Datex-Ohmeda S/5 FM, User Manual

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Pulmonary Capillary Wedge Pressure (PCWP)
Starting
1. Prepare the pulmonary artery catheter and use the distal lumen
for the pressure line.
2. Label the wedge pressure channel 'PA'.
3. Check that the monitor has correct information about the
patient’s ventilation:
Invasive Pressures
- Ventilation Mode –
Contrl (controlled ventilation) or Spont (spontaneous breathing).
4. Press the
Invasive Pressures
key and select Wedge Pressure .
5. Select Measurement .
6. When ‘Inflate the balloon’ is displayed, inflate the catheter
balloon. The monitor automatically freezes the waveform for 20
seconds.
7. When ‘Deflate the balloon’ is displayed, deflate the catheter
balloon.
NOTE: During the wedge pressure measurement, PA values are not
trended and PA alarms are disabled.
Adjusting PCWP
To manually adjust the wedge pressure level:
1. In the
Wedge menu, turn the ComWheel to move the cursor to a
point that represents the true PCWP level.
2. Push the ComWheel and select Confirm .
Canceling the PCWP measurement
•
In the Wedge menu, select Cancel .
WARNING: Vibrations during intrahospital transport
may disturb InvBP measurement.
WARNING: All invasive procedures involve risks to the
patient. Use aseptic technique. Follow catheter
manufacturer's instructions.
WARNING: Make sure that no part of the patient
connections touches any electrically conductive
material including earth.
WARNING: When using the electrosurgery unit, ensure
proper contact of the ESU return electrode to the
patient to avoid burns at monitor measurement sites.
WARNING: Use only defibrillator proof transducers and
cables.
WARNING: Mechanical shock to the invasive blood
pressure transducer may cause severe shifts in zero
balance and calibration, and cause erroneous
readings.