operation
24 Radical Signal Extraction Pulse Oximeter Operator’s Manual
4
SIGNAL IQ
The Radical display provides a visual, indicator of the plethysmogram signal quality and an
alert when the displayed SpO
2
values are not based on adequate signal quality. The signal
quality indicator displayed on the Radical is called the Signal IQ.The Signal IQ can be used
to identify the occurrence of a patient's pulse and the associated signal quality of the
measurement.
With motion, the plethysmographic waveform is often distorted and may be obscured by
artifact. The Signal IQ, shown as a vertical line, coincides with the peak of an arterial
pulsation. Even with a plethysmographic waveform obscured by artifact, the Radical locates
the arterial pulsation. The pulse tone (when enabled) coincides with the vertical line of the
Signal IQ.
The height of the vertical line of the Signal IQ indicates the quality of the measured signal.
A high vertical bar indicates that the SpO
2
measurement is based on a good quality signal.
A small vertical bar indicates that the SpO
2
measurement is based on data with low signal
quality. When the signal quality is very low the accuracy of the SpO
2
measurement may be
compromised, and a “Low Signal IQ” message is displayed in the message area on the
Radical display. When the "Low Signal IQ" message appears proceed with caution and do
the following:
■
Assess the patient.
■
Check the sensor and ensure proper sensor application. The sensor must be well
secured to the site for the Radical to maintain accurate readings. Also, misalignment
of the sensor's emitter and detector can result in smaller signals.
■
Determine if an extreme change in the patient's physiology and blood flow at the
monitoring site occurred, (e.g. an inflated blood pressure cuff, a squeezing motion,
sampling of an arterial blood specimen from the hand containing the pulse oximetry
sensor, severe hypotension, peripheral vasoconstriction in response to hypothermia,
medications, or a spell of Raynaud's syndrome.)
■
With neonates or infants, check that the peripheral blood flow to the sensor site is
not interrupted. For example, as may occur while lifting or crossing their legs, during
a diaper change.
After performing the above, if the "Low Signal IQ" message is displayed frequently or
continuously obtaining an arterial blood specimen for CO-oximetry analysis may be
considered to verify the oxygen saturation value.
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