Protocol Propaq 242, Directions For Use Manual

Page: 36 / 120

36 Protocol Systems, Inc.
Take a Non-Invasive Blood Pressure (NIBP) Reading
Warning
Periodically observe the patient’s limb to make sure that the circulation is not impaired for a prolonged period
of time. Also make sure the cuff is properly placed according to the following instructions. Prolonged impairment of
circulation or improper cuff placement can cause bruising.
The Propaq CS monitor should never be used to monitor NIBP on one patient while simultaneously monitoring
ECG on another patient.
If a noninvasive blood pressure measurement is suspect, repeat the measurement. If you are still uncertain
about the reading, use another method.
Do not attempt to take NIBP pressures on patients during cardiopulmonary bypass.
When monitoring NIBP, match the monitor patient mode to the NIBP cuff. For neonates, set the monitor to
Neonatal Mode unless the circumference of the limb is too large for the cuff. In that case, use the Pediatric Mode. Be
aware, however, that the maximum cuff inflation limits are based on the patient mode, not the cuff; the maximum cuff
inflation limits for Pediatric Mode are greater than for Neonate Mode (see page 104 for values).
Warning
Before you use a Propaq CS monitor on a new patient, always turn it off for a few seconds, then turn it on
again. This clears the prior patient’s NIBP cuff inflation target, trend values, and alarm limit settings.
At powerup, the Propaq CS monitor has an NIBP default inflation pressure (cuff inflation target)
based on the patient mode (see page 104 for the values). After each NIBP measurement, the monitor
adjusts the target inflation pressure to optimize the next NIBP measurement. To avoid possible patient
discomfort, turn the monitor off and then on between different patients to reset the cuff inflation target
to the default value.
NIBP measurements can be adversely affected by poorly fitting cuffs or improper cuff placement. Be
sure to select the appropriate cuff and apply the cuff properly according to the directions in this
manual.
Note
NIBP measurements are affected by normal physiological pressure variations from reading to reading.
Improve NIBP Accuracy with Smartcuf™
NIBP measurements can be adversely affected by many factors such as cardiac arrhythmias, sudden
changes in blood pressure, body motions such as convulsions or shivering, bumping the cuff,
vibration, vehicle motion, or weak pulses.
The patented Smartcuf software filtering technology greatly increases NIBP measurement accuracy in
the presence of motion artifact or diminished pulses. Smartcuf synchronizes the NIBP reading with
the R-wave of the patient’s ECG to eliminate noise created by external stimuli such as patient motion
or vibration. The monitor must perform ECG monitoring while using Smartcuf.
To enable the Smartcuf filter:
• Connect the ECG leads to the patient and perform ECG monitoring during NIBP.
• From the Main Menu, press
NIBP
to display the NIBP Menu (shown on page 38) and set Smartcuf
to ON.
NIBP