Measuring C. O. Using the PiCCO Method

13 Monitoring Cardiac Output

Setting Up the PiCCO C.O. Measurement

1Set 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.

2Set up the central venous line.

3Connect the injectate temperature probe housing to the venous line.

4Plug 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.

C.O. Module

C.O.

Interface

Cable

Remote

Switch

Injectate

Temperature

Probe

Injectate

Syringe

CVP

InjectateLine

Temperatur

eProbe Housing

Press Module

Pulsion

Pressure

Transducer

Pressure

Adapter

Cable

Thermistor

Connection

Cable

Thermistor

Connection

Pulsion Arterial

Catheter

5If 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.

6Check 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.

7Check 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.

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Philips MP40/50, MP60/70/80/90, MP20/30 manual Setting Up the PiCCO C.O. Measurement, Cvp
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MP60/70/80/90, MP40/50, MP20/30 specifications

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