As healthcare teams continue to seek ways to improve workflow efficiency, reduce blood draws, and support proactive ventilation management, monitoring technology must evolve alongside clinical practice.

The Sentec tCOM+ was developed to do exactly that.

Built on the same clinically proven transcutaneous monitoring technology trusted by NICUs, sleep labs, PICUs, ICUs, and respiratory care departments worldwide, the tCOM+ introduces a modern user experience designed to simplify workflows while maintaining the accuracy and reliability clinicians expect from Sentec transcutaneous monitoring.

In this webinar, we introduced the key features of the tCOM+ and explored how these enhancements can help clinicians spend less time navigating technology and more time focused on patient care.

Built on the Foundation of Proven Transcutaneous Monitoring

At its core, the tCOM+ uses the same Sentec transcutaneous CO2 monitoring technology that clinicians have relied on for years.

Sentec transcutaneous sensors continuously measure carbon dioxide by gently heating the skin and promoting diffusion of CO2 through the sensor membrane. The monitor then calculates transcutaneous PCO2 values, providing clinicians with continuous, noninvasive insight into a patient’s ventilation status.

This technology continues to support:

  • Reduced blood draws
  • Continuous transcutaneous CO2 monitoring
  • Earlier detection of ventilation changes
  • More proactive respiratory management
  • Enhanced patient comfort compared to repeated blood sampling

While the underlying monitoring technology remains familiar, the tCOM+ introduces significant workflow improvements throughout the user experience.

Reducing Pain in the NICU: A Quality Improvement Initiative

As neonatal medicine advances and the viability of “micropreemie” babies increases, care teams face a difficult balance: life-saving intervention vs. long-term developmental impact.

Learn how the NICU team at Woman’s Hospital (Baton Rouge, LA) used transcutaneous monitoring to:

  • Reduce blood gas draws by over 50% in extremely premature infants
  • Build clinical trust in tcPCO2 monitoring across RT and nursing teams
  • Standardize CO2 monitoring protocols to limit noxious stimuli
  • Empower staff to use real-time, noninvasive CO2 data for clinical decision-making

 

A Modern Touchscreen Designed for Clinical Workflows

One of the most noticeable differences between the tCOM+ and previous Sentec monitoring platforms is the high-resolution touchscreen interface.

The tCOM+ was designed to operate much like a modern tablet, allowing users to access settings, alarms, trends, and monitoring features directly from the main screen.

Rather than navigating through multiple menu layers, clinicians can quickly:

  • Adjust alarm limits
  • Modify trend ranges
  • Change profiles
  • Review historical data
  • Access tutorials
  • Monitor sensor status

These improvements help reduce training requirements and simplify daily operation for both experienced and new transcutaneous monitoring users.

Smarter Calibration and Faster Troubleshooting

Calibration is an essential part of any transcutaneous monitoring system, and the tCOM+ introduces several improvements designed to streamline that process.

A new calibration timer provides real-time visibility into calibration progress, allowing clinicians to see exactly how much time remains before the monitor is ready for patient use.

The system also performs leak testing earlier in the calibration process. If a problem is identified, clinicians can address it immediately rather than waiting until the end of a calibration cycle.

Additionally, the tCOM+ performs an automated Sensor Health Check every three days. This process helps identify potential membrane or sensor issues proactively, reducing unexpected interruptions and supporting more reliable monitoring performance.

Transcutaneous CO2 Monitoring in Routine and Advanced Pediatric Sleep Studies

Elevated CO2 levels are common among sleep lab patients, with research indicating that as many as 46% of pediatric patients with sleep-disordered breathing experience a nocturnal change in CO2 of more than 10 mmHg.

In this article, Lisa DeGuzman, RRT-NPS, RPSGT, CCSH discusses the role of transcutaneous CO2 monitoring in the Nemours Children’s Hospital Pediatric Sleep Center, highlighting its applications in detecting and guiding the management of sleep-disordered breathing among the pediatric population.

Enhanced Docking Station Design

Sentec users are familiar with the importance of maintaining a properly functioning docking station.

To address one of the most common causes of service calls and troubleshooting events, several docking station improvements were incorporated into the tCOM+ design.

These updates include:

  • A stronger docking station spring
  • Improved magnetic door retention
  • A redesigned O-ring sealing system

Unlike previous gasket designs that could be installed incorrectly, the new O-ring design eliminates installation orientation concerns while helping reduce docking station leak events.

The result is a more reliable calibration experience and less time spent troubleshooting docking station issues.

More Flexible Data Visualization

Different clinical environments require different ways of viewing patient information.

The tCOM+ allows users to customize how transcutaneous monitoring data is displayed through multiple viewing modes.

Users can choose between:

  • Traditional trend displays
  • Large numerical displays
  • Multi-parameter views
  • Tabular data views

The tabular view is particularly useful for clinicians who routinely document transcutaneous CO2 values, allowing them to quickly review historical measurements at predefined intervals.

The monitor also supports pinch-to-zoom functionality and historical trend review, making it easier to evaluate patient changes over time.

Event Logging and Clinical Documentation

The ability to correlate patient events with transcutaneous monitoring data can provide valuable clinical insight.

The tCOM+ allows clinicians to add event markers directly onto the trend graph.

Examples include:

  • Ventilator changes
  • Clinical interventions
  • Therapy adjustments
  • Patient events

By documenting events directly within the monitoring record, clinicians can better evaluate how interventions impact transcutaneous CO2 trends and patient response.

Built-In Training and Education Tools

One of the most frequently requested features from clinical teams was easier access to education and troubleshooting resources.

The tCOM+ addresses this need with integrated tutorials available directly on the monitor.

Users can access step-by-step guidance for:

  • Membrane changes
  • Sensitivity testing
  • Sensor troubleshooting
  • Sensor application
  • Clean-and-soak procedures

These resources help support competency development, onboarding, and ongoing staff education without requiring separate manuals or training materials.

Maintaining the Features Clinicians Already Trust

While the tCOM+ introduces significant workflow enhancements, it retains many of the features that have made Sentec transcutaneous monitoring successful across multiple care settings.

Clinicians continue to benefit from:

  • Continuous transcutaneous CO2 monitoring
  • Low-temperature monitoring capabilities
  • Long monitoring durations
  • Smart CalMEM disconnect functionality
  • Compatibility with existing attachment solutions
  • Skin-friendly neonatal monitoring options

The tCOM+ also supports connectivity with sleep study software, bedside monitoring systems, electronic health records, and other hospital technologies.

A Smarter Monitoring Experience

By combining proven transcutaneous CO2 monitoring performance with a modern user interface, enhanced troubleshooting tools, improved data visualization, and built-in educational resources, the tCOM+ helps simplify workflows while maintaining the clinical confidence healthcare teams expect from Sentec.

For organizations looking to expand or modernize their transcutaneous monitoring capabilities, the tCOM+ offers a platform designed around both patient care and clinician experience.

Watch the Full Webinar

This article provides an overview of the tCOM+ platform and its key workflow enhancements.

In the full webinar, the Sentec Transcutaneous Education Team demonstrates the tCOM+ interface, reviews calibration improvements, explains new monitoring features, explores connectivity options, and answers common questions from current and prospective users.

Watch the full webinar recording to see the tCOM+ in action and learn how the next generation of Sentec transcutaneous monitoring can support your clinical workflow.

Related Posts

  • Achieving Reliable Correlation with Transcutaneous CO2 Monitoring

    Learn how to improve tcPCO₂ correlation with blood gas values through best practices, troubleshooting tips, optimal sensor placement, and Relative Heating Power (RHP) insights.

  • The Use of TCM in a Dedicated COPD Clinic: A Novel Practice

    Watch this non-CE recording with Krystal Craddock of UC Davis Health exploring transcutaneous CO₂ monitoring in COPD clinics, including spot-check applications and real-world data.

  • Core Ventilation Concepts for Sleep Technologists

    Join Lisa DeGuzman, RRT-NPS, RPSGT, CCHS to explore ventilation basics, PAP modalities, and monitoring tools for sleep technologists in this webinar recording.