GE CARESCAPE User manual

GEHealthcare
CARESCAPEModularMonitors
User'sManual
Softwareversion2
CARESCAPEModularMonitors
English
2062978-001DVD
2068394-008paper
©2012GeneralElectricCompany.
Allrightsreserved.

Theinformationinthismanualappliestothesoftwareversionlistedontherstpageofthemanual.Duetocontinuingproductinnovation,
specicationsinthismanualaresubjecttochangewithoutnotice.
Fortechnicaldocumentationpurposes,theabbreviationGEisusedforthelegalentitynames,GEMedicalSystemsInformationTechnologies,
Inc.andGEHealthcareFinlandOy.
2CARESCAPEModularMonitors2062971-001
18December2012

Contents
1Aboutthismanual.......................................................................................39
Intendeduseofthismanual.........................................................................39
Intendedmarketsofthismanual...............................................................39
Intendedaudienceofthismanual...............................................................39
Trainingrequirements..................................................................................39
Manualconventions.....................................................................................39
Monitornamingconventions.....................................................................40
Acquisitionmodulenamingconventions..................................................40
Illustrationsandnames................................................................................41
Relateddocuments.......................................................................................41
Orderingmanuals.........................................................................................41
Trademarks...................................................................................................42
Thirdpartytrademarks...............................................................................42
Manufacturerresponsibility.........................................................................42
2Safety............................................................................................................43
Safetymessagesignalwords.......................................................................43
Systemsafety................................................................................................43
Systemwarningsafetymessages...............................................................43
Accessorieswarnings.................................................................................43
Cableswarnings..........................................................................................44
Debrillationwarnings................................................................................44
Electricalwarnings......................................................................................44
Equipmentwarnings...................................................................................45
Siterequirementwarnings.........................................................................46
Systemcautionsafetymessages................................................................46
Lossofdata.................................................................................................46
Electricalcaution.........................................................................................46
Siterequirementcautions..........................................................................47
Noticesafetymessages...............................................................................47
Safetysymbols..............................................................................................47
Indicationsforuse.........................................................................................48
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B850indicationsforuse.............................................................................48
B650indicationsforuse.............................................................................49
B450indicationsforuse.............................................................................49
Indicationsforusesafetyprecautions........................................................50
Indicationsforusewarnings......................................................................50
Indicationsforusecautions.......................................................................50
Trainingrequirements..................................................................................50
Electromagneticcompatibility.....................................................................51
EMCwarnings..............................................................................................51
EMCcautions...............................................................................................51
ESDsafetyprecautions...............................................................................52
3Systemintroduction....................................................................................53
Monitorandmodulecompatibilitylimitations............................................53
Systemsafetyprecautions...........................................................................53
Systemwarnings.........................................................................................53
Systemcaution............................................................................................54
B850systemcomponents............................................................................55
B850processingunitfrontview.................................................................56
B850processingunitbackview.................................................................56
B850moduleframesF7andF5.................................................................57
B850Tram-Racframes2Aand4A.............................................................58
B650systemcomponents............................................................................58
B650monitorfrontpanel...........................................................................59
B650monitorsideviews.............................................................................60
B650monitorbackpanel...........................................................................60
B650pivotingmoduleframe......................................................................61
B450systemcomponents............................................................................62
B450monitorfrontpanel...........................................................................64
B450monitorsideviews.............................................................................64
B450monitorbackpanel...........................................................................65
Monitorbattery.............................................................................................65
InsertingandremovingtheB650monitorbattery...................................66
InsertingandremovingtheB450monitorbattery...................................67
Checkingthebatterychargewithmonitorsoftware................................67
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Monitorbatterychargesymbolsonscreen...............................................68
Batterytestbutton......................................................................................68
Alarmlight.....................................................................................................69
Displays..........................................................................................................69
Acquisitionmodules......................................................................................70
PSMPfrontview...........................................................................................70
PDMfrontview............................................................................................71
TRAMmodulefrontview.............................................................................72
Single-parameterTram-Racfrontview.....................................................72
Modulesandparameters...........................................................................73
Barcodereader.............................................................................................77
Keyboard.......................................................................................................77
Mouse............................................................................................................77
Remotecontrolandkeypad.........................................................................78
Recordersandlaserprinters........................................................................78
AbouttheUnityNetworkInterfaceDevice(ID)............................................78
CICProClinicalInformationCenter..............................................................79
CARESCAPECentralStation..........................................................................79
iCentral..........................................................................................................80
Remotealarmbox(nursecall)......................................................................80
iPanelsoftwareapplication..........................................................................81
Equipmentsymbols......................................................................................81
Userinterfacesymbols.................................................................................89
4Monitoringbasics........................................................................................93
Modulecompatibilitylimitations..................................................................93
Identicalmodules..........................................................................................93
Connectingandremovingmodules:B850..................................................94
ConnectingaPDMorPSMtoaframe........................................................94
RemovingaPDMorPSMfromaframe.....................................................94
ConnectingotherE-modulesthanthePSMtoaframe............................94
RemovingotherE-modulesthanPSMfromaframe................................95
ConnectingTRAMmodulestoaTram-Rachousing.................................95
RemovingTRAMmodulesfromaTram-Rachousing...............................95
Connectingandremovingmodules:B650..................................................96
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RemovingaPSMorPDMfromtheB650....................................................96
ConnectingaPDMorPSMtotheB650......................................................96
ConnectingotherE-modulesthanPSMtotheB650................................96
RemovingotherE-modulesthanPSMfromtheB650..............................97
Connectingandremovingmodules:B450..................................................97
ConnectingaPDMorPSMtotheB450......................................................97
RemovingaPDMorPSMfromtheB450....................................................98
ConnectingotherE-modulesthanPSMtotheB450................................98
RemovingotherE-modulesthanPSMfromtheB450..............................98
Mainkeys.......................................................................................................98
Mainscreenlayout......................................................................................101
Anexampleofamenu..............................................................................102
Menuoptions...............................................................................................102
Selectingmenuoptionswithatouchscreen...........................................103
SelectingmenuoptionswiththeTrimKnobcontrol...............................103
Selectingmenuoptionswithamouse.....................................................103
Dataeldentries.........................................................................................103
Enteringdatawiththeon-screenkeyboard............................................103
Enteringdatawithakeyboard.................................................................103
Puttingthemonitorintooperation............................................................104
Operationwarnings..................................................................................104
Operationcaution.....................................................................................104
Monitorinstallationpointstonote.............................................................104
Turningonthemonitor...............................................................................105
Performancecheck.....................................................................................105
MessageaboutPDMservice......................................................................105
Pre-monitoringchecklist.............................................................................105
Supplymainsinterruption..........................................................................106
Powerfailurealarm.....................................................................................106
5Settingupthemonitorbeforeuse...........................................................107
Normalscreenandotherpages................................................................107
Selectingthenormalscreen(mainpage)................................................107
Selectingpages.........................................................................................107
Adjustingsoundvolumes...........................................................................108
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Brightnesssettings.....................................................................................108
B850displaybrightness............................................................................108
Adjustingthedisplaybrightnessautomatically......................................108
Adjustingthedisplaybrightnessmanually..............................................108
Adjustingthealarmlightbrightness........................................................109
Settingthekeyboardlighttoturnonautomatically...............................109
Turningthekeyboardlightonmanually..................................................109
Screensetupmodications........................................................................109
Parameterwindows..................................................................................109
Selectingparameterstothescreen.........................................................110
Waveformeldsafetyprecautions..........................................................110
SelectingthedisplaymodeforIPwaveforms.........................................111
Settingupasplitscreen............................................................................111
Lockedalarmandparametersettings....................................................111
Colorselections.........................................................................................112
Parametercongurations.........................................................................112
Settingupprintingoptions.........................................................................112
CheckingthePDMbatterystatus..............................................................113
Checkingthemonitorbatterystatus.........................................................113
Settingthetouchscreenoff........................................................................113
B850withseveralscreens..........................................................................113
Othersetupchanges..................................................................................113
6Startingandendingmonitoring..............................................................115
Monitorandmodulecompatibility.............................................................115
Softwarepackagesandterminology.........................................................115
Abouttheuserdefaultsettings..................................................................115
InvasivepressurelabelsandPDMorTRAM...............................................115
Startingmonitoring.....................................................................................116
Aboutthecombinationmonitoringmode.................................................117
Enteringpatientdata..................................................................................118
Enteringpatientdatawiththemonitor...................................................118
Enteringpatientdatawithabarcodereader..........................................119
Abouttherovingfunctionality....................................................................119
Rovingbetweenunits................................................................................120
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Rovingbetweenbeds................................................................................120
Addingnewunitsandbeds(manualroving)...........................................120
Enteringadministrativeinformation..........................................................121
LoadingpatientinformationfromtheCARESCAPENetwork(ADT
server)..........................................................................................................121
LoadingpatientdataandtrenddatafromtheS/5Network...................121
Aboutstandby.............................................................................................122
Startingstandby........................................................................................122
Endofstandby...........................................................................................123
Aboutcontinuingmonitoring.....................................................................123
Howtocontinuemonitoringwhenacaseisnotactive/patientis
discharged.................................................................................................123
Howtocontinuemonitoringwhenacaseisactive/patientis
admitted....................................................................................................124
Aboutcasereset/patientdischarge..........................................................125
Pendingsoftwareorsettingactivation....................................................125
Residualphysiologicaldata......................................................................125
Resettingacase/dischargingapatient...................................................125
Resettingacase/dischargingapatientincombinationmonitoring
mode..........................................................................................................126
7Alarms.........................................................................................................127
Alarmwarnings...........................................................................................127
Alarmcautions............................................................................................129
Alarmoverview...........................................................................................129
Alarmtypes................................................................................................129
Alarmconditions.......................................................................................129
Alarmprioritylevels...................................................................................130
Alarmpriorityescalation...........................................................................130
Physiologicalalarms’activationcriteria..................................................130
Broadcastonlyalarms..............................................................................131
Checkingalarmfunction...........................................................................133
Alarmindications........................................................................................133
Alarmiconsonthescreen........................................................................133
Descriptionofalarmandinformationmessages....................................134
Settingthealarmlightbrightness............................................................135
8CARESCAPEModularMonitors2062971-001

Audiblealarmsignals................................................................................135
Audibleandvisualalarmsignals..............................................................136
Auditoryinformationsignals....................................................................136
Audiblealarmsoffbehavior.....................................................................136
Pauseaudiobehaviors...............................................................................137
Pausingalarmsfor5minutes...................................................................138
Activatingallaudiblealarms....................................................................138
Technicalalarms’deactivationwiththepauseaudiokey.......................139
Apneaalarms’deactivationwiththepauseaudiokey.............................139
Pauseaudiowithcombinationmonitoring...............................................139
Breakthroughalarms..................................................................................139
Latchedalarms...........................................................................................140
Settingparameteralarmlimits..................................................................140
Alarmlocks................................................................................................140
Alarmguardlimits.....................................................................................140
Settingarrhythmiaalarms.........................................................................141
Selectingparameteralarmprioritylevels.................................................141
Settingalarmlimitsautomatically.............................................................142
Defaultautoalarmlimits..........................................................................143
Returningthedefaultalarmlimits.............................................................143
Turningoffalllocalalarmindicators(sleepmode)...................................144
Remotemanagementofalarms................................................................144
Alarmsettingsafterapowerloss..............................................................144
AlarmdatastoredinClinicallogs..............................................................145
Storedalarmdataduringapowercycleorpowerloss...........................145
8ECG..............................................................................................................147
ECGcompatibilitylimitations......................................................................147
ECGsafetyprecautions..............................................................................147
ECGwarnings............................................................................................147
ECGcautions.............................................................................................149
ECGmeasurementlimitations....................................................................149
ECGpointstonote......................................................................................149
ECGmeasurementsetup............................................................................150
ECGequipmenttopatientconnection.....................................................150
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Preparingthepatient’selectrodesites....................................................150
Applyingtheelectrodestothepatient.....................................................150
3–leador5–leadECGelectrodeplacement...........................................151
6–leadECGelectrodeplacement.............................................................151
10–leadECGelectrodeplacementforcardiacmonitoring....................152
Standardresting10–leadECGelectrodeplacement..............................153
CheckingtheECGmeasurement.............................................................154
AbouttheECGanalogoutputsignal..........................................................154
Aboutthecombinationmonitoringmode.................................................155
SelectingtheECGsource..........................................................................156
UsingtheECGmeasurement.....................................................................156
TherstthreedisplayedECGleads..........................................................156
SelectingtheVaECGlead.........................................................................157
SelectingtheVbECGlead.........................................................................157
ChangingtoanECGcablewithfewerleadwires....................................158
DeactivatingtheECGleadsoffalarm......................................................158
Selectingthebeatsource.........................................................................158
Settingthebeatvolume............................................................................158
SettingthebeeptoneduringbradycardiaandHRlowalarms..............159
Variablebeattone.....................................................................................159
Aspectratioanddifferentdisplaysizes...................................................159
SelectingtheECGwaveformsize.............................................................159
Selectingthehemodynamicwaveformsweepspeed............................160
PrintingallECGwaveforms......................................................................160
SelectingtheECGwaveformlter............................................................160
SettingtheQRSwidth...............................................................................161
SelectingtheleadsforECGanalysis........................................................161
Relearningthepatient’sQRSpattern.......................................................161
SettingtheprimaryHRsource.................................................................162
ShowingasecondHRvalueintheHRparameterwindow....................162
ShowingSTintheHRparameterwindow...............................................163
ShowingPVCintheHRparameterwindow............................................163
ShowingQTintheHRparameterwindow...............................................163
DisplayingtheECGgrid.............................................................................163
10CARESCAPEModularMonitors2062971-001

ECGalarmlimits........................................................................................163
SelectingtheHRalarmrange..................................................................164
ECGalarmpriorities..................................................................................165
ECGmeasurementpracticalities................................................................165
Alternatepulseratesource......................................................................165
PDMIntelliRatealgorithm.........................................................................165
TRAM,E-modules,andtelemetrytransmittersAutoalgorithm..............165
ECGtroubleshooting...................................................................................166
12leadanalysis...........................................................................................166
Intendeduseof12RLInterpolated12leadECGanalysis.......................166
Intendeduseof12SLECGanalysis..........................................................166
IntendeduseofACI-TIPI............................................................................167
12leadECGanalysispointstonote.........................................................167
Enteringdatafora12leadECGanalysis................................................167
EnteringdataforanACI-TIPI12leadECGanalysis................................168
Enablinganddisablingthe12SLACS.......................................................168
EnteringtheLocationIDfor12SL.............................................................168
Settingautomatic12leadECGanalysismeasurements........................169
Settingthe12leadECGanalysisdisplayformat.....................................169
Generatinga12leadECGanalysisreportduringanSTalarm
condition....................................................................................................169
Performinga12leadECGanalysis..........................................................169
A12leadreportandtheMUSEdatabase...............................................170
Sendinga12leadECGreporttotheMUSEdatabase............................170
Viewingorprintingsaved12leadECGreports.......................................170
Aboutthe12leadECGanalysisprogram................................................171
Aboutthe12RLECGanalysisprogram....................................................171
12leadECGanalysistroubleshooting.....................................................172
Pacemakerdetection..................................................................................172
Pacemakerdetectionwarnings...............................................................172
Pacemakerdetectionpointstonote........................................................173
Selectingthepacemakerdetection.........................................................173
Pacemakerdetectiontroubleshooting....................................................174
Arrhythmiamonitoring...............................................................................175
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Arrhythmiamonitoringwarnings.............................................................175
Arrhythmiameasurementlimitations......................................................176
Settingthearrhythmiacategorytoalarm...............................................177
Settingarrhythmiaalarms........................................................................177
Settingthealarmpauseinterval..............................................................177
SettingtheSVTlength...............................................................................178
SettingHRforSVT.....................................................................................178
Arrhythmiaalarmmessages....................................................................178
Aboutthearrhythmiadetection...............................................................180
Arrhythmiatroubleshooting.....................................................................181
STdetection.................................................................................................182
AbouttheSTanalysis................................................................................182
STdetectionmeasurementlimitations....................................................183
STdetectionpointstonote.......................................................................183
StartingtheSTdetection..........................................................................183
SelectingleadstotheSTwindow.............................................................183
ChangingthedisplayedSTleads.............................................................183
AdjustingtheSTpointmanually...............................................................183
Adjustingtheisoelectricmeasurement(ISO)point.................................184
AdjustingtheJpoint.................................................................................184
AbouttherealtimeQRS/STcomplexes....................................................184
AboutthereferenceQRS..........................................................................185
SavingareferenceQRSmanually............................................................185
AutomaticsavingofreferenceQRScomplexes......................................185
SelectingasavedreferenceQRScomplexfordisplay............................185
ErasingareferenceQRS...........................................................................185
PrintingarealtimeQRS/STreport............................................................186
ViewingQRSandSTinasplitscreen.......................................................186
SelectingtheSTtimescale.......................................................................186
STtrenddisplay.........................................................................................186
DisplayingQRScomplexesandSTtrendsforotherleads......................186
ReviewingSTtrends..................................................................................187
PrintinganSTtrendreport.......................................................................187
Ischemicburden........................................................................................187
12CARESCAPEModularMonitors2062971-001

STalarmlimits...........................................................................................188
QTdetection..............................................................................................189
9Impedancerespiration..............................................................................191
Impedancerespirationcompatibilitylimitations......................................191
Respirationsafetyprecautions..................................................................191
Respirationwarnings................................................................................191
Respirationcautions.................................................................................192
Respirationmeasurementlimitations........................................................192
Respirationpointstonote..........................................................................192
Respirationmeasurementsetup................................................................193
Respirationequipmenttopatientconnection.........................................193
Preparingthepatient’srespirationelectrodesites.................................193
Respirationleadandbreathdetection....................................................193
RespirationleadIelectrodeplacement...................................................194
RespirationleadIIelectrodeplacement..................................................195
RespirationleadRL-LLelectrodeplacement...........................................195
Respirationmeasurementchecks............................................................196
Respirationmeasurementonthemonitorscreen....................................196
Usingtherespirationmeasurement..........................................................196
Turningontherespirationmeasurement................................................196
Selectingtherespirationlead...................................................................196
Selectingtherespirationwaveformsizemanually.................................196
Selectingtherespirationwaveformsizeautomatically..........................196
Selectingthewaveformspeed.................................................................197
Selectingthewaveformsensitivity..........................................................197
Relearningtherespirationpattern...........................................................197
Turningonorofftherespirationratealarm............................................197
Settingtherespirationalarmlimits..........................................................197
Apneaalarms’deactivationwiththepauseaudiokey...........................198
Settingtheapneaalarmdelay.................................................................198
Enablingtherespirationcardiacartifactalarm......................................198
Respirationalarmpriorities......................................................................198
Turningofftherespirationmeasurement...............................................198
Respirationmeasurementdescription......................................................199
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RespirationmeasurementwithPSM........................................................199
RespirationmeasurementwithPDMandTRAM.....................................199
Howtointerprettherespirationvalues.....................................................199
Respirationtroubleshooting.......................................................................199
10Pulseoximetry............................................................................................201
SpO2compatibilitylimitations....................................................................201
SpO₂safetyprecautions.............................................................................201
SpO2warnings...........................................................................................201
SpO2cautions............................................................................................204
SpO2measurementlimitations..................................................................204
SpO2pointstonote.....................................................................................204
SpO₂measurementguidelines...................................................................205
GEOhmedatechnologyandsensormeasurementguidelines..............205
MasimoSETtechnologyandsensormeasurementguidelines..............205
NellcorOxiMaxtechnologyandsensormeasurement
guidelines...................................................................................................206
SpO₂measurementsetup..........................................................................207
SpO2equipmenttopatientconnection...................................................207
PreparingtheSpO2connection................................................................207
CheckingtheSpO2measurement............................................................207
UsingtheSpO₂measurement....................................................................208
PrimaryandsecondarySpO2measurementsources.............................208
ChangingtheSpO2waveformsize...........................................................208
ChangingtheSpO2waveformscale........................................................209
SelectingtheSpO2hemodynamicsweepspeed.....................................209
SelectingtheSpO2astheprimaryheartratesource.............................209
ShowingtheSpO2pulserate....................................................................209
AdjustingtheSpO2pulsebeeptonevolume...........................................209
Variablebeattone.....................................................................................210
MasimoSETdataaveragingandupdating.............................................210
SelectingtheSpO2averagingtime..........................................................210
SelectingtheMasimoSpO2sensorsensitivitylevel................................210
NellcorOxiMaxdataaveragingandupdating........................................211
SelectingtheSpO2responsetime............................................................211
14CARESCAPEModularMonitors2062971-001

NellcorOxiMaxSaturationSecondsalarmmanagement......................211
SettingtheSpO2alarmsandalarmlimits................................................213
DeactivatingtheSpO2probeoffalarm...................................................213
SpO2alarmpriorities.................................................................................213
StoppingtheSpO2measurement............................................................213
HowtointerprettheSpO₂values...............................................................214
SpO2signalstrength.................................................................................214
SpO2waveformquality.............................................................................214
SpO2waveformstability...........................................................................214
SpO2wavelengthsandopticaloutputpower...........................................215
SpO2measurementandinterference........................................................215
SpO2troubleshooting..................................................................................216
11Non-invasivebloodpressure....................................................................219
NIBPcompatibilitylimitations....................................................................219
NIBPsafetyprecautions.............................................................................219
NIBPwarnings...........................................................................................219
NIBPcautions............................................................................................220
NIBPmeasurementlimitations..................................................................221
NIBPpointstonote.....................................................................................221
NIBPmeasurementsetup...........................................................................222
NIBPequipmenttopatientconnection....................................................222
NIBPmodulekeys......................................................................................222
PreparingtheNIBPpatientconnection...................................................222
CheckingtheNIBPmeasurement............................................................222
NIBPmeasurementonscreen...................................................................223
ManualNIBPmeasurements......................................................................223
StartingorstoppingasingleNIBPmeasurementfromthemain
menu..........................................................................................................223
StartingorstoppingasingleNIBPmeasurementfromtheNIBPSetup
menu..........................................................................................................223
StartingorstoppingasingleNIBPmeasurementwiththePSM
modulekey................................................................................................223
AutomaticNIBPmeasurements.................................................................224
AutomaticNIBPmeasurementsandmonitorclock
synchronization.........................................................................................224
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SettingthecycletimebetweenNIBPmeasurements.............................224
NIBPAutomode........................................................................................224
STATmode.................................................................................................225
Venousstasis.............................................................................................225
NIBPcuffs....................................................................................................226
NIBPcuffselectionandplacement..........................................................226
SelectingNIBPcuffsize.............................................................................226
InitialNIBPcuffinationpressure............................................................227
Selectingthecuffinationlimits..............................................................227
NIBPvolumeanddisplaysettings..............................................................227
AdjustingtheNIBPmeasurementcompletiontonevolume..................227
SettingtheNIBPdisplayformat...............................................................228
NIBPalarms.................................................................................................228
SettingNIBPalarms..................................................................................228
SilencedNIBPalarms................................................................................228
NIBPrecheckafteralarmviolation..........................................................228
NIBPmeasurementdescription.................................................................228
NIBPmeasurementtechnologies.............................................................229
TRAMmodules’NIBPtechnology.............................................................230
PDMmodules’NIBPtechnology...............................................................231
PSMmodules’NIBPtechnology................................................................231
NIBPcalibration...........................................................................................232
NIBPtroubleshooting..................................................................................233
12Invasivepressures.....................................................................................235
Invasivepressurescompatibilitylimitations.............................................235
Invasivepressuresafetyprecautions........................................................235
Invasivepressurewarnings......................................................................235
Invasivepressuremeasurementlimitations.............................................235
Invasivepressurepointstonote................................................................235
Invasivepressuremeasurementsetup.....................................................236
Invasivepressureequipmenttopatientconnection..............................236
Invasivepressuremodulekeys................................................................236
Connectingtheinvasivepressuretransducerandcable.......................237
Checkingtheinvasivepressuremeasurement.......................................237
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Invasivepressuremeasurementonthemonitorscreen........................237
SelectingthedisplaymodeforIPwaveforms.........................................238
Usingtheinvasivepressuremeasurement...............................................238
Invasivepressuremeasurementmapping..............................................238
Invasivepressureanalogoutput..............................................................239
Aboutzeroingtheinvasivepressuretransducers...................................239
Zeroingtheinvasivepressuretransducers.............................................240
Selectinganinvasivepressurechannellabel..........................................240
Selectingthesizeoftheinvasivepressurewaveform............................240
Optimizingtheinvasivepressurewaveformscale..................................240
Selectingthehemodynamicwaveformsweepspeed............................241
Selectingtheinvasivepressurenoisereductionlter.............................241
Selectingthedisplayedinvasivepressureformat...................................241
Selectinginvasivepressureastheprimaryheartratesource...............241
Variablebeattone.....................................................................................242
Selectingtheventilationmode.................................................................242
Showingthepulserateintheinvasivepressureparameter
window......................................................................................................242
ShowingtheCPPvalueintheICPparameterwindow............................242
SelectingSmartBP....................................................................................243
Compensatingforintra-aorticballoonpump(IABP)waveform
irregularities...............................................................................................243
Selectingtheinvasivepressureresponsetime.......................................243
UsingtheIPchannelstandby...................................................................244
Usingtheinvasivepressurewaveformcursor........................................244
Settinganarterialinvasivepressuredisconnectionalarm......................244
Settinginvasivepressurealarmlimits.......................................................244
Invasivepressuresalarmpriorities............................................................245
Systolicpressurevariationandpulsepressurevariation.........................245
ChangingtheSPVsource.........................................................................245
MeasuringSPVmanually..........................................................................245
PAcatheterinsertion..................................................................................246
SelectingthePAcatheterinsertionmode...............................................246
Pulmonarycapillarywedgepressure(PCWP)measurement...................246
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ShowingthePCWPvalueinthePAwindow............................................247
TakingamanualPAwedgemeasurement..............................................247
TakinganautomatedPAwedgemeasurement......................................247
StartinganewPAwedgemeasurement.................................................248
OtherselectionsintheWedgemenu.......................................................248
CalibratingtheinvasivepressuremeasurementwithPDMand
TRAM............................................................................................................248
InvasivepressurecalibrationwithE-modules..........................................249
Invasivepressurepracticalities..................................................................249
Invasivepressureparameters..................................................................249
Intra-aorticballoonpump........................................................................249
Invasivepressuretroubleshooting.............................................................252
13Temperature...............................................................................................255
Temperaturecompatibilitylimitations.......................................................255
Temperaturesafetyprecautions................................................................255
Temperaturewarnings.............................................................................255
Temperaturemeasurementlimitations.....................................................255
Temperaturepointstonote........................................................................255
Temperaturemeasurementsetup.............................................................256
Temperatureequipmenttopatientconnection......................................256
Preparingthepatientfortemperaturemeasurement............................256
Checkingthetemperaturemeasurement...............................................257
Temperaturemeasurementonthemonitorscreen.................................257
Usingthetemperaturemeasurement.......................................................257
Temperaturemappings............................................................................257
Startingthetemperaturemeasurement.................................................258
Changingthetemperaturesitelabel.......................................................258
Displayingthedeltavaluebetweentwotemperaturechannels...........258
Settingtemperaturealarms.....................................................................258
Stoppingthetemperaturemeasurement................................................259
Temperaturepracticalities.........................................................................259
Temperaturetroubleshooting....................................................................259
14Cardiacoutput...........................................................................................261
C.O.safetyprecautions...............................................................................261
18CARESCAPEModularMonitors2062971-001

C.O.warnings.............................................................................................261
C.O./CCOcautions.....................................................................................261
C.O.measurementlimitations....................................................................261
C.O.pointstonote.......................................................................................261
C.O.measurementsetup............................................................................262
C.O.equipmenttopatientconnectionwithanin-lineprobe..................262
C.O.equipmenttopatientconnectionwithabathprobe......................263
C.O.modulekey.........................................................................................263
PreparingtheC.O.measurement.............................................................263
CheckingtheC.O.measurement..............................................................264
UsingtheC.O.measurement......................................................................264
EnteringpatientdatafortheC.I.value....................................................264
C.O.measurementmodes........................................................................264
C.O.trialmeasurements............................................................................266
EditingtheC.O.average............................................................................266
CancelingaC.O.measurement................................................................266
C.O.catheterselections............................................................................266
SelectingtheC.O.injectateprobetype....................................................267
SettingaC.O.rightventricularejectionfraction(REF)
measurement............................................................................................267
SelectingtheC.O.scale.............................................................................268
SelectingwhattoshowwithC.O..............................................................268
SettingtheTbloodalarm..........................................................................268
AdjustingtheSvO2fromthecardiacoutputmenu.................................268
Editingcalculations...................................................................................268
Adjustingthewedgefromthecardiacoutputmenu..............................269
Stoppingthecardiacoutputmeasurement............................................269
C.O.practicalities.........................................................................................269
Cardiacoutputwashoutcurve.................................................................269
HowtoimprovetheC.O.accuracy...........................................................269
C.O.troubleshooting....................................................................................270
15Mixedvenousoxygensaturation(SvO₂)..................................................275
SvO2compatibilitylimitations....................................................................275
SvO₂safetyprecautions.............................................................................275
2062971-001CARESCAPEModularMonitors19

SvO2warnings...........................................................................................275
SvO2measurementlimitations..................................................................275
SvO2pointstonote.....................................................................................276
SvO₂measurementsetup..........................................................................276
SvO2equipmenttopatientconnection....................................................276
CheckingtheSvO2measurement............................................................276
SvO2measurementonscreen..................................................................276
UsingtheSvO₂measurement....................................................................277
SvO2calibrationinvitro............................................................................277
CalibratingSvO2invivo.............................................................................278
UpdatingtheHbvalueforSvO2measurement.......................................278
SettingtheSvO2alarms............................................................................278
StoppingtheSvO2measurement.............................................................278
SvO2measurementdescription.................................................................279
SvO2troubleshooting..................................................................................279
16Airwaygases..............................................................................................281
Airwaygasescompatibilitylimitations......................................................281
Airwaygasessafetyprecautions...............................................................281
Airwaygaseswarnings.............................................................................281
Airwaygasescautions..............................................................................283
Airwaygasesmeasurementlimitations....................................................283
Airwaygasespointstonote.......................................................................283
Airwaygasesmeasurementsetup............................................................284
AirwaygasesequipmenttopatientconnectionswithCARESCAPE
respiratorymodules..................................................................................284
Airwaygasesequipmenttopatientconnectionswithcompact
airwaymodules,anesthesiasetup..........................................................285
Airwaygasesequipmenttopatientconnectionswithcompact
airwaymodules,criticalcaresetup.........................................................285
AirwaygasesequipmenttopatientconnectionswithE-miniC,critical
caresetup..................................................................................................286
Airwaygasesmeasurementsetup..........................................................286
CARESCAPErespiratorymoduleconnectors...........................................287
Compactairwaymoduleconnectors......................................................287
E-miniCmoduleconnectors.....................................................................288
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