Measuring C. O. Using the PiCCO Method

13 Monitoring Cardiac Output

you can accept or reject trials directly by tipping on the trial curve. Discard conspicuously different values. The background of rejected trials is red and the background of accepted trials is green. The monitor recalculates the average values after you reject or accept trials.

If all values are different from each other, there may be true hemodynamic instability caused, for example, by severe cardiac arrhythmia.

Saving and Calibrating PiCCO C.O. Measurements

When you have finished editing the trials, you must save the results. This closes the measurement series, sends the average C.O. numeric to be displayed on the main screen, and stores the averaged values in the trends and calculations databases.

Before the monitor can calculate CCO, you must calibrate the measurement. You should also calibrate CCO every eight hours, or if the hemodynamic condition of the patient changes consistently in the same direction over 15 minutes, or if there are large or sudden changes in the patient’s condition.

The monitor only uses C.O. measurements from within the last 15 minutes for calibrating CCO.

To save and calibrate,

♦In the C.O. procedure window, select the pop-up key Save C.O. & Cal CCO to use the averaged C.O. value to calibrate Continuous Cardiac Output (CCO).

Your monitor may be configured to have two separate pop-up keys, Save C.O. and Cal CCO, instead of the combined Save C.O. & Cal CCO.

WARNING CCO calibration is patient-specific. When the C.O. module or measurement server extension is plugged in after the patient has changed, make sure that the correct CCO calibration is used. When in doubt perform a new CCO calibration first.

CCO Calibration Status Indicators

Each measurement trial is tagged with a calibration status indicator next to its trial number. Reflecting the quality of the pressure signal during the thermodilution measurement, this tag indicates each trial’s validity to be used in a CCO calibration.

For a trial to be eligible for calibration, the pressure signal must be continuously available and undisturbed starting 30 seconds before the first C.O. measurement of the series. Do not zero the pressure measurement, change the pressure label, or disturb the pressure signal in any other way during this time.

CAL

A pressure signal for CCO was available during the measurement (valid for calibration)

?CAL

A disturbed pressure signal for CCO was available during the measurement (valid for

 

calibration)

N/A

No adequate pressure signal for CCO was available during the measurement (no valid

 

calibration data)

EXP

This trial is more than 15 minutes older than the most recent trial and has expired for CCO

 

calibration (no valid calibration data)

 

 

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Philips MP20/30, MP60/70/80/90, MP40/50 Saving and Calibrating PiCCO C.O. Measurements, CCO Calibration Status Indicators
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MP60/70/80/90, MP40/50, MP20/30 specifications

Philips MP20/30, MP40/50, and MP60/70/80/90 are advanced patient monitoring systems designed to enhance clinical workflows and patient care in diverse healthcare settings. These devices combine cutting-edge technologies and user-friendly interfaces, making them essential tools for hospitals and healthcare providers.

The MP20 and MP30 are notable for their compact design, making them ideal for environments where space is limited. They come equipped with a variety of monitoring parameters, including ECG, SpO2, and non-invasive blood pressure, providing a comprehensive overview of patient health. These models are particularly suited for use in general wards or recovery areas, offering reliability and ease of use.

Moving to the MP40 and MP50, these monitors incorporate more advanced functionalities, including multi-gas monitoring, which is vital for anesthetic applications. They feature a robust data storage capacity, allowing for extensive patient history tracking and improved decision-making capabilities. The intuitive touchscreen interfaces facilitate quick access to essential information, enabling healthcare professionals to respond efficiently to changes in a patient's condition.

The MP60, MP70, MP80, and MP90 series represent the pinnacle of Philips' patient monitoring technology. These monitors are equipped with advanced algorithms that enhance the precision of vital sign measurements, including advanced ECG analysis capabilities that assist in detecting arrhythmias. The MP80 and MP90 models further integrate advanced monitoring technologies such as 3D visualization for hemodynamics and deep learning algorithms for early warning systems.

Connectivity is a key feature across the Philips monitoring range, with many models offering seamless integration with hospital information systems and electronic health records. This connectivity ensures that patient data is easily accessible to clinicians, promoting informed decision-making. Moreover, alarm management features are designed to minimize false alarms, significantly improving the staff's response time by focusing on critical alerts.

In summary, Philips MP20/30, MP40/50, MP60/70/80/90 monitors deliver exceptional monitoring capabilities, combining user-friendly design with advanced technology. Their varied features allow them to cater to different clinical needs, enhancing patient care and supporting healthcare professionals in their critical roles. With these monitors, healthcare facilities can achieve a new standard in patient monitoring, ensuring quality and safety in patient management.
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