Chapter 10 monitoring co, Overview – ZOLL Propaq M Rev B User Manual

Page 107

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9650-0803-01 Rev. B

Propaq M Operator’s Guide

10-1

Chapter 10

Monitoring CO

2

This chapter describes how to use the Propaq M unit to monitor End Tidal Carbon Dioxide
(EtCO

2

), breath rate, and Fractional Inspired Carbon Dioxide (FiCO

2

). These options use the

same connector on the Propaq M unit and may be used interchangeably.

Overview

The Propaq M unit uses the Oridion Microstream FilterLine

®

and Smart CapnoLine

®

systems

to monitor CO

2

.

The FilterLine and Smart CapnoLine systems draw small samples of gas from the patient’s
airway via a oral/nasal cannula or airway adapter, and pass these gases through an infrared
sensor (located away from the patient’s airway) that measures CO

2

. The Microstream system

can be used for CO

2

measurements on intubated and non-intubated infant, pediatric, and adult

patients.

The Microstream CO

2

sensor generates infrared light, and beams it through the sampled

breathing gases and determines CO

2

concentration by measuring the amount of light absorbed

by gases.

The Propaq M unit displays EtCO

2

(the concentration of carbon dioxide detected at the end of

each exhalation) and FiCO as a numerical value in millimeters of mercury (mmHg). In
addition, the unit can display a capnogram. The capnogram is a valuable clinical tool that can
be used to assess patient airway integrity and proper endotracheal (ET) tube placement. The
unit calculates respiration rate by measuring the time interval between detected peaks of the
CO

2

waveform. The technology differentiates between waveforms caused by breathing and

those caused by cardiogenic oscillations and artifact.

The Propaq M is equipped with automatic barometric pressure compensation.

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