Physio-Control LIFEPAK 15 - Manual (Page 69)

MONITORING
4
©2007-2013 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions
4-25
Monitoring SpO2, SpCO, and SpMet
SpO
2
, SpCO™, and SpMet™ are optional features for the LIFEPAK 15 monitor/defibrillator. When
all three options (SpO
2
, SpCO, and SpMet) are installed, the pulse oximeter measures functional
oxygen saturation (SpO
2
), carboxyhemoglobin concentration (SpCO), and methemoglobin
concentration (SpMet) in the blood.
IMPORTANT! SpO
2
-only sensors and combination SpO
2
, SpCO, and SpMet sensors are available
for use. Masimo ® SpO
2
-only sensors that have a red connector are compatible with the LIFEPAK 15
monitor. Masimo Rainbow™ sensors are necessary to monitor SpCO and SpMet in addition to
SpO
2
. These sensors are not compatible with other LIFEPAK defibrillator/monitors.
Nellcor SpO
2
sensors may be used with the LIFEPAK 15 monitor/defibrillator, if the Masimo Red™
MNC adapter cable is used.
For a list of SpO
2
sensors and connector cables that are intended for use with the LIFEPAK 15
monitor/defibrillator, see the Physio-Control web site. Carefully read the Directions for Use that are
provided with the sensors and connector cables for a complete description, instructions, warnings,
cautions, and specifications. To order sensors and connector cables, contact your Physio-Control
representative or order online at store.physio-control.com.
Intended Use
A pulse oximeter is a noninvasive device that continuously measures functional oxygen saturations
(SpO
2
), carboxyhemoglobin concentration (SpCO), and methemoglobin concentration (SpMet) in
the blood. Continuously monitoring SpO
2
can provide an early warning when oxygen saturation is
decreasing and can help the clinician act rapidly before the patient develops the later signs of
hypoxemia. Previously, the blood parameters SpCO and SpMet could only be obtained from invasive
blood gas samples. This new technology assists in identifying the often hidden conditions of
carboxyhemoglobinemia (carbon monoxide poisoning) and methemoglobinemia (a condition that
impedes delivery of oxygen to the tissues). Low levels of both SpCO and SpMet are normally found
in the blood; however, early detection of significantly high levels can lead to proper diagnosis and
treatment, and can help improve patient outcome.
Pulse oximetry is a tool to be used in addition to patient assessment. Care should be taken to
assess the patient at all times; do not rely solely on the SpO
2
, SpCO, and SpMet measurements. If
a trend toward patient deoxygenation is evident or carbon monoxide poisoning or
methemoglobinemia is suspected, blood samples should also be analyzed using laboratory
instruments to completely understand the patient’s condition.
Do not use the pulse oximeter to monitor patients for apnea, or as a replacement or substitute for
ECG-based arrhythmia analysis.