ZOLL E Series Monitor Defibrillator Rev G NIBP - Manual (Page 5)

NIBP Indications for Use
9650-1214-01 Rev. G 5
NIBP Indications for Use
The ZOLL E Series ® NIBP option is indicated for the
non-invasive measurement of arterial blood pressure for
resting patients in critical care and transport. The NIBP
option is designed to measure blood pressure for adult
and pediatric patients.
Contraindication for Use
The ZOLL E Series NIBP option is not indicated for use
on neonatal patients or infants whose upper arm
circumference is less than 13 cm.
What Can I Do With the NIBP Option?
With the NIBP option you can do the following in
MONITOR, PACER, or DEFIB mode:
• Take a single blood pressure measurement.
• Take a STAT measurement (as many measurements
– up to ten – as possible within five minutes).
• Take repeated measurements at user-programmable
intervals.
• Immediately abort any measurement in progress by
pressing one button.
• Set the cuff inflation pressure to adjust automatically
based on the previously measured systolic value.
• Display systolic, diastolic and mean blood pressure
on the screen.
• Configure alarms to go off when the unit detects
blood pressure values above or below
user-programmable limits.
How Do I Use the NIBP Option?
To take safe and accurate blood pressure measurements
using the E Series NIBP option, you must perform the
following steps, each of which corresponds to a
subsequent section in this document. Read each section
carefully before you use the E Series NIBP option.
1. Select the proper size cuff.
2. Connect the hose to the E Series unit and to the cuff.
3. Apply the cuff to the patient.
4. Display the NIBP menu.
5. Set the cuff inflation pressure (if the current setting is
not appropriate).
6. Configure alarms (if the current settings are not
appropriate).
7. Take blood pressure measurement(s).
8. Read the display.
How Does the NIBP Option Work?
The patient blood pressure cuff and hose connect to the
E Series unit through the NIBP connector on the rear
panel of the unit. The NIBP button on the front panel of
the E Series allows you to initiate and terminate blood
pressure measurements, whose values display in the
NIBP area of the monitor. You can also initiate and
terminate measurements using the softkeys on the NIBP
menu.
The NIBP module measures the oscillometric pulses
transmitted through the blood pressure cuff and hose,
and calculates the blood pressure measurements
accordingly. The pressure measurement cycle takes
approximately 30 seconds and proceeds as follows:
1. The cuff inflates to a preconfigured pressure
(configured default value for adult patients is
180 mmHg), above the patient’s systolic blood
pressure, to occlude blood flow through the arteries
in the monitored limb.
2. The cuff deflates incrementally, allowing blood to flow
through the cuff and into the monitored limb.
3. As blood flows through the partially deflated cuff, it
produces pressure oscillations that are transmitted to
the E Series unit through the hose.
4. The E Series unit measures the oscillometric pulses
and uses them to calculate the corresponding
systolic, diastolic, and mean blood pressure, as well
as the patient’s pulse rate.
5. The NIBP option automatically adjusts the blood
pressure measurement procedure in response to
certain error conditions such as:
WARNING
Do not use the NIBP option without proper training.
Setting initial inflation pressure too high can result in
serious injury to the patient. Patient movement, very
low pulse volume, or vibration from outside sources
can influence the accuracy of blood pressure mea-
surements.