User's Manual

Table Of Contents
44 Protocol Systems, Inc.
Perform Mainstream CO
2
Monitoring
The capnography (CO
2
) option measures End-tidal CO
2
(ETCO
2
), Inspired CO
2
(INCO
2
), Breath Rate,
and Apnea. Patients using Mainstream CO
2
must either be intubated or breathing through a
tight-fitting face mask connected to a breathing system such as an anesthesia circle system. The
Mainstream CO
2
option requires the SpO
2
option.
Warning
Avoid exposing older Mainstream CO
2
sensors to non-patient sources of CO
2
such as vehicle engine exhaust
or smoke. Exposure to these CO
2
sources can temporarily trap CO
2
within the monitor or Mainstream CO
2
sensor
housing, even when monitor power is off. This can temporarily cause an erroneous elevated CO
2
measurement
baseline until the trapped CO
2
leaks out and the baseline returns to zero (which can require as long as 3-24 hours).
Do not attempt to verify operation of the CO
2
sensor by blowing through it directly. Always blow through an
attached airway adapter. Otherwise, a small amount of CO
2
from your breath may enter the CO
2
sensor housing and
cause a small shift in the measured CO
2
values. It may take 3-24 hours for the sensor to return to proper calibration.
Do not clean and/or reuse a single-patient-use airway adapter. When a single-patient-use airway adapter
becomes occluded, replace it.
For best product performance and measurement accuracy, use only accessories supplied by Protocol
Systems or recommended in the Protocol Systems Products and Accessories booklet. Use accessories according to
your facilitys standards and the manufacturers recommendations. Always refer to the manufacturers Directions for
Use for instructions about operation, cleaning, and replacement. Only sensors recommended by Protocol Systems
provide calibrated waveforms and numerics.
Note
The Mainstream CO
2
operating temperature range is 10° to 40°C. This is different than the range of 0° to 40°C for other
Propaq CS monitor functions. CO
2
monitoring outside the specified range can cause inaccurate CO
2
measurements.
1. Select the appropriate airway adapter.
2. Connect the adapter, ventilator circuit, and CO
2
sensor according to the manufacturer’s
instructions.
Low dead space airway adapter
Adult airway adapter
Window
Window
CO
2