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How spo2 is displayed, Displaying the plethysmographic waveform, Physiological monitoring – ZOLL M Series Defibrillator Rev M User Manual

Page 7: Param softkey, Sens. (sensitivity) softkey, How spo, Is displayed, Pulse oximetry (spo

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Pulse Oximetry (SpO

2

)

SpO

2

- 5

How SpO

2

is Displayed

The M Series Pulse Oximetry option displays a
plethysmograph waveform derived from the sensor. The
numeric oxygen saturation value is displayed as
"SpO2%". A signal strength indicator, left of the SpO

2

field, shows the relative change in the pulsatile signal
(see below).

Note: The SpO

2

numeric will display dashes (-----)

whenever pulse oximetry values are likely to be
contaminated due to the presence of excessive
ambient light, inadequate perfusion, high signal
artifact, a defective or disconnected sensor, etc.

Displaying the Plethysmographic
Waveform

The M Series unit can display one or two waveforms in
Monitor, Defib, or Manual (AED) mode, as long as the
defibrillator is not charging or ECG analysis is not in
progress. The unit displays only one waveform in Pacer
mode.

With SpO

2

monitoring, the unit can display a

plethysmographic waveform below the ECG trace for a
visual indicator of SpO

2

monitoring.

Pressing the Wave2 softkey from the physiological
monitoring menu cycles the display from the capnogram
waveform, to the plethysmograph waveform, to no
second waveform displayed.

The unit temporarily removes the second waveform from
the display when the user presses the CHARGE,
ANALYZE, or ENERGY SELECT buttons, or the Sync
On/Off
softkey. The unit restores the second waveform
to the display:

3 seconds after a shock is delivered

3 seconds after an analysis is completed, unless
the defibrillator is charging

4 seconds after the last Energy Select button
press

3 seconds after Sync mode is turned off

Physiological Monitoring

When the user turns the M Series unit to MONITOR
mode, the physiological monitoring menu will be
displayed with the following softkeys: Param, Wave2,
ID#, Alarms and 12 Lead (if installed).

Param Softkey

When the Param softkey is pressed, the following
softkeys appear: Select, Enter, and Return.

Pressing the Select softkey scrolls the highlight area
among the different available physiological parameters.
Pressing the Enter softkey selects the highlighted
parameter. Pressing the Return softkey returns the user
to the physiological monitoring menu.

When the user selects the SpO

2

parameter, the following

softkeys appear: Sens., Average, Alarms and Return.

Sens. (Sensitivity) Softkey

The Sens. softkey allows the user to select either
“Normal” or “High” sensitivity for SpO

2

monitoring.

The “Normal” sensitivity setting is the recommended
setting and should be selected for most patients.

The “High” sensitivity setting allows SpO

2

monitoring to

be performed even under very low perfusion conditions.
Such conditions may include severe hypotension or
shock. When the “High” sensitivity setting is used
however, SpO

2

results are more easily contaminated by

artifact. In order to assure accuracy of SpO

2

readings

when the “High” sensitivity setting is in use, it is
recommended that the patient be carefully and
continuously observed.

Normal and High sensitivity modes can be selected by
pressing the Sens. softkey. The highlight toggles
between the “Normal” and “High” options, allowing the
user to select the appropriate sensitivity.

Signal Strength
Indicator

Numeric Oxygen
Saturation

Alarm Status
Indicator

Param

Wave 2

Alarms

12 Lead

ID#

00:15

SpO2%

98

ECG

PADS

70

x1

ECG

LEAD SIZE HR

SpO2

Enter

Select

Return

SpO2

EtCO2

NIBP

Average

Sens.

Return


Alarms

Enter

Sens.

Return

Normal

High