ZOLL E Series Monitor Defibrillator Rev E ETCO2 - Manual (Page 6)

E Series - End Tidal Carbon Dioxide (EtCO
2
) Option Insert
4 9650-1212-01 Rev. E
EtCO
2
Indications for Use
The ZOLL E Series EtCO
2
option is indicated for the
continuous noninvasive monitoring of end tidal carbon
dioxide (EtCO
2
) and respiration rate in patients requiring
ventilator support, transport, or anesthesia. The E Series
EtCO
2
option with Respironics Novametrix technology
supports two methods for continuous measurement of
end tidal carbon dioxide (EtCO
2
) and respiration rate.
The first method uses the CAPNOSTAT 5 Mainstream
CO
2
sensor attached to an airway adapter that connects
to an endotracheal tube, mask or disposable
mouthpiece.
The second method uses the LoFlo CO
2
module to
monitor both non-intubated and intubated patients using
specially designed sampling cannulas and airway
adapters.
The E Series EtCO
2
option is designed to monitor adult,
pediatric, and neonatal patients.
The following substances can influence CO
2
measurements made with the CAPNOSTAT 5 CO
2
sensor:
• elevated oxygen levels
• nitrous oxide
• halogenated agents
The E Series EtCO
2
option allows high oxygen and/or
nitrous oxide compensation. Halogenated anesthetic
agents alter CO
2
readings, but the E Series unit will
monitor CO
2
within specifications when these agents are
present at normal clinical levels. The presence of
Desflurane in the exhaled breath beyond normal values
(5-6%) may positively bias measured carbon dioxide
values by up to an additional 2-3 mmHg.
The E Series EtCO
2
option is intended for use only with
the ZOLL/Respironics Novametrix CAPNOSTAT 5
Mainstream CO
2
Sensor and the LoFlo CO
2
Module,
mainstream airway adapters, nasal and nasal/oral
sampling cannula sets, and sidestream on-airway
adapters.
Mainstream EtCO
2
Setup
There are several steps involved with mainstream
EtCO2 setup. These steps include:
• Attaching the CAPNOSTAT sensor cable.
• Selecting a mainstream airway adapter.
• Attaching the airway adapter to the CAPNOSTAT
sensor.
• Zeroing the CAPNOSTAT sensor/airway adapter.
• Attaching the airway adapter to the airway circuit.
• Applying an airway adapter with mouthpiece.
Attaching the CAPNOSTAT 5 CO
2
Sensor Cable
To attach the CAPNOSTAT 5 CO
2
sensor cable, plug the
cable’s connector into the yellow CO
2
connector at the
back of the E Series unit by matching the key on the
cable to the key on the connector (Figure 1).
Note To remove the sensor cable from the E Series unit,
grasp the collar surrounding the cable’s E Series
connector and pull up.
Selecting a Mainstream Airway Adapter
Select an airway adapter based on the patient's size, ET
tube diameter and monitoring situation. For more
information refer to the following table or contact ZOLL
Medical Corporation.
*SPU = Single Patient Use
Attaching the Airway Adapter to the
CAPNOSTAT 5 CO
2
Sensor
Before attaching the airway adapter to the
CAPNOSTAT 5 CO
2
sensor, verify that the airway
adapter windows are clean and dry. Clean or replace the
adapter if necessary.
CAUTION! The disposable (SPU) Pediatric/Adult and
the Neonatal/Pediatric airway adapters are
intended for single patient use. Do NOT
reuse or sterilize these adapters as system
performance will be compromised.
Attach the airway adapter to the CAPNOSTAT sensor,
as follows:
1. Align the arrow on the bottom of the airway adapter
with the arrow on the bottom of the sensor.
Airway Adapter Type ET Tube Diameter
SPU * Pediatric/Adult > 4.0 mm
Adult Reusable > 4.0 mm
SPU * Neonatal/Pediatric
≤ 4.0 mm
Neonatal Reusable
≤ 4.0 mm
Proper Grasp Improper Grasp
Figure 1