CARESCAPE Canvas 1000 and Canvas Smart Display User Manual sw ver 3(3.2) 1st Edition

User Manual

Contents

Contents Legal manufacturer information ... 37 Manufacturer information ... 37

Introduction to this manual ... 39 Intended use of this manual ... 39 Intended markets of this manual...40 Intended audience of this manual ...40 Training requirements ... 40 Manual conventions ... 40 Monitor naming conventions ...40 Acquisition module naming conventions ...41 Other naming conventions ... 41 Illustrations and names ... 42 Related documents... 43 Ordering manuals... 43 Revision history... 43 Accessing manuals online ... 43 Product availability ... 44 Trademarks ... 44 Third party trademarks... 44 Manufacturer responsibility... 44

Safety and intended use ... 47 About safety messages... 47 Safety message signal words... 47 Safety symbols ... 47 System safety... 48 Reporting of serious incidents...48 System warning safety messages...49 System warnings ... 49 Operation warnings... 51 Accessories warnings... 52 Cables warnings... 53 Defibrillation warnings... 53 Electrical warnings... 53 Site requirement warnings... 55 Interfacing warnings ... 55 Care warnings... 56 Disposal warnings... 57 System caution safety messages...57 5697479-02

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Loss of data... 57 Electrical caution... 57 Operation cautions... 57 Site requirement caution... 58 Trend cautions ... 58 Interfacing cautions ... 58 Disposal cautions ... 59 Notice safety messages... 59 Alarm warnings ... 59 Parameter-specific safety precautions...63 ECG warnings... 63 ECG cautions ... 65 Pacemaker detection warnings ...66 Arrhythmia monitoring warnings...66 Respiration warnings... 67 Respiration cautions ... 68 Pulse oximetry warnings... 69 SpO2 warnings... 69 Masimo warnings... 72 Pulse oximetry cautions... 75 SpO2 cautions... 75 Masimo cautions ... 75 rSO2 warnings... 76 NIBP warnings... 77 NIBP cautions... 78 Invasive pressure warnings... 79 Invasive pressure cautions... 79 Temperature warnings... 80 C.O. warnings ... 80 C.O. cautions ... 81 CCO warnings ... 81 CCO cautions... 82 Venous oxygenation warnings ...83 Airway gases warnings ... 83 Airway gases cautions ... 85 Spirometry warnings ... 86 Spirometry cautions... 86 Gas exchange warnings... 86 Gas exchange cautions... 87 Entropy warnings ... 88 Entropy cautions... 88 NMT warnings ... 89 NMT cautions ... 90 EEG warnings ... 90 EEG cautions ... 90 BIS warnings ... 90 4/624

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BIS cautions ... 91 Indications for use... 92 CARESCAPE Canvas 1000 indications for use...92 Clinical benefits of using CARESCAPE Canvas 1000...93 CARESCAPE Canvas Smart Display indications for use ...93 Clinical benefits of using CARESCAPE Canvas Smart Display ...94 CARESCAPE Canvas D19 indications for use ...94 Clinical benefits of using CARESCAPE Canvas D19...94 F2 Frame indications for use... 94 Clinical benefits of using F2 Frame...94 B1X5-REC recorder intended use...95 Clinical benefits of using B1X5-REC recorder ...95 Intended use of 12RL™ Interpolated 12 lead ECG analysis...95 Intended use of 12SL ECG analysis ...95 Intended use of ACI-TIPI ... 95 E-MASIMO indications for use ...96 E-NSATX indications for use... 96 E-PP and E-PT indications for use ...96 E-COP–01 and E-COPSv–01 indications for use...96 E-PiCCO indications for use... 96 CARESCAPE respiratory modules’ indications for use...97 E-miniC indications for use... 97 Entropy indications for use ... 97 E-NMT indications for use ... 97 EEG indications for use... 97 BIS indications for use... 98 E-musb indications for use ... 98 Indications for use safety precautions...98 Indications for use warnings ...98 Indications for use cautions ...98 Measurement limitations... 99 Equipment markings... 99 Unique Device Identifier (UDI) ... 101 CE marking application year... 102 Training requirements ... 102 Electromagnetic compatibility ... 102 EMC warnings ... 102 ESD safety precautions... 103

System description... 105 CARESCAPE Canvas 1000... 105 Short description of CARESCAPE Canvas 1000 ... 105 Canvas 1000 front view... 106 Canvas 1000 back view ... 107 Canvas 1000 connectors ... 108 5697479-02

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Canvas 1000 system overview... 108 CARESCAPE Canvas Smart Display ... 110 Short description of CARESCAPE Canvas Smart Display... 110 Canvas Smart front view... 110 Canvas Smart back view ... 111 Canvas Smart connectors ... 112 Canvas Smart system overview ... 113 Feature overview ... 114 Licensed software options ... 115 CARESCAPE Canvas D19... 116 D19 display front view... 116 D19 display back view... 117 D19 display connectors ... 118 CARESCAPE ONE ... 119 CARESCAPE Parameters ... 120 Acquisition modules... 120 Module compatibility limitations ... 120 Identical acquisition modules... 120 CARESCAPE Patient Data Module... 121 Connecting a PDM... 121 Message about PDM service ... 122 Removing a PDM... 122 PDM front view ... 122 PDM parameters... 123 E-modules... 123 E-COP, E-COPSv, and E-PiCCO parameters ... 123 E-PP and E-PT parameters ... 124 E-module gas parameters ... 124 E-MASIMO and E-NSATX parameters... 124 Specialty E-module parameters ... 125 E-musb parameters ... 125 F2 Frame... 125 F2 Frame LED indicators ... 126 F7 and F5 Frames ... 127 Connecting CARESCAPE ONE to F2 Frame ... 127 Removing CARESCAPE ONE from F2 Frame... 128 Connecting E-modules... 128 Removing E-modules ... 129 Other system components ... 129 Access to external applications ... 131 InSite RSvP... 131 6/624

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System installation points to note... 131

Monitoring basics ... 133 Main screen layout... 133 Main keys ... 133 An example of a menu... 135 Menu options... 136 Selecting menu options with a touchscreen... 136 Selecting menu options with a mouse... 136 Data field entries ... 136 Entering data... 136 About the user default settings ... 136 About profiles... 136 Selecting a profile... 137 Supply mains interruption... 137 User interface indicators... 137

Setting up the monitor before use ... 143 Normal screen and other pages... 143 Selecting the normal screen (main page) ... 143 Selecting pages ... 143 Adjusting sound volumes... 143 Brightness settings... 144 Adjusting the display brightness automatically ... 144 Adjusting the display brightness manually... 144 Adjusting the alarm light brightness ... 144 Screen setup modifications ... 145 Parameter windows... 145 Upper parameter area ... 145 Lower parameter area ... 145 Selecting parameters to the normal screen... 146 Selecting the display mode for IP waveforms... 146 Setting up a split screen... 146 Locked alarm and parameter settings... 147 Color selections ... 147 Selecting colors for IP channels... 147 Selecting colors for other parameters and timer ... 147 Parameter configurations... 148 Setting up printing options... 148 Checking the CARESCAPE ONE battery status ... 148 Checking the PDM battery status ... 148 Setting the touchscreen off... 148

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Canvas 1000 with two screens ... 148 Other setup changes... 149

Starting and ending monitoring ... 151 Software packages and terminology ... 151 Turning on the monitor ... 151 Turning off the monitor ... 151 Turning on the D19 display... 151 Turning off the D19 display... 152 Starting monitoring ... 152 Pre-monitoring checklist... 153 Performance check... 153 Entering patient data... 153 Patient data privacy protection ... 153 Entering patient data with the monitor ... 153 Entering patient data with a barcode reader... 154 Loading patient information from the CARESCAPE Network... 154 Entering administrative information ... 155 About case reset/patient discharge ... 155 Pending software or setting activation ... 155 Residual physiological data... 155 Resetting a case/discharging a patient... 156 Resetting a case/discharging a patient in combination monitoring mode... 156 Time change during a patient case... 156 About continuing monitoring... 157 About Continue menu... 158 About Select Patient and Data menu... 159 How to continue monitoring with patient case on the monitor... 159 How to continue monitoring with patient case on the acquisition device... 160 How to continue monitoring by combining patient cases ... 160 About standby... 161 Starting standby ... 161 End of standby... 161 About the roving functionality... 162 Roving between units... 162 Entering the Location ID for 12SL... 162 Roving between beds ... 162 Adding new units and beds (manual roving) ... 163

Alarms ... 165 About alarms ... 165 Alarm safety precautions... 165 8/624

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Alarm overview... 165 Alarm types... 165 Alarm conditions ... 165 Broadcast only alarms... 166 Broadcasted limit alarms... 170 Arrhythmia alarm mapping... 171 Alarms in dual monitoring... 171 Alarm transfer from CARESCAPE ONE to a host monitor... 171 Checking alarm function ... 171 Visual alarm indications ... 172 Alarm icons on the screen... 172 Description of alarm and information messages... 173 About alarm message functionality... 173 Visual alarm signals and priority levels ... 174 Setting the alarm light brightness ... 174 Audible alarm indications ... 174 Audible alarm signals ... 174 Alarm tones ... 175 Adjusting the alarm volume ... 175 Audible alarm signals and priority levels ... 175 Auditory information signals... 176 Parameter alarms... 176 Alarm locks... 176 Absolute alarm limits ... 176 About critical alarms... 176 Setting parameter alarm limits... 177 Setting alarm limits automatically... 177 Default auto alarm limits... 177 Returning the default alarm limits... 178 Alarm priorities and escalation ... 178 Alarm priority levels... 178 Alarm priority escalation ... 179 Selecting parameter alarm priority levels... 179 Setting arrhythmia alarms ... 180 Pausing and silencing alarms ... 181 Audible alarms off behavior... 181 Turning audible alarms on/off... 181 Pause audio behaviors... 182 Pausing alarms for 5 minutes ... 182 Activating all audible alarms ... 183 Technical alarms’ deactivation with the pause audio key... 183 Apnea alarms’ deactivation with the pause audio key... 183 Alarms’ deactivation from the parameter menu... 183 Pause audio with combination monitoring... 183 Breakthrough alarms ... 184 Latched alarms... 184 5697479-02

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Pause monitoring ... 184 Safety considerations when using pause monitoring... 184 Turning off all local alarm indicators (sleep mode)... 185 Selecting Pause Monitor & Central... 186 Remote management of alarms ... 186 Alarm settings after a power loss ... 186 Alarm data stored in Clinical logs... 187 Stored alarm data during a power cycle or power loss... 187

ECG ... 189 About this measurement with CARESCAPE ONE... 189 ECG compatibility limitations ... 189 ECG safety precautions ... 189 ECG measurement limitations ... 189 ECG points to note... 189 ECG measurement setup... 190 ECG equipment to patient connection with the PDM... 190 ECG equipment to patient connection with a telemetry system... 190 ECG equipment to patient connection with CARESCAPE ONE... 191 Preparing the patient’s electrode sites... 191 Applying the electrodes to the patient... 191 3- lead or 5-lead ECG electrode placement... 192 6-lead ECG electrode placement... 192 10–lead ECG electrode placement for cardiac monitoring... 193 Standard resting 10–lead ECG electrode placement ... 194 Checking the ECG measurement ... 195 About the ECG analog output signal... 195 About the combination monitoring mode... 195 About V Tach criteria and combination monitoring... 197 About enhanced Asystole detection and combination monitoring... 197 About the ECG analog output signal... 197 Selecting the ECG source... 197 Using the ECG measurement ... 198 The first three displayed ECG leads ... 198 Selecting the first displayed ECG lead ... 198 Selecting the second displayed ECG lead... 198 Selecting the third displayed ECG lead... 198 Selecting the Va ECG lead... 199 Selecting the Vb ECG lead ... 199 Changing to an ECG cable with fewer leadwires... 199 Deactivating the ECG leads off alarm... 200 Setting the beat volume... 200 Selecting the beat source ... 200 Setting the beep tone during bradycardia alarms ... 200 10/624

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Selecting the ECG waveform size... 201 Selecting the hemodynamic waveform sweep speed ... 201 Printing all ECG waveforms ... 201 Selecting the ECG waveform filter... 201 Setting the QRS width... 202 Selecting the leads for ECG analysis... 202 Relearning the patient’s QRS pattern ... 203 Setting the primary HR source ... 203 Selecting HR alarm range... 204 Showing a second HR value in the HR parameter window... 204 Showing ST in the HR parameter window... 204 Showing PVC in the HR parameter window ... 204 Showing QT in the HR parameter window ... 204 Displaying the ECG grid ... 205 ECG alarm limits ... 205 Setting HR alarm limits for a single HR source... 205 Setting HR/PR alarm limits for multiple HR sources... 206 Setting PVC alarm limits ... 206 Setting SVC alarm limits ... 206 Configurable PR alarm delays ... 207 ECG alarm priorities ... 207 Checking alarm delays and priorities information... 207 ECG measurement practicalities... 207 Alternate pulse rate source ... 207 IntelliRate algorithm ... 208 Auto algorithm... 208 12 lead analysis ... 208 12 lead ECG analysis points to note ... 208 Entering data for a 12 lead ECG analysis ... 208 Entering data for an ACI-TIPI 12 lead ECG analysis... 209 Enabling and disabling the 12SL ACS ... 209 Setting automatic 12 lead ECG analysis measurements... 210 Generating a 12 lead ECG analysis report during an ST alarm condition... 210 Setting the 12 lead ECG analysis display format... 210 Including or excluding 12SL statements in printed reports ... 210 Entering the Location ID for 12SL ... 211 Selecting the 12 lead print speed... 211 Selecting the 12SL baseline stabilization ... 211 Performing a 12 lead ECG analysis... 211 A 12 lead report and the MUSE database ... 212 Sending a 12 lead ECG report to the MUSE database... 212 Selecting the low-pass 12 lead waveform filter ... 212 Viewing or printing saved 12 lead ECG reports ... 212 About the 12 lead ECG analysis program ... 213 About the 12RL™ ECG analysis feature... 214 Pacemaker detection... 214 5697479-02

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Pacemaker detection points to note... 214 Selecting the pacemaker detection ... 214 Arrhythmia monitoring ... 215 Arrhythmia measurement limitations ... 215 Setting the arrhythmia category to alarm ... 216 Setting arrhythmia alarms ... 216 Selecting V Tach criteria... 217 About V Tach criteria and combination monitoring ... 217 Setting minimum HR for V Tach... 217 Setting V Tach event duration ... 217 Setting the pause interval ... 218 Setting the SVT length ... 218 Setting HR for SVT... 218 Arrhythmia alarm messages... 218 About the arrhythmia detection ... 220 ST detection... 220 About the ST analysis ... 220 ST detection... 221 ST detection measurement limitations... 221 ST detection points to note ... 221 Starting the ST detection... 221 Selecting leads to the ST window ... 221 Changing the displayed ST leads... 221 Adjusting the ST point manually... 222 Adjusting the isoelectric measurement (ISO) point... 222 Adjusting the J point... 222 About the realtime QRS/ST complexes ... 222 About the reference QRS ... 222 Saving a reference QRS manually ... 223 Selecting a saved reference QRS complex for display ... 223 Erasing a reference QRS ... 223 Printing a realtime QRS/ST report... 223 Viewing QRS and ST in a split screen... 224 Selecting the ST time scale ... 224 ST trend display... 224 Displaying QRS complexes and ST trends for other leads... 224 Reviewing ST trends... 224 Printing an ST trend report... 225 Ischemic burden... 225 Enabling ischemic burden ... 225 Setting the ischemic burden limits... 226 ST alarm limits ... 226 Setting alarm limits for lead groups... 226 Setting alarm limits for individual leads... 226 Setting relative alarm limits ... 227 QT detection... 227 QT/QTc measurement limitations... 227 12/624

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Starting the QT/QTc measurement ... 227 Setting QT/QTc alarms ... 227 Selecting QT or QTc for analysis ... 228

Impedance respiration... 229 About this measurement with CARESCAPE ONE... 229 Impedance respiration compatibility limitations ... 229 Respiration safety precautions ... 229 Respiration measurement limitations ... 229 Respiration points to note... 229 Respiration measurement setup... 230 Respiration equipment to patient connection with PDM... 230 Respiration equipment to patient connection with CARESCAPE ONE... 231 Preparing the patient’s respiration electrode sites... 231 Respiration lead and breath detection ... 231 How to interpret the respiration values... 232 Respiration lead I electrode placement... 232 Respiration lead II electrode placement ... 233 Respiration lead RL-LL electrode placement ... 233 Respiration measurement checks ... 233 Respiration measurement on the monitor screen ... 234 Using the respiration measurement ... 234 Turning on the respiration measurement ... 234 Selecting the respiration lead... 234 Selecting the respiration waveform size automatically... 234 Selecting the respiration waveform size manually ... 234 Selecting the waveform sensitivity ... 235 Enabling respiration smoothing... 235 Turning inspiration and expiration markers on or off ... 235 Selecting the waveform speed... 235 Relearning the respiration pattern... 235 Turning on or off the respiration rate alarm ... 236 Setting the respiration alarm limits ... 236 Apnea alarms’ deactivation with the pause audio key... 236 Setting the apnea alarm delay ... 236 Configurable respiration alarm delays... 236 Enabling the respiration cardiac artifact alarm ... 236 Respiration alarm priorities... 237 Checking alarm delays and priorities information... 237 Turning off the respiration measurement ... 237 Respiration measurement description ... 237

Pulse oximetry ... 239 About this measurement with CARESCAPE ONE... 239 5697479-02

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SpO2 compatibility limitations ... 239 SpO2 safety precautions ... 239 SpO2 measurement limitations ... 239 SpO2 points to note... 239 Masimo safety precautions... 240 Masimo points to note... 240 SpO₂ measurement guidelines... 241 Masimo SET technology and sensor measurement guidelines ... 241 Pulse CO-Oximetry measurement with Masimo rainbow SET ... 241 Additional information for MASIMO technology ... 242 Nellcor™ sensors with OxiMax™ technology and sensor measurement guidelines... 242 Additional information for Medtronic technology... 242 SpO₂ measurement setup ... 243 SpO2 equipment to patient connection with PDM... 243 SpO2 equipment to patient connection with CARESCAPE ONE... 244 Preparing the SpO2 connection ... 244 Checking the SpO2 measurement ... 244 SpO2 functional testers... 245 Using the SpO₂ measurement ... 245 SpO2 measurement source channels... 245 Changing the SpO2 waveform size ... 245 Selecting the SpO2 hemodynamic sweep speed... 245 Selecting the SpO2 as the primary heart rate source ... 245 Showing the SpO2 pulse rate ... 246 Adjusting the SpO2 pulse beep volume... 246 Selecting the beat source ... 247 Setting the variable beat tone... 247 Masimo SET data averaging and updating ... 247 Selecting the SpO2 averaging time... 247 Selecting the Masimo SpO2 sensor sensitivity level... 248 Additional Masimo parameters ... 248 Perfusion index measurement... 248 Pleth variability index measurement ... 248 Showing additional Masimo parameters... 249 Selecting the Pi averaging time... 249 Selecting the PVi averaging time... 249 Nellcor™ sensors with OxiMax™ technology data averaging and updating ... 250 Selecting the SpO2 response time... 250 Nellcor™ OxiMax™ SatSeconds™ alarm management... 250 SatSeconds™ alarm management response example ... 251 Showing SatSeconds™ alarm management in the SpO2 parameter window ... 251 Setting the SatSeconds™ alarm management threshold ... 251 Setting the SpO2 alarms and alarm limits... 251 14/624

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Deactivating the SpO2 probe off alarm ... 252 Configurable SpO2 alarm delays... 252 Configurable PR alarm delays ... 253 SpO2 alarm priorities... 253 Checking alarm delays and priorities information... 253 Stopping the SpO2 measurement... 253 Using the SpHb measurement... 254 Setting the SpHb alarms and alarm limits ... 254 SpHb alarm priorities... 254 Selecting the SpHb averaging time ... 254 Selecting the SpHb rounding precision... 255 Selecting the SpHb measurement location... 255 Stopping the SpHb measurement ... 255 How to interpret the SpO₂ values ... 256 SpO2 signal strength... 256 SpO2 waveform quality... 256 SpO2 waveform stability ... 257 SpO2 wavelengths and optical output power... 257 SpO2 measurement and interference ... 257

Regional oxygen saturation (rSO₂) ... 259 rSO2 compatibility... 259 rSO2 safety precautions ... 259 rSO2 measurement limitations ... 259 rSO2 points to note... 259 rSO₂ measurement setup ... 260 rSO2 equipment to patient connection with CARESCAPE ONE... 260 rSO2 equipment to patient connection with E-musb ... 261 Preparing the rSO2 connection ... 261 Starting the rSO2 measurement... 261 Checking the rSO2 measurement ... 262 Using the rSO₂ measurement ... 262 rSO2 measurement channels... 262 rSO2 measurement description... 262 Storing rSO2 sensor information... 263 Identifying the rSO2 sensors ... 263 Changing the rSO2 channel labels ... 263 Setting the rSO2 alarms and alarm limits... 264 rSO2 alarm priorities... 264 Using rSO2 baselines ... 264 Setting the baselines automatically ... 264 Setting the baselines manually... 264 5697479-02

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Setting the rSO2 microtrend length ... 265 Stopping the rSO2 measurement... 265

Non-invasive blood pressure ... 267 About this measurement with CARESCAPE ONE... 267 NIBP compatibility limitations... 267 NIBP safety precautions ... 267 NIBP measurement limitations ... 267 NIBP points to note... 267 NIBP measurement setup... 268 NIBP equipment to patient connection with PDM ... 268 NIBP equipment to patient connection with CARESCAPE ONE ... 268 Preparing the NIBP patient connection... 269 Checking the NIBP measurement ... 269 NIBP measurement on screen ... 269 Manual NIBP measurements... 270 Starting or stopping a single NIBP measurement from the main menu... 270 Starting or stopping a single NIBP measurement from the NIBP setup menu ... 270 Automatic NIBP measurements ... 270 NIBP Auto mode... 270 Starting or stopping the NIBP Auto from the main menu... 270 Starting or stopping the NIBP Auto from the NIBP Setup menu... 270 Setting the cycle time between NIBP measurements... 270 Automatic NIBP measurements and monitor clock synchronization... 271 STAT mode... 271 Starting or stopping a Stat NIBP measurement ... 271 NIBP cuffs ... 272 NIBP cuff selection and placement... 272 Selecting NIBP cuff size... 272 Initial NIBP cuff inflation pressure... 272 Selecting the initial NIBP cuff inflation pressure ... 272 Setting the target NIBP inflation pressure ... 273 NIBP volume and display settings... 273 Adjusting the NIBP measurement completion tone volume ... 273 Setting the NIBP display format... 273 NIBP alarms... 273 Setting NIBP alarms ... 273 NIBP alarms’ deactivation with pause audio key ... 273 NIBP recheck after alarm violation (control measurement)... 274 NIBP measurement description... 274 NIBP measurement technologies... 275 DINAMAP SuperSTAT NIBP technology ... 275 DINAMAP Step Deflation technology ... 275 16/624

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NIBP calibration... 276

Invasive pressures ... 277 About this measurement with CARESCAPE ONE... 277 Invasive pressures compatibility limitations... 277 Invasive pressure safety precautions ... 277 Invasive pressure measurement limitations... 277 Invasive pressure points to note... 277 Invasive pressure measurement setup... 278 Invasive pressure equipment to patient connection with PDM ... 278 Invasive pressure equipment to patient connection with CARESCAPE ONE ... 278 Invasive pressure module keys ... 279 Connecting the invasive pressure transducer and cable... 279 Checking the invasive pressure measurement... 279 Invasive pressure measurement on the monitor screen... 279 Selecting the display mode for IP waveforms... 280 Using the invasive pressure measurement... 280 Invasive pressure measurement mapping... 280 Invasive pressure analog output ... 280 About zeroing the invasive pressure transducers ... 281 About zeroing reconnected CARESCAPE Pressures ... 281 Zeroing the invasive pressure transducers... 281 Selecting an invasive pressure channel label... 282 Selecting the size of the invasive pressure waveform... 282 Optimizing the invasive pressure waveform scale... 282 Selecting the hemodynamic waveform sweep speed ... 283 Selecting the displayed invasive pressure format ... 283 Using the invasive pressure waveform cursor ... 283 Selecting invasive pressure as the primary heart rate source ... 283 Selecting the ventilation mode ... 284 Showing the pulse rate in the invasive pressure parameter window... 284 Showing the CPP value in the ICP parameter window ... 284 Using the IP channel standby... 285 Selecting the invasive pressure noise reduction filter ... 285 Selecting the primary arterial source... 285 Selecting Smart BP ... 285 Compensating for intra-aortic balloon pump (IABP) waveform irregularities... 286 Selecting the invasive pressure response time... 286 Setting an arterial invasive pressure disconnection alarm... 286 Setting invasive pressure alarm limits ... 287 Configurable PR alarm delays ... 287 Invasive pressures alarm priorities... 287 Checking alarm delays and priorities information... 287 5697479-02

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Systolic pressure variation and pulse pressure variation... 288 Changing the SPV source... 288 Measuring SPV manually... 288 PA catheter insertion... 289 Selecting the PA catheter insertion mode ... 289 Pulmonary capillary wedge pressure (PCWP) measurement ... 289 Showing the PCWP value in the PA window ... 289 Taking a manual PA wedge measurement ... 290 Taking an automated PA wedge measurement... 290 Starting a new PA wedge measurement... 291 Other selections in the Wedge menu ... 291 Calibrating the invasive pressure transducer with PDM... 291 Invasive pressure calibration with E-modules... 291 Invasive pressure practicalities ... 291 Invasive pressure parameters ... 291 Invasive pressure labels for PDM and CARESCAPE ONE ... 292 Intra-aortic balloon pump ... 293 Triggering intra-aortic balloon pumps ... 294 Effects of IABP on displayed values... 294 1:1 or 1:2 timing ... 294 1:3 or more timing ... 295

Temperature... 297 About this measurement with CARESCAPE ONE... 297 Temperature compatibility limitations ... 297 Temperature safety precautions ... 297 Temperature measurement limitations ... 297 Temperature points to note... 297 Temperature measurement setup... 298 Temperature equipment to patient connection with PDM... 298 Temperature equipment to patient connection with CARESCAPE ONE... 298 Preparing the patient for temperature measurement ... 299 Checking the temperature measurement... 299 Temperature measurement on screen ... 299 Using the temperature measurement ... 300 Temperature mappings ... 300 Starting the temperature measurement ... 300 Changing the temperature site label... 300 Displaying the delta value between two temperature channels... 300 Setting temperature alarms ... 300 Stopping the temperature measurement ... 301 Temperature practicalities ... 301

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Cardiac output measurement... 303 Cardiac output compatibility limitations... 303 Cardiac output safety precautions... 303 C.O. measurement limitations ... 303 C.O. points to note... 303 C.O. measurement setup... 304 C.O. equipment to patient connection with an in-line probe... 304 C.O. equipment to patient connection with a bath probe ... 305 C.O. module key ... 305 Preparing the C.O. measurement ... 305 Checking the C.O. measurement ... 306 Using the C.O. measurement ... 306 Entering patient data for the C.I. value... 306 C.O. measurement modes ... 306 Taking an automatic C.O. measurement ... 306 Taking a manual C.O. measurement... 307 C.O. trial measurements ... 307 Printing a report of C.O. trials ... 308 Editing the C.O. average ... 308 Canceling a C.O. measurement... 308 C.O. catheter selections... 308 Selecting a C.O. catheter from the list... 308 Entering a user-defined C.O. catheter ... 308 Selecting the C.O. injectate probe type... 309 Setting a C.O. right ventricular ejection fraction (REF) measurement... 309 Selecting the C.O. scale ... 309 Selecting what to show with C.O./C.I. ... 309 Setting the Tblood alarm ... 309 Adjusting the ScvO2/SvO2 from the cardiac output menu... 310 Editing calculations ... 310 Adjusting the wedge from the cardiac output menu ... 310 C.O. practicalities... 311 Cardiac output thermodilution curve ... 311 How to improve the C.O. accuracy ... 311 Continuous cardiac output (CCO) measurement ... 312 Continuous cardiac output compatibility limitations ... 312 Continuous cardiac output safety precautions ... 312 CCO measurement limitations... 312 CCO points to note ... 312 CCO measurement setup ... 314 CCO equipment to patient connection ... 314 Preparing the CCO measurement... 314 Checking the CCO measurement... 315 Entering patient data for the C.I./CCI value... 315 Using the CCO measurement ... 315 C.O. measurement modes ... 315 Using automatic C.O. measurement for calibration ... 316 Using manual C.O. measurement for calibration... 316 C.O. trial measurements ... 317 5697479-02

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Printing a report of C.O. trials ... 317 Canceling a C.O. measurement... 317 Editing the C.O. average with E-PiCCO... 317 Automatic catheter identification ... 318 Selecting the measurement site for E-PiCCO... 318 Selecting the patient type... 318 Selecting the injectate volume... 318 Selecting the CVP source... 318 Selecting the CVP value... 319 Selecting the C.O. scale ... 319 Selecting what to show with C.O... 319 Selecting indexed values... 319 Setting the Tblood alarm ... 319 Selecting the viewing mode ... 319 About the numerical view ... 320 About the graphical view... 320 Configuring parameters ... 320 Configuring target zones... 321 Saving a graph ... 321 Selecting a reference graph... 321 Erasing a graph... 321 Printing a page... 321 Selecting split screen... 322 Selecting minitrend ... 322 Changing the graphic trend scales with E-PiCCO ... 322 Setting alarms ... 322 How to improve the CCO accuracy... 323

Venous oxygenation (SvO₂ and ScvO₂)... 325 SvO₂ measurement... 325 SvO2 compatibility limitations ... 325 SvO₂ safety precautions... 325 SvO2 measurement limitations... 325 SvO2 points to note ... 325 SvO₂ measurement setup ... 326 SvO2 equipment to patient connection ... 326 Checking the SvO2 measurement ... 326 Selecting the venous oxygenation measurement type... 326 SvO2 measurement on screen ... 326 Using the SvO₂ measurement... 327 SvO2 calibration in vitro ... 327 Calibrating a new SvO2 catheter in vitro ... 327 Recalling a previous in vitro calibration... 328 Calibrating SvO2 in vivo... 328 Updating the Hb value for venous oxygenation measurement... 328 Setting the venous oxygenation alarms ... 328 Stopping the venous oxygenation measurement... 329 SvO2 measurement description ... 329 ScvO₂ measurement ... 329 20/624

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ScvO2 compatibility limitations ... 329 ScvO₂ safety precautions... 330 ScvO2 measurement limitations ... 330 ScvO2 points to note... 330 ScvO₂ measurement setup ... 330 ScvO2 equipment to patient connection... 330 Checking the ScvO2 measurement ... 331 Selecting the venous oxygenation measurement type... 331 Using the ScvO₂ measurement ... 331 ScvO2 calibration in vitro ... 331 Calibrating a new ScvO2 catheter in vitro... 332 Recalling a previous in vitro calibration... 332 Calibrating ScvO2 in vivo... 332 Updating the Hb value for venous oxygenation measurement... 333 Setting the venous oxygenation alarms ... 333 Stopping the venous oxygenation measurement... 333 ScvO2 measurement description ... 333

Airway gases ... 335 Airway gases compatibility limitations... 335 Airway gases safety precautions... 335 Airway gases measurement limitations... 335 Airway gases points to note ... 335 Airway gases measurement setup ... 336 Airway gases equipment to patient connections with CARESCAPE respiratory modules ... 336 Airway gases equipment to patient connections with E-miniC, critical care setup... 337 Setting up the airway gases measurement... 337 CARESCAPE respiratory module connectors ... 338 E-miniC module connectors ... 338 Airway gases alternative patient connections... 339 Tracheostomy ... 339 Mask ventilation ... 339 Infant ventilation... 339 Checking the airway gases measurement ... 340 Airway gases parameters ... 340 Airway gases parameters, CARESCAPE respiratory modules ... 340 Airway gases parameters, E-miniC ... 341 Airway gases parameters, CARESCAPE CO2 - Microstream ... 342 CO₂ measurement... 342 About this measurement with CARESCAPE ONE ... 342 Preparing the setup for CARESCAPE CO2 - Microstream ... 342 Equipment connection with CARESCAPE CO2 - Microstream and E-musb ... 342 Available menu selections... 343 Selecting measurement source ... 343 Selecting the age range ... 344 5697479-02

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