Masimo Radical Signal Extraction Návod k obsluze Strana 47
- Strana / 116
- Tabulka s obsahem
- ŘEŠENÍ PROBLÉMŮ
- KNIHY
Hodnocené. / 5. Na základě hodnocení zákazníků
Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 4-7
4
Operation
value may be compromised. To acknowledge the Low SpHb SIQ state and display the number,
press the
icon. A numeric value will display for both SpHb and for SpOC. The “SpHb” param-
eter label will continue to flash to indicate the monitor is in a Low SpHb SIQ state.
If the user does not acknowledge the Low SpHb SIQ state, “---” will continue to be displayed
instead of a number value. To access the Max/APOD button and change the Sensitivity setting in
this situation when the
icon is displayed, press the “next page” icon.
Note: Once the Low SpHb SIQ state is acknowledged, the
icon will not be displayed again
in the same monitoring session. The SpHb parameter label will still flash to indicate a Low SpHb
SIQ state.
3
Severinghaus JW, Spellman MJ. Pulse Oximeter Failure Thresholds in Hypotension and
Vasoconstriction. Anesthesiology 1990; 73:532-537
ACTIONS TO BE TAKEN
If the SpO
2
,
SpCO, SpMet, or SpHb, SpOC, PVI, PI or pulse rate readings show significant
differences, do the following:
■ Make sure the emitter and detector are aligned directly opposite each other.
■ Select a site where the distance between the emitter and detector is minimized.
■ Wipe the sensor site with a 70% isopropyl alcohol pad or rubefacient cream (10-30% methyl
salicylate and 2-10% menthol) for 20-30 seconds to increase perfusion. However, strong
vasodilator creams, such as nitroglycerin paste, are not recommended.
■ If possible, remove electrical noise sources such as electrosurgical units or other electrical/
electronic equipment. If these solutions are not possible, operate the Pulse CO-Oximeter on
battery power, or try plugging the Pulse CO-Oximeter into a different electrical outlet.
■ If artificial nails or excessive fingernail polish are present, select another site or remove the
polish/artificial nails.
■ If possible, ensure that the sensor is placed in a location with low ambient or low strobing
light. Although the Radical-7 with integrated Masimo Rainbow SET technology has
significant immunity to ambient or strobing light, excessive ambient or excessive strobing
light may cause readings to be incorrect.
CAUTION: IF ANY MEASUREMENT SEEMS QUESTIONABLE, FIRST CHECK THE
PATIENT’S VITAL SIGNS BY ALTERNATE MEANS AND THEN CHECK THE
PULSE CO-OXIMETER FOR PROPER FUNCTIONING.
LOW PERFUSION
The Radical-7 Pulse CO-Oximeter displays a “Low Perfusion” message when there are very low
amplitude arterial pulsations.
It has been suggested that at extremely low perfusion levels, pulse oximeters can measure
peripheral saturation, which may differ from central arterial saturation
3
. This “localized
hypoxemia” may result from the metabolic demands of other tissues extracting oxygen proximal
to the monitoring site under conditions of sustained peripheral hypoperfusion. (This may occur
even with a pulse rate that correlates with the ECG heart rate.)
CAUTION: IF THE LOW PERFUSION MESSAGE IS FREQUENTLY DISPLAYED, FIND A
BETTER-PERFUSED MONITORING SITE. IN THE INTERIM, ASSESS THE
PATIENT AND, IF INDICATED, VERIFY OXYGENATION STATUS THROUGH
OTHER MEANS.
- with Rainbow Technology 1
- OPERATOR’S MANUAL 1
- OPERATOR’S MANUAL 2
- LABORATORY METHODS* 4
- Table of Contents 10
- Overview 13
- System Description 21
- Introduction 33
- Unpacking and Inspection 33
- Preparation for Monitoring 33
- TEMPERATURE 34
- HUMIDITY 34
- OPERATING ALTITUDE 34
- 0-100% 35
- SatShare Setup 37
- SATSHARE SETUP 37
- SATSHARE SETUP (CONTINUED) 38
- Philips VueLink Setup 39
- CAUTIONS: 39
- Operation 41
- Trend Setup and Use 71
- Alarm Identification 77
- Alarms and Messages 77
- Troubleshooting 87
- Specifications 91
- Sensors & Patient Cables 99
- Masimo Sensors (continued) 103
- SENSORS ON THE SAME PATIENT 103
- Service / Maintenance 105
- Cleaning 105
- Warranty 112
- Exclusions 112
- Restrictions 113
- Accessories 115
- 32218/4742F-0410 116
Související produkty a manuály pro Měření, testování a kontrola Masimo Radical Signal Extraction
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