ZOLL E Series Monitor Defibrillator Rev E ETCO2 - Manual (Page 10)

E Series - End Tidal Carbon Dioxide (EtCO
2
) Option Insert
8 9650-1212-01 Rev. E
CAUTION! The disposable (SPU) Adult/Pediatric and
Pediatric/Infant airway adapter kits are
intended for single patient use. Do NOT
reuse or sterilize these adapters as system
performance will be compromised.
1. Attach the airway adapter kit’s sample cell to the
sample cell receptacle on the LoFlo module, and
ensure that it clicks into place.
2. If the unit displays either of the following messages
take the appropriate action.
3. Place the airway adapter assembly at the proximal
end of the airway circuit between the elbow and the
ventilator circuit wye. Do NOT place the airway
adapter between the ET tube and the elbow as this
may allow patient secretions to accumulate in the
adapter.
If pooling does occur, the airway adapter may be
removed from the circuit, rinsed with water and
reinserted into the circuit. To prevent moisture from
draining into the sample tubing, ensure that the
sampling tube exits from the top of the airway
adapter, not its bottom or sides. See Figure 6.
4. Check that connections have been made correctly by
verifying the presence of a proper capnogram on the
E Series display.
Applying a Nasal or Nasal/Oral Cannula
The nasal and nasal/oral cannulas are intended for
monitoring EtCO
2
in non-intubated patients.
Oral/nasal sampling cannulas should be used on
patients who are prone to mouth breathing, since most (if
not all) of the CO
2
is exhaled through the mouth. If a
standard nasal CO
2
sampling cannula is used on such
patients, the EtCO
2
values and capnogram displayed will
be substantially lower than the actual CO
2
levels present
in the patient’s expired breath.
CAUTION! The disposable nasal and nasal/oral
cannula sets are intended for single patient
use. Do NOT reuse or sterilize the cannula,
as system performance will be
compromised.
1. Remove the cannula from the package. Verify that
the cannula is clean, dry, and undamaged. Replace if
necessary.
2. Attach the cannula’s sample cell to the sample cell
receptacle on the LoFlo module, and ensure that it
clicks into place.
3. If the unit displays either of the following messages
take the appropriate action.
If you see this
message: Take this action:
CHECK CO2
LINE Verify that the sample cell is plugged
into the module and seated properly.
Verify that neither the sample line nor
the exhaust tube are blocked, kinked,
or pinched. Verify that the airway
adapter is not blocked. If the sample
line, exhaust tube, or the airway
adapter is blocked or otherwise
compromised for 15 seconds, this
message will appear. The pump will
shut off after 2 minutes if the condition
that caused the message is not
cleared. To restart the pump, correct
the blockage, then remove and
reinsert the sample cell into the
sample cell receptacle.
If the problem persists, replace the
sample line.
CHECK CO2
MODULE Check that module cable is plugged in
and seated properly.
Check that module is not exposed to
excessive heat.
If problem persists, replace module.
Figure 6
Sampling Tube