STANDARD OPERATING PROCEDURES FOR SURGIVET V9004 CAPNOGRAPH OPERATION

STANDARD OPERATING PROCEDURES


  1. Purpose
    This procedure provides basic operating instructions for the V9004 Capnograph.
  2. Scope
    This procedure applies to all veterinary and principal investigator staff using the monitor.
  3. Procedure
    1. The SurgiVet V9004 displays measurements of end-tidal CO2 (ET CO2), inspired CO2 (inCO2), respiration rate (RR), arterial blood oxygen saturation (Sp.O2), and pulse rate (HR).
      1. Displayed numerically and wave form where applicable.
    2. Alarm limits can be set on all monitored parameters (see operation manual).
    3. It is recommended to always plug in the monitor using the AC adapter.
      1. Internal battery only has a two hour life span.
      2. AC adapter port is located in the back of the machine (center).
    4. Prior to starting the machine, make sure the CO2 absorber port is connected.
      1. This is a closed circuit located in the rear of the machine, right side.
      2. Consists of a filter end for the top connection looping to the connection port immediately below it.
      3. This CO2 absorber removes CO2 from the sample gas when doing a low/high calibration.
    5. Turn on the machine.
      1. Depress button in lower left corner of machine, looks like a % sign.
      2. When machine is plugged in using the AC adapter a glowing green light is next to it.
    6. The machine performs a calibration check when first turned on.
    7. Set your high and low alarms (see operation manual) for your individual patient.
    8. Attach leads to patient.
      1. Pulse oximeter cable inserts into machine to the left of the on/off button where it says %SpO2.
        1. There is an extension cord to make the pulse oximeter cord longer to reach the patient.
        2. Attach other end of cable to patient on:
          1. Ear
          2. Tongue
          3. Lip
          4. Between toes
        3. This cable will provide %SpO2 and heart rate.
      2. CO2 lead attaches to machine in upper left corner.
        1. One end of line screws on to a disposable moisture trap that is inserted in the gas inlet port.
        2. The other end of the line is connected to the end of the endotracheal tube.
          1. This end of the CO2 line is of universal size so it will easily attach onto the end of the endotracheal tube and becomes the connection port in your gas anesthesia breathing circuit.
          2. Always remember to have the analyzer tubing facing upward off the ET tube so moisture does not accumulate in your line.
          3. Do not occlude line in any way, i.e. make sure it is not kinked or stuck beneath something heavy.
    9. There is a quick reference guide permanently attached to the top of the analyzer providing symbol descriptions.
    10. The menu/enter key when depressed reveals the main menu.
      1. Menus replace the wave forms.
    11. Press the arrow keys above and below the menu/enter key to scroll to the desired menu setting.
      1. An arrow next to entry indicates the entry you are scrolling by.
      2. Press menu/enter key to choose your entry. NOTE: The alarm setting entry is the second entry when you first hit the menu/entry key.
        1. Press down arrow once.
        2. Press menu enter key.
        3. Alarm settings are displayed.
        4. You can change your alarm settings by:
          1. Scroll to your setting you want to change and hit the menu/enter key.
          2. That setting becomes highlighted.
          3. Use the up and down arrows to change setting.
          4. Press menu/entry key to accept change.
          5. Scroll to EXIT and again press menu/entry to end.
    12. Monitor can be connected to a printer (see operation manual).
    13. Common problems
      1. Occlusion appears
        1. Change CO2 line leading to patient first.
          1. The moisture trap occludes when it is full, if not the problem, then
        2. Change the CO2 absorber in back of machine.
      2. CO2 rate climbs.
        1. CO2 absorber needs changing or
        2. System is leaking.
      3. See operation manual for more trouble shooting problems, page 14-1.
    14. The Capnograph is serviced by SurgiVet, specifically Gerry Maute, 1-800-241-4224, x3596.
    15. Calibration check is recommended by the SurgiVet technician to be done every three months.
      1. Calibration gas must be purchased from SurgiVet.
      2. See operation manual, pages 6-2, 6-3 for instructions.
    16. Capnograph should be kept free of debris.
      1. Reusable sensors and monitor should be cleaned with a soft cloth moistened in water or a mild soap solution.
      2. To disinfect the sensor, wipe the sensor with isopropyl alcohol.
      3. Disinfect between patients
      4. Do NOT autoclave, ethylene oxide sterilize or immerse the sensors in liquid.