January.
On April 27, Tonya will compete in a 2XL powerlifting event at 20 Yorktown Convenience Center in Lombard. The event will run from 5:00—8:00 p.m. and Tonya’s powerlift goal is 160 pounds.
Here are just a few of the intriguing books Sunset Healthcare Solutions staff members have lined up to read during the coldest time of the year. Please let us know if you decide to read along!
Why We Sleep, Matthew Walker
“A thoughtful tour through the still dimly understood state of being asleep … Why We Sleep is a book on a mission. Walker is in love with sleep and wants us to fall in love with sleep, too. And it is urgent. He makes the argument, persuasively, that we are in the midst of a ‘silent sleep loss epidemic’ that poses ‘the greatest public health challenge we face in the 21st century’ … Why We Sleep mounts a persuasive, exuberant case for addressing our societal sleep deficit and for the virtues of sleep itself. It is recommended for night-table reading in the most pragmatic sense.” —New York Times Book Review
Endure: Mind, Body, and the Curiously Elastic Limits of Human Performance, Alex Hutchinson
“Want to achieve more? Often that means you have to do more — and Alex will show you how.” —Inc. (”6 Great Business Books to Read in 2018”)
Silence, Erling Kagge
“The book expands the concepts of silence and noise beyond their aural definitions and engages with modern culture’s information overload, need for constant connection, and cult of busyness….Great pleasure lies in Kagge’s creative investigations. The reader leaves more mindful of the swirl of distraction present in everyday life.” —Publishers Weekly
When: The Scientific Secrets of Perfect Timing, Daniel H. Pink
“Daniel H. Pink’s deeply researched but never boring study could be a turning point. College students and business managers alike may find new ways to organize their schedules and ease difficult decisions by using the ‘hidden pattern’ of time to their advantage.” —Wall Street Journal
Can’t Hurt Me, David Goggins
“Guaranteed to galvanize more than a few couch potatoes into action.”
— Kirkus Reviews
Sleep: The Myth of 8 Hours, the Power of Naps, and the New Plan to Recharge Your Body and Mind, Nick Littlehales
“Nick Littlehales has reconfigured the bedrooms of a legion of international sporting stars . . . He has a unique and encyclopedic knowledge.” —Guardian
The Bright Hour: A Memoir of Living and Dying, Nina Riggs
“Moving and insightful…Riggs writes with humor; the memoir is rife with witty one-liners and musings on the joys and challenges of mothering and observations on the importance of loving relationships…In this tender memoir Riggs displays a keen awareness of and reverence for all the moments of life—both the light, and the dark, ‘the cruel, and the beautiful.’” —Publishers Weekly (starred review)
We’re fascinated by the nebulizer’s international roots, from German steam inhalers to hand bulb nebulizers, vaporizers and atomizers.
In the 1960s, when engineers experimented with heat and ultrasonic technology, they produced sleeker, more portable devices—incorporating frequency and pressure to produce finer medication particles and faster treatment.
Vibrating Mesh Technology (VMT), which emerged in the 1990s, still stands as a breakthrough discovery for the industry. VMT aeresolizes medication through a tiny, vibrating disk with over a thousand laser-drilled holes. Presently, VMT fuels a family of devices celebrated for their ultra rapid treatment time, low noise and petite size: the mesh nebulizers.
But, how can these portable, often handheld devices produce such power? Or, why aren’t we still using the portable, bicycle pump-styled nebulizer known in 1800s France as “the Pulverisateur”?
The answer is piezoelectricity —which is a mysterious-sounding word we should investigate.
Piezo·electricity
Did you know that the word “electricity” pulls from the classic Greek word elektron, which translates to “amber”—as in, the gem?
Though we often use it as an ornament, amber is actually fossilized tree resin that was an ancient curiosity due to its mysterious attributes.
According to popular lore, Greek scientists noticed that the sun-toned stone attracted bits of fiber—and attempts to remove the material by rubbing it merely intensified the magnetic effect.
Though the first study on piezoelectricity emerged in France in 1880 (just after the Pulverisateur), this amber exercise is still used in grade school science lessons to demonstrate the phenomenon of electrostatic charge.
The Greek tale—specifically, their futile attempts to rub the fabric off—produced the prefix piezo, which is Greek for “to press,” or squeeze.
So, “piezoelectricity” simply refers to the electrical charge that accumulates in certain solids (like amber) when they are pressed, or undergo changes in pressure.
However! Further research tells us that not just any solid will work.
Topaz and tourmaline are piezoelectric—but glass is not. Piezoelectric material is almost always a crystal or ceramic solid, as both tend to have symmetrical atomic structures that can convert one type of energy to another (…more on this later). Of the crystals, quartz is the most commonly used piezoelectric material.
How does it work?
If you were to physically squeeze a piece of quartz, an invisible electrical charge would flow through it.
What’s happening, is that the pressure is changing the arrangement of its symmetrical atomic structure. Some of the atoms are drawing closer to each other and others further apart. This effect causes the crystal to “polarize,” sending positive charge to one side of the material and negative charge to the other, like a magnet. Or a tiny battery.
With the same concept, when engineers pass voltage through the quartz, the atoms squeeze themselves, vibrating back and forth and creating a charge. It’s this second feature that makes small devices run.
Quartz watches and clocks operate by this principle of piezoelectricity. Electrodes connect to an internal quartz crystal, charging it with a signal. When the quartz polarizes, it produces a reliable time-keeping frequency!
The contact microphone is another great example of piezo power. This tiny device contains a piezo assembly—either ceramic or a very thin layer of crystals, mounted on a disk—that can convert sound wave vibrations into amplified sound.
Acoustic musicians often mount these microphones directly onto their instruments, plugging the attached cable into an amplifier or recording unit. When the instrument emits sound wave vibration, the piezo disk converts this to audible sound—and boosts quieter instruments like violin… or ukelele!
Mesh nebulizers
Unlike jet, or compressor, nebulizers and most ultrasonic models, the mesh nebulizer almost always utilizes a piezoelectric assembly. This setup is ideal for these sleek, pared down handhelds, with their small but extremely mighty vibrating internal disks.
At Convexity Scientific, Chief Commercial Officer Geoff Matous explains that the pocket-sized Flyp Portable Nebulizer uses piezoelectric technology to fuel its powerhouse mesh disk, which vibrates almost silently at the speed of 111,000 times per second!
“The piezoelectric assembly is a ceramic ring plus stainless steel mesh that sits directly in contact with the medication in the reservoir,” explains Matous.
Since Flyp’s piezo disk is right up against the solution, Matous explains, it is technically categorized as an “active” mesh nebulizer. Passive mesh nebulizers generally have a disk and a separate piezo element or horn, which generates frequencies to push the fluid up through the disk.
When Flyp’s piezo disk becomes polarized by the surrounding signal of voltage, frequency and wave form, it vibrates and moves medication organically through its holes, producing micro droplets and a consistent, inhalable mist.
One clinical application difference to note between active and passive mesh nebulizers is that delivery performance with suspensionmedication—Budesonide, for example—is commonly more reliable with active mesh. Presumably, the internal layout also contributes to the active mesh nebulizer’s compact size.
De-mist-ified
So, the next time you pick up your mesh nebulizer, think of the unique and fascinating technology that’s fueling it.
In addition to helping you maintain optimal health, it might lead to an interesting conversation!
Sunset Healthcare Solutions has committed itself to improving sleep health for sleep apnea and COPD sufferers for over a decade. Our CPAP masks are designed to give patients from all backgrounds an affordable, high quality option for sleep.
Yet, it can still be hard for all of us to get a good night’s rest. One of our favorite methods to wind down—and lay down—is the use of music. But, what kind of tunes help us relax and sleep—and why?
Let’s start with the very basics: noise.
Sound Machines
In the 1800s, botanist Robert Brown observed microscopic particles suspended in water, and noted the random, continuous, yet rhythmic motion. (Source) Today, scientists refer to this movement as Brownian motion. This motion directly corresponds to what scientists then termed brown noise, which has a correlating random and continuous sound signal.
Though ascribing colors to sound seems esoteric, anyone who has used a sound machine is likely familiar with the usage.
White noise is a popularly-used term with sound machines, and is reminiscent of an old TV. Many sound machines use pink noise, a slightly higher frequency that the ear perceives as “more flat.” (Source)
Science of Sound
Many cultures have used music to improve patient wellbeing, and today’s doctors continue integrating it as a part of physical therapy and stress reduction. (Source)
In modern art, experimental musicians like Pauline Oliveros and Annea Lockwood worked with synthesizers and sounds, consulted kinesiologists, and experimented with tones to help relaxation and focus. (Source)
As recently as 2011, a British instrumental group collaborated with scientists on a song specifically designed to help sleep. Marconi Nation’s “Weightless” has a percussive pulse that matches and slows the heartbeat, reputedly lowers blood pressure and was voted the most relaxing song of all time by a panel of listeners!
Mood Music
The origin of music written to relax, or mood music, is generally traced to composer Erik Satie. (Source) In the 1800s, he began writing what he playfully termed “furniture music,” which he intended to blend into the noises of the environment.
Satie saw it as a melodic backdrop for dinner parties—but, also, as music that would be calming and neutralize street noises.
Many will recognize the minimal and drifting nature of “Gymnopedie No. 1,” even if the title isn’t immediately familiar. Queue up Satie’s three “Gymenopedies” to create a contemplative space for relaxing or winding down!
In the late 1960s, avant-garde musicians like Terry Riley and Philip Glass started composing music to set a mood of relaxation and contemplation. Riley even held all-night concerts, where enthusiastic attendees brought along hammocks and sleeping bags. (Source)
Mass Market Relaxation
Perhaps the most well known name of relaxation music, Muzak, emerged in the ’50s with tunes written and sold to play in elevators and at dinner parties.
Muzak piped in soothing strains that were simple, under-arranged and, by the 1960s and 70s, ubiquitous. During the launch of Apollo 11, astronauts reportedly listened to Muzak to calm their nerves as they propelled toward the moon! (Source)
The Muzak corporation enjoyed a healthy run, continuing all the way into the late 1990s.
Ambient Music
In part, a reaction to Muzak, musician Brian Eno released his album, “Music for Airports” in 1978 and officially coined the musical term “ambient.” (Source) In the liner notes, Eno said he saw ambient music as an extension of Muzak, in that it “must be as ignorable as it is interesting.” However he hoped to create something open for artistic interpretation. (Source)
Since the release of that album, ambient music has become a well established genre. Its characteristic washes of sound and slow pace make it great for relaxing!
A World of Noise
With the help of music streaming platforms, listeners can now assemble and share relaxation playlists with the world. Soft, instrumental music, like calm jazz, ambient music or reverb-laden dream pop prevail. However, so do more structured selections, such as pop hits from Ed Sheeran or Adele.
It’s clear that many sounds work for relaxation!
We thought we’d share some serene songs and sounds to help you relax, get your best sleep, and maintain optimal health.
Please feel free to share our playlist with others!
For other tools to maintain sleep hygiene, for CPAP masks, oxygen and respiratory gear, please check us out at www.Sunsethcs.com or reach out to one of our sales experts at 800-578-6738.
We added new retail items to our line to add comfort to CPAP and oxygen therapy.
Aromatherapy
Bring the power of holistic healing to your CPAP therapy with these 16 unique and refreshing aromatherapy scents. The aromatherapy uses calming scents to make your overall CPAP experience more enjoyable.
To use our new aromatherapy kit simply place one drop of aromatherapy into the white diffusion pad. Then either place the diffuser stand directly beneath your machine’s air filter or bend the legs of the diffuser base to make an elevated stand. Natural oils create comforting sensations and help to soothe and relax.
Our starter kit includes the minty fresh Clear scent, made from peppermint, lime and soothing lavender. The starter kit also includes the more calming Peace scent, a relaxing scent made from French lavender, clary sage and marjoram to enhance a restful sleep. All of our aromatherapy products are made with all natural essential oils.
The diffusion pads are completely reusable. We recommend using the same dedicated pad for each type of oil. Scented pads may be stored in the included plastic bags to preserve the scent.
Specialty pillows designed for CPAP users to allow comfortable sleep for all mask types in any position. The cut outs on the left and right sides of the pillow allow the user to be comfortable when sleeping with any mask.
The CPAPmax offers 4 pillows in one. One side is memory foam or flip it over for a standard fiber pillow. There’s also a ¾ in. foam layer in the center of the pillow that can be removed to adjust the thickness of the pillow. Additional pillow styles and replacement covers also available.
Petroleum-free lotion with Aloe vera and vitamins A & E. Apply at beginning of treatment and as needed to maintain soft skin and eliminate discomfort from dry/cracking skin. Use to moisturize the nose, lip and over the ear where friction may cause discomfort from the oxygen cannula or CPAP mask. Prevent chafing, irritation, dryness or cracking.
Unlike the initial set up revenue, resupply revenue streams in steadily over a long period time. The replenishment market for sleep therapy can be lucrative especially with cash items like tubing comfort wraps or cleaning supplies which need to be bought regularly. Instead of putting your energy into building new customer base to increase revenue, try putting more focus on your current customer base by providing your existing customers with the best most complete care possible by establishing a good resupply schedule.
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