vygon MostCareUp Setup

CONNECT
MostCare
1
ENTER
patient data
2
1
ZERO the transducer
3
Level
transducer
YES!
Check the SIGNAL QUALITY
4
Signs of underdamping - resonance
Invasive Systolic press. >> non invasive
Invasive Diastolic press. < non invasive
dP/dt >
Square wave test: n. oscillations > 2
Signs of overdamping:
Invasive Systolic press. << non invasive
Invasive Diastolic press. > non invasive
Less visible dicrotic notch
Square wave test: sluggish or no oscillations
DICROTIC NOTCH
Check the
5
If MostCare
the dictrotic notch detection
If MostCare
the dictrotic notch detection
REPEAT steps 4 & 5 several times during the monitoring.
Up
stand alone
directly to ABP
transducer
Press «New monitoring»
1
Enter patient weight & height
2
Select ABP transducer & tick «Y cable» box if needed
3
Check other settings & begin monitoring
4
• Place the transducer at the level of the phlebostatic axis
• Open the transducer stopcock to measure the air pressure
Phlebostatic axis
• Touch the curve & press «Zero ABP»
1.7 mmHg/ms (red colored)
tends to anticipate
Up
tends to delay
Up
Set-up in just 5 steps
or
Y cable
between
bedside-monitor &
ABP transducer
Possible solutions
• Touch the curves & set Advanced Filter
• Remove any useless connections/loops
• Place a filter/dampening device in the circuit
i.e. Accudynamic (ICU Medical), R.O.S.E. (BD)
Possible solutions
• Check the absence of kinking of the arterial cannula
(if radial, extend the wrist of the patient)
• Flush the line
• Remove superfluous connexions/loops
Touch the curve & press
adjust the dicrotic detection
Touch the curve & press
adjust the dicrotic detection
2
3
4
to
to