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Measuring C. O. Using the PiCCO Method 13 Monitoring Cardiac Output
165
Setting Up the PiCCO C.O. Measurement
1 Set up the arterial line using the arterial
catheter (transpulmonary catheter) and
the transducer kit from Pulsion Medical
Systems. It must be placed in one of the
bigger systemic arteries, for example, the
femoral or the axillary artery. You must
use the approved catheters and puncture
locations.
2 Set up the central venous line.
3 Connect the injectate temperature probe
housing to the venous line.
4 Plug the C.O. interface cable into the
C.O. module or measurement server
extension and connect the following
devices to the C.O. interface cable:
– Injectate temperature probe
– Thermistor connector
– Remote start switch (if used).
Follow your hospital standards to avoid
unintentional extraction of the C.O.
catheter. Secure the cable using the
mounting clip shipped with each C.O.
interface cable. You may also find it
helpful to loop the C.O. interface cable,
tape the loop, and attach it to the
undersheet of the patient's bed using a
safety pin.
5 If you are measuring CCO, set up the
pressure measurement now. The CCO measurement requires a minimally dampened invasive
pressure setup. You must ensure that there are no air bubbles in the pressure line or dome and use
only specified accessories.
6 Check that the correct measurement method is selected.
If a catheter is already connected to the Cardiac Output Interface Cable, the monitor automatically
recognizes the method used. If not, in the
Setup C.O. menu, select Method and then select
Transpulmonary.
7 Check that the Tinj Probe Type setting in the Setup C.O. menu matches the type of
injectate temperature probe used. The probe type is usually printed on the plug of the probe.
To change the probe type, in the
Setup C.O. menu, select Tinj Probe Type to call up a list
of available probes.
–
23001: it is recommended to use this probe with cold injectate
–
M1646: this probe can be used with room temperature injectate or with cold injectate.
C.O. Module Press Module
Pulsion
Pressure
Transducer
Pulsion Arterial
Catheter
Thermistor
Connection
Cable
Injectate
Temperature
Probe
C.O.
Interface
Cable
Injectate
Syringe
CVP
Line
Thermistor
Connection
Remote
Switch
Pressure
Adapter
Cable
Injectate
Temperatur
e Probe
Housing