ZOLL M SeriesE Series Biphasic: CO2 SelfPaced Training Module

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ZOLL M Series/E Series Biphasic CO2 Self-Paced
Training Module 8
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Objectives

• At the end of this module the participant can
• Apply an proper adapter for CO2 monitoring
• Zero a sensor and/or adapter
• Connect the CO2 cable to the back of the machine.
  

3
Selecting an Airway Adapter

• Determine whether an adapter is needed with or
  without a mouthpiece

4
Sensor Re-Usable
Selecting an Airway Adapter

• Based on an endotracheal tube diameter, use the
  following table.
• Verify that the airway adaptor windows are clean
  and dry.
• Mouthpiece Only Verify that adapter and
  mouthpiece are intact and securely fastened to
  each other.

5
Turn Selector Switch to Monitor (Gray) Defib
(Red) or Pacer (Green)

• The EtCO2 display area
• Symbols will represent the status of the EtCO2
  alarm
• Numbers represent the EtCO2 and respiratory rate
  values

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Zeroing the Equipment

• To ensure the EtCO2 measurement is accurate, the
  sensor and the airway adapter must be zeroed
  before use.
• The M Series/E Series automatically displays ZERO
  CO2 SENSOR or ZERO CO2 ADAPTER when zeroing is
  necessary.
• The M Series/E Series retains the zero setting in
  memory, so zeroing is not necessary for later use
  of the same sensor, adapter and unit.

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Zeroing the Sensor

• Place the sensor in the zero cell located on the
  sensor cable.
• ZEROING CO2 SENSOR will display and takes 15
  seconds to complete the process
• Place the sensor in the REF cell located on the
  sensor cable
• Confirm the ETC02 value displayed is 38mmhg
  (1/-2mmgh)

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Zeroing the Airway Adapter

• Press the Zero and the EtCO2 Zero menu displays
• Press the Enter softkey
• 15 seconds to complete the process

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Connecting the Adapter

• Insert the elbow tubing into the endotracheal
  tube
• Hold airway adapter so side with two arrows is on
  the bottom with cables facing away from the
  patient

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Connecting the Adapter

• Insert end of elbow into the airway adapter
• Insert end of ventilator wye into opposite end of
  airway adapter
• Connect airway adapter to sensor cable

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Attach Sensor Cable to C02 Cable

• EtCO2 cable will connect into ETCO2 port at back
  of machine
• Attach end of CO2 cable to the sensor cable and
  click into place

CO2 Sp02 Multifunction Cable ECG
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Displaying the EtCO2 Menu

• By accessing the Param softkey, the menu will
  display the CO2 option
• Press the Select softkey until EtCO2 highlights
• Press the Enter softkey

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The EtCO2 Menu Displays at the Bottom of the
Screen

• Scale softkey adjust the scale (size) of the
  waveforms
• Average softkey adjust the length of breath
  measurement
• Comp softkey adjust to compensate for excessive
  oxygen
• Press the Enter key after any selection of
  softkey.

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Factors That Can Affect EtCO2

• Oxygen levels in excess of 60 (unless
  compensated for)
• Nitrous oxide in the airway adapter (unless
  compensated for)
• Desfluane in the exhaled breath beyond normal
  limits (5-6)
• Halogenated agents

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• This concludes Module 8 EtCO2 Measurement.
• Please continue on with other modules which may
  be required at your facility