If you are measuring CCO, set up the pressure measurement now. The CCO measurement requires
a minimally dampened invasive pressure setup. You must ensure that there are no air bubbles in
the pressure line or dome and use only specified accessories.
Check that the correct measurement method is selected.
If a catheter is already connected to the Cardiac Output Interface Cable, the monitor automatically
recognizes the method used. If not, in the
Check that you are using the correct probe - the M1646. This is the only probe supported for use;
it can be used with room temperature injectate or with cold injectate.
Check that the correct arterial catheter constant is selected.
If the catheter is recognized by the monitor, the catheter constant is automatically displayed and
cannot be changed manually. If it is not recognized, in the procedure window, select
use the pop-up keypad to enter the correct value. The catheter constant is usually written either on
the catheter or on the catheter packaging.
Make sure that the injectate volume setting matches the injectate volume you will use. To change
the volume, in the procedure window, select
the pop-up list.
If there is a problem with the volume or temperature you have chosen, the monitor will issue a
curve alert message to inform you of this.
10 If you are measuring CCO or CCI, check that the correct pressure source is selected in the
arterial catheter. To change the pressure source, select
pressure labels and select the correct label.
11 If you are measuring CCO or CCI, verify that the correct alarm source is selected in the menu item
Performing PiCCO C.O. Measurements
Always wait for the monitor to indicate readiness for the next step before proceeding.
If you are measuring CCO, all measurements should be conducted within 15 minutes. Older
measurements "expire" for CCO calibration.
Enter the procedure window.
When you see the message
start switch. If the measuring mode is set to
start of consecutive measurements.
When you hear the ready tone and see the message
solution into the CVP catheter.
At the end of the measurement the thermodilution curve, cardiac output, index values, ITBV and
EVLW values and any curve alerts are displayed and a message will appear
When you see the
completed the measurements you want to perform. You can perform a maximum of 6
measurements before editing. If you perform more than 6 measurements without rejecting any, the
oldest will automatically be deleted when a 7th curve is stored.
menu. The pressure label under
. To change the alarm source, select
Ready for new measurement
or pressing the Start hardkey on the C.O. module, or pressing the remote
Stable baseline, inject now!
and select the correct injectate volume from
must match the pressure measured with the
Stable baseline, inject now!
Prepare for next injection or press Stop
message, repeat the procedure until you have
12 Monitoring Cardiac Output
and then select
to call up a list of available
and choose either
, start the measurement by selecting the
key will also enable the automatic
, inject the
Wait before starting