ZOLL E SERIES EtCO2 Manual page 6

E Series - End Tidal Carbon Dioxide (EtCO
EtCO Indications for Use
2
The ZOLL E Series EtCO
2
continuous noninvasive monitoring of end tidal carbon
dioxide (EtCO ) and respiration rate in patients requiring
2
ventilator support, transport, or anesthesia. The E Series
EtCO option with Respironics Novametrix technology
2
supports two methods for continuous measurement of
end tidal carbon dioxide (EtCO
The first method uses the CAPNOSTAT 5 Mainstream
CO sensor attached to an airway adapter that connects
2
to an endotracheal tube, mask or disposable
mouthpiece.
The second method uses the LoFlo CO
monitor both non-intubated and intubated patients using
specially designed sampling cannulas and airway
adapters.
The E Series EtCO option is designed to monitor adult,
2
pediatric, and neonatal patients.
The following substances can influence CO
measurements made with the CAPNOSTAT 5 CO
sensor:
•
elevated oxygen levels
• nitrous oxide
•
halogenated agents
The E Series EtCO option allows high oxygen and/or
2
nitrous oxide compensation. Halogenated anesthetic
agents alter CO readings, but the E Series unit will
2
monitor CO within specifications when these agents are
2
present at normal clinical levels. The presence of
Desflurane in the exhaled breath beyond normal values
(5-6%) may positively bias measured carbon dioxide
values by up to an additional 2-3 mmHg.
The E Series EtCO option is intended for use only with
2
the ZOLL/Respironics Novametrix CAPNOSTAT 5
Mainstream CO Sensor and the LoFlo CO
2
mainstream airway adapters, nasal and nasal/oral
sampling cannula sets, and sidestream on-airway
adapters.
Mainstream EtCO
There are several steps involved with mainstream
EtCO2 setup. These steps include:
• Attaching the CAPNOSTAT sensor cable.
• Selecting a mainstream airway adapter.
•
Attaching the airway adapter to the CAPNOSTAT
sensor.
• Zeroing the CAPNOSTAT sensor/airway adapter.
• Attaching the airway adapter to the airway circuit.
• Applying an airway adapter with mouthpiece.
Attaching the
CAPNOSTAT 5 CO
To attach the CAPNOSTAT 5 CO
cable's connector into the yellow CO
4
) Option Insert
2
option is indicated for the
) and respiration rate.
2
module to
2
2
2
Module,
2
Setup
2
Cable
Sensor
2
sensor cable, plug the
2
connector at the
2
back of the E Series unit by matching the key on the
cable to the key on the connector (Figure 1).
Proper Grasp
Figure 1
Note To remove the sensor cable from the E Series unit,
grasp the collar surrounding the cable's E Series
connector and pull up.
Selecting a Mainstream Airway Adapter
Select an airway adapter based on the patient's size, ET
tube diameter and monitoring situation. For more
information refer to the following table or contact ZOLL
Medical Corporation.
Airway Adapter Type
SPU * Pediatric/Adult
Adult Reusable
SPU * Neonatal/Pediatric
Neonatal Reusable
*SPU = Single Patient Use
Attaching the Airway Adapter to the
CAPNOSTAT 5 CO Sensor
2
Before attaching the airway adapter to the
CAPNOSTAT 5 CO sensor, verify that the airway
2
adapter windows are clean and dry. Clean or replace the
adapter if necessary.
CAUTION! The disposable (SPU) Pediatric/Adult and
the Neonatal/Pediatric airway adapters are
intended for single patient use. Do NOT
reuse or sterilize these adapters as system
performance will be compromised.
Attach the airway adapter to the CAPNOSTAT sensor,
as follows:
1. Align the arrow on the bottom of the airway adapter
with the arrow on the bottom of the sensor.
Improper Grasp
ET Tube Diameter
> 4.0 mm
> 4.0 mm
≤ 4.0 mm
≤ 4.0 mm
9650-1212-01 Rev. E