CNSystems CNAP Monitor 500 Installation guide

CNAPTM Monitor 500 – Quick Manual
During measurement pay attention to
1 Setup
- Selection of the correct size of NBP cuff and CNAP finger cuff
Anesthesia
induction - Induction must not start before CNAPTM values are displayed!
3 Surgery
- Optimal: NBP interval = 15 min CNAP interval = 30 min
- Positioning of patients: Put no external pressure on the CNAP finger cuff
- On relocation check position of finger cuff and trigger manual change finger.
If required stop measurement, reposition cuff and restart measurement.
- On repositioning of the arm with the finger cuff: trigger NBP
4 Anesthesia
reversal
- Artifacts at end of OP (repositioning …)
- Stop CNAP measurement when patient wakes up (movement artifacts)
Version: anesthesia-10/2010 | www.cnsystems.at
NBP
CNAP
Ipsilateral
NBP
CNAP
A-Line
(optional)
Contralateral
During measurement of interarterial BP
the CNAP finger cuff MUST NOT be
attached to the same arm.
CNSystems Medizintechnik AG
Reininghausstrasse 13
8020 Graz Autstria
T [phone] F -2
E [email protected]
W www.cnsystems.at
CNAP Cable
CNAP Controller
CNAP Monitor
NBP Cuff
CNAP Finger Cuff

Starting the measurement
Indications
Contraindications
Unstable
hemodynamics Patients Surgery
- Induction
- Cardiovascular reaction
- Pain
- Reversal (vessels...)
Cardiovascular instability
- Cardiovascular disease
- Patients with ASA II-III
Outpatient surgery
- Unclear medical history
Surgery in supine position
with few movement artifacts
with expected unstable
hemodynamics and/or
aggressive P management
- Abdominal surgery
- aparoscopy
- Gynecology
- Vascular surgery
- Urology
- Neurosurgery
Regional anesthesia
Contraindication Examples
1. Poor peripheral
perfusion
2. Peripheral arteriosclerotic
vascular diseases
3. NBP problems
4. Indication of the artery
(e. g. blood gases)
- shock, centralization (pathological or induced)
- hypothermia
- arteriosclerosis of the upper extremities
- primary and secondary Raynaud's Syndrome
- endarteritis obliterans
- collagenosis of the finger arteries
- patients with frequent arrhythmia
- patients with tremor
- weight: < 40 kg or > 180 kg | MI > 35
- vascular implant (at N P and finger cuff arm)
- ICU patients
- edematous patients
Switch on monitor
Confirm test alarm
NBP cuff
CNAP finger cuff
Patient category
Confirm test alarm
Measurement starts automatically
Stop measurement