GE CARESCAPE, User Manual

Page: 220 / 548

Non-invasive blood pressure
WARNING
— NIBP AUTO DISCONTINUED — The NIBP Auto setting reverts
to OFF when the Patient Data Module (PDM) is removed from
one monitor and is connected to another monitor if the PDM
battery is not installed. If the Patient Data Module (PDM) is
used for bedside and transport monitoring, its battery should
be installed when in use. In the event that the PDM battery
is not installed, the settings for NIBP Auto can be reset after
connecting the Patient Data Module to the monitor.
WARNING
GE monitors are designed for use with dual-hose cuffs and
tubing. The use of single-hose cuffs with dual hose tubing can
result in unreliable and inaccurate NIBP data.
WARNING
Do not place the cuff on a limb being used for A-V fistulas,
intravenous infusion or on any area where circulation is
compromised or has the potential to be compromised.
WARNING
— PDM For SuperSTAT NIBP (Adult/Child) only — It takes one to
three minutes for the NIBP parameter to identify an irregular
rhythm after ECG is connected. For patients with irregular
rhythms, simultaneous monitoring of ECG will enhance
NIBP performance. Wait three minutes after ECG has been
connected and ECG heart rate is present on the monitor
screen before performing an NIBP determination.
WARNING
Accuracy of NIBP measurement depends on using a cuff of
the proper size. It is essential to measure the circumference of
the limb and choose the proper size cuff.
WARNING — NIBP READINGS MAY TIME OUT WHEN USING IABP — An IABP
balloon pump creates non-physiological arterial waveforms.
These waveforms create an oscillometric signal that may not
be interpreted by the NIBP algorithm, causing NIBP to time
out. The patient blood pressure can be monitored from the
balloon pump device.
WARNING
The NIBP cuff size for PDM and TRAM or the inflation limits for
PSM (with undetected cuff hoses) must be correctly selected
in the NIBP Setup window to obtain reliable NIBP data and
to prevent excessive cuff pressure during infant (neonate) or
child (pediatric) use.
WARNING
If a patient’s beat-to-beat pulse amplitude varies significantly
(e.g., because of pulsus alternans, atrial fibrillation, or the
use of a rapid-cycling artificial ventilator), blood pressure
and pulse rate readings can be erratic, and an alternate
measuring method should be used for confirmation.
NIBP cautions
CAUTION
The acquisition module sets the inflation pressure
automatically according to the previous measurement. Reset
the case or discharge the patient to reset the inflation limits
before measuring NIBP on a new patient.
220 CARESCAPE Modular Monitors 2062971-001