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PiCCOplus - PULSION Medical Systems SE

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© <strong>PULSION</strong> 03/2008 MPI812905R02 022<br />

01<br />

Central venous<br />

catheter<br />

PiCCO plus Setup<br />

Injectate-temperature<br />

sensor cable<br />

PC80109<br />

Temperature-interface<br />

cable PC80150<br />

PULSIOCATH Arterial<br />

Thermodilution Catheter<br />

e.g. PV2015L20<br />

Injectate-temperature<br />

sensor housing PV4046<br />

(included PV8115)<br />

Pressure cable<br />

PMK-206<br />

<strong>PULSION</strong> <strong>Medical</strong> <strong>Systems</strong> AG • Joseph-Wild-Str. 20 • D-81829 Munich, Germany<br />

Tel. +49-(0)89-45 99 14-0 • Fax +49-(0)89-45 99 14-18 • info@pulsion.com • www.<strong>PULSION</strong>.com<br />

AUX Adapter cable<br />

PC81200<br />

<strong>PULSION</strong> disposable pressure transducer<br />

PiCCO Monitoring Kit PV8115<br />

PMK-XXX<br />

Connecting-cable<br />

to bedside monitor


02<br />

1<br />

2<br />

3<br />

4<br />

5<br />

6<br />

Choose Yes for a new patient, old data will be<br />

deleted, modify with<br />

Confirm with<br />

Enter patient ID number, height and weight<br />

of the patient<br />

For safety reasons, change of the ID number<br />

will delete stored data<br />

Arterial catheter will be detected automatically<br />

The minimal required injectate volume is<br />

given in ( )<br />

15 ml iced NaCl 0,9% as the default setting<br />

for adult patients<br />

Enter CVP<br />

PiCCO plus Patient Admission<br />

Upper / lower limit of the display range of PCCO<br />

Upper / lower warning limits for range of PCCO<br />

1<br />


03<br />

1<br />

2<br />

3<br />

4<br />

5<br />

6<br />

7<br />

8<br />

Open transducer to<br />

the atmosphere<br />

Press zero button<br />

Perform Zero Adjustment first<br />

on PiCCO plus then on bedside<br />

monitor<br />

Confirm with<br />

After pressing AP Correction Screen<br />

appears, default setting should be .<br />

(Difference in level of pressure transducer and<br />

patients heart can be corrected.)<br />

Thermodilution Screen<br />

Configuration Screen<br />

Input Screen<br />

Pulse-Contour Screen<br />

Pressure-Zeroing Screen<br />

PiCCO plus Zero Adjustment<br />

1 2<br />

3<br />

4 5 6 7 8


04<br />

Dräger Infinity ® PiCCO SmartPod PiCCO plus Configuration<br />

*For safety reasons, modification of date or time will delete patient related data<br />

Press to Configuration Screen and choose to access the Configure<br />

Display and select the most important PiCCO parameters<br />

Basic setup: Can not be changed and displays most common parameters as default<br />

Individual: User can configure own parameter selection


05<br />

1<br />

2<br />

3<br />

Press to Thermodilution Screen<br />

Press to perform a measurement<br />

Wait until appears<br />

PiCCO plus Thermodilution<br />

Perform a rapid and smooth injection<br />

3<br />

2<br />

1


06<br />

1<br />

2<br />

PiCCO plus Thermodilution II<br />

Press for further measurements<br />

Perform initially 3 thermodilution measurements<br />

In case of ELWI >10ml/kg it is recommended to<br />

use iced injectate for further measurements<br />

**If ΔT < 0,15°C, it may be necessary to use more<br />

and / or colder injectate.<br />

Select “injectate temperature


07<br />

1<br />

PiCCO plus Calibrate<br />

Deviating measurements should be selected with and , confirm<br />

by pressing once. Selected Thermodilution Curve is displayed.<br />

To delete this measurement press again<br />

It is only possible to delete the current measurements under the dashed line<br />

The mean results of the Thermodilution measurements of the last 10 minutes<br />

automatically calibrate the continuous cardiac output<br />

1


08<br />

1<br />

2<br />

3<br />

4<br />

5<br />

CI = Cardiac Index<br />

GEF = Global Ejection Fraction<br />

*GEDI or ITBI = Global End-Diastolic Volume<br />

Index or Intrathoracic Blood Volume Index<br />

ELWI = Extravascular Lung Water Index<br />

PCCI = Pulse Contour Cardiac Index<br />

Continuous Cardiac Output<br />

SVV = Stroke Volume Variation<br />

Press to display arterial pressure curve<br />

The display range of PCCI can be changed in<br />

the Input Screen<br />

NB: Values can be displayed as either indexed<br />

or absolute values by pressing<br />

*parameter selection in<br />

PiCCO plus Parameters<br />

Thermodilution Continuous<br />

results results<br />

4<br />

5<br />

5<br />

1<br />

2<br />

3

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