12 mainstream sidestream capnpgraphy


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12 mainstream sidestream capnpgraphy

  1. 1. Mainstream and Sidestream CAPNOSTAT ® 3 Mainstream CO 2 Sensor LoFlo™Sidestream CO 2 Module
  2. 2. Capnography <ul><li>The standard-of-care </li></ul><ul><ul><li>Capnography </li></ul></ul><ul><ul><ul><li>Indicates a ventilatory event faster than any other type of monitoring </li></ul></ul></ul><ul><ul><ul><li>Provides a means for continuous, real-time monitoring of ventilation </li></ul></ul></ul><ul><ul><ul><li>Helps confirm ET tube placement </li></ul></ul></ul><ul><ul><ul><li>Enables you to provide the same level of care during procedural sedation as is required in the O.R. </li></ul></ul></ul>
  3. 3. <ul><li>Provides a time sensitive picture for the clinician as to the ongoing changes in a patient’s respiratory status during procedural sedation </li></ul><ul><ul><li>Immediate and sensitive data regarding a patient’s respiratory status for assessing the safety of a repeat bolus of medicine in an inadequately sedated patient </li></ul></ul>Capnography
  4. 4. <ul><li>Study comparing the CAPNOSTAT mainstream with Microstream ® sidestream </li></ul><ul><ul><li>Study conducted in a neonatal NICU concluded that the CAPNOSTAT sensor is more accurate than Microstream at estimating PaCO 2 . </li></ul></ul>Kathleen Deakins RRT-NPS Comparison of Microstream and Mainstream Capnography with Arterial CO2 in Neonates; University Hospitals of Cleveland, OH; FAARC 12-03 Clinical Studies
  5. 5. <ul><li>Procedural Sedation Study in the ED </li></ul><ul><ul><li>When the criteria of an ETCO 2 >50 mmHg, an absolute change >10 mm Hg, or an absent waveform were applied, all respiratory distress was detected , not detected by pulse oximetry alone. </li></ul></ul><ul><ul><li>The CO 2 monitor represents an additional monitor that can add to the safety of procedural sedation by quickly detecting hypoventilation </li></ul></ul>Miner JR, Heegaard W, Plummer D. End-tidal carbon dioxide monitoring during procedural sedation. Academy Emergency Medicine. 2002;9(4):275-80. Clinical Studies
  6. 6. <ul><li>Study comparing the CAPNOSTAT mainstream with Microstream sidestream in Emergency Medical Services </li></ul><ul><ul><li>Environmental conditions, specifically changes in ambient temperature: </li></ul></ul><ul><ul><li>“ Under the conditions of low and changing ambient temperature (-20 degrees C, +22 degrees C), only the Tidal Wave (Respironics; mainstream) remained uninfluenced, whereas deviations of -12% and +15% were found with the NPB-75 (Microstream; sidestream)”. </li></ul></ul>Biedler A, Wilhelm W, Mertzlufft F. [Portable capnographs in emergency care: a comparison of equipment] Anaesthesiol Reanim. 1999;24(3):71-8. Clinical Studies
  7. 7. CAPNOSTAT Mainstream Sensor <ul><li>Even under the harshest of airway conditions, the CAPNOSTAT sensor’s true single beam: </li></ul><ul><ul><li>Successfully compensates for the presence of contaminates </li></ul></ul><ul><ul><li>Continues to operate </li></ul></ul><ul><ul><li>Provides accurate readings </li></ul></ul>Jaffe, MB. Mainstream or sidestream capnography? Respironics-Novametrix White paper 1012102, August 2002.
  8. 8. CAPNOSTAT Mainstream Sensor <ul><li>Contaminate-free design </li></ul><ul><ul><li>Disposable patient sampling cuvette ensures analyzer is not exposed to, or contaminated with patient secretions, moisture, etc. </li></ul></ul><ul><ul><li>Unaffected by patient secretions </li></ul></ul><ul><ul><ul><li>Microstream sidestream systems are affected by patient secretions </li></ul></ul></ul><ul><ul><li>Keeps defibrillator in service </li></ul></ul><ul><ul><li>Reduces maintenance costs </li></ul></ul>
  9. 9. CAPNOSTAT Mainstream Sensor <ul><li>Family of Single Patient Use and Reusable Airway Adapters </li></ul><ul><ul><li>Adult, pediatric and infant </li></ul></ul><ul><li>CAPNO 2 mask™ </li></ul><ul><ul><ul><li>For use on non-intubated patients </li></ul></ul></ul>
  10. 10. <ul><li>No sample gas is diverted from the patient </li></ul><ul><ul><li>Typical sampling rates in sidestream systems run from 50cc to 250cc per minute </li></ul></ul><ul><ul><li>Because there is no sampling, the CAPNOSTAT sensor is free from sample line occlusion and waveform distortions </li></ul></ul><ul><li>Heated sensor </li></ul><ul><ul><li>The CAPNOSTAT sensor heats the sample cell windows keeping them dry, minimizing effects from airway moisture </li></ul></ul>CAPNOSTAT Mainstream Sensor
  11. 11. Benefits of Using the CAPNOSTAT Sensor <ul><li>Superior solid state design for greater accuracy and robustness </li></ul><ul><li>Instantaneous analysis due to no delay time and 60ms rise time (other devices have greater than 2 second delay time with a rise time of 200-240ms) </li></ul><ul><ul><li>Capnogram is displayed in 15 seconds, full specifications in 60 seconds </li></ul></ul><ul><ul><li>“ Crisp” waveform faithfully reflects airway ventilation </li></ul></ul><ul><ul><li>Better performance at higher respiratory rates </li></ul></ul><ul><li>Relatively lightweight due to miniaturization and newer technologies </li></ul>
  12. 12. <ul><li>Low deadspace airway adapter is available for infants </li></ul><ul><li>Airway adapter serves as the sample cell and is disposable </li></ul><ul><li>Airway adapter is located in line with the patient </li></ul><ul><ul><li>No gas sampling takes place </li></ul></ul><ul><li>Analysis performed at the patient airway and under the same environmental conditions </li></ul>Benefits of Using the CAPNOSTAT Sensor
  13. 13. <ul><li>Immediate response for emergency situations </li></ul><ul><ul><li>No delay in measurement </li></ul></ul><ul><li>Variety of airway adapters allows use on intubated or nonintubated neonatal, pediatric, and adult patients </li></ul><ul><li>Heated sensor keeps sample cell windows dry </li></ul>Benefits of Using the CAPNOSTAT Sensor
  14. 14. <ul><li>Uses the same proven analyzer and electronic technology as the CAPNOSTAT 3 Mainstream CO 2 sensor </li></ul><ul><li>Users can seamlessly switch between the LoFlo Sidestream CO 2 Module or CAPNOSTAT 3 Mainstream CO 2 Sensor, to allow selection of the technology most suited for the application </li></ul>LoFlo Sidestream Module - Features
  15. 15. <ul><li>Innovative disposable patent pending sample cell and filter </li></ul><ul><ul><li>Eliminates the possibility of contamination of the analyzer, thereby protecting your investment </li></ul></ul><ul><li>Sampling rate of 50ml/minute </li></ul>LoFlo Sidestream Module - Features
  16. 16. <ul><li>Complete family of: </li></ul><ul><ul><li>Adult, pediatric, and infant nasal cannula kits </li></ul></ul><ul><ul><li>Oral/nasal cannula kits </li></ul></ul><ul><ul><li>Sampling kits with oxygen delivery </li></ul></ul><ul><ul><li>Adult/pediatric and infant/neonatal on airway adapter kits for intubated patients </li></ul></ul><ul><ul><li>Patents pending </li></ul></ul>LoFlo Sidestream Module - Features
  17. 17. <ul><li>Innovative, patents pending, low deadspace neonatal on-airway adapter with less than 1 ml deadspace </li></ul>LoFlo Sidestream Module - Features
  18. 18. <ul><li>Sample pump rated for 24,000 hours of continuous use </li></ul><ul><ul><li>No routine changing of the sample pump </li></ul></ul><ul><ul><li>Typical sidestream systems sample pump rated at 7,000 hours or less </li></ul></ul><ul><li>Patent pending CAPflow™, Respironics capillary based flow control system permits tight control of flow, independent of barometric pressure </li></ul><ul><li>Pump is activated automatically when the disposable sample cell is connected and turns off automatically when sample cell is removed </li></ul>LoFlo Sidestream Module - Features
  19. 19. <ul><li>Measurement of End Tidal Carbon Dioxide (ETCO 2 ) and respiration rate </li></ul><ul><li>Delivers a crisp, accurate capnogram at all respiratory rates up to 150 breaths per minute </li></ul><ul><li>Waveforms and ETCO 2 readings in 15 seconds, warm up in less than 80 seconds, </li></ul><ul><li>Full accuracy in 3 minutes </li></ul><ul><li>Routine gas calibration is not required </li></ul>LoFlo Sidestream Module - Features
  20. 20. <ul><li>50 ml/min flowrate </li></ul><ul><li>Ideal for non-intubated and intubated patients </li></ul><ul><li>Interchangeable with the CAPNOSTAT 3 Mainstream CO 2 Sensor </li></ul><ul><li>No calibration required </li></ul>LoFlo Sidestream Module - Features
  21. 21. <ul><li>LoFlo Module plugs into the M Series and is interchangeable (and backward compatible) with the CAPNOSTAT sensor </li></ul><ul><li>Care giver has the choice of using the CAPNOSTAT sensor or the LoFlo module </li></ul><ul><li>Superior solid state design for accuracy and robustness </li></ul><ul><li>Immediate response for emergency situations </li></ul><ul><li>Integrated filter keeps sample cell windows dry </li></ul>Benefits of Using the LoFlo Sidestream Module
  22. 22. <ul><li>Analyzer CANNOT be contaminated due to our Removable Sample Cell </li></ul><ul><li>Family of adult, pediatric and infant sampling cannulas and on-airway adapter kits allows LoFlo to be used on intubated or non-intubated patients </li></ul><ul><li>24,000 hour rated sample pump @ 50 ml/min sample rate </li></ul><ul><li>No routine service is required </li></ul>Benefits of Using the LoFlo Sidestream Module
  23. 23. Product Summary <ul><li>ZOLL offers you the choice of using mainstream or sidestream ETCO 2 that best fits your applications - </li></ul><ul><li>“ Plug and play” </li></ul><ul><li>Both technologies are robust, proven solid state </li></ul><ul><li>Lifetime warranty </li></ul><ul><li>Analyzer in both systems CANNOT be contaminated by patient secretions or water </li></ul><ul><li>The CAPNOSTAT sensor and LoFlo module are for use in all clinical areas where ETCO 2 monitoring is required </li></ul><ul><li>No routine calibration </li></ul>
  24. 24. Clinical Summary <ul><li>Of equal importance to the ETCO 2 value is the waveform which faithfully reflects what’s occurring. </li></ul><ul><ul><li>Subtle changes in waveforms can indicate actual or impending problems with setup, airway mechanics, respiratory drive, cardiovascular systems, and other important conditions. </li></ul></ul><ul><ul><li>The shape and trends of the CO 2 waveforms contain valuable information that is not available from any other source. </li></ul></ul>
  25. 25. Clinical Summary <ul><li>Capnography affords the clinician breath by breath trending of ETCO 2 and thus a noninvasive look at ventilation </li></ul><ul><ul><li>Trending provides information on changes in ventilation and perfusion </li></ul></ul>
  26. 26. <ul><li>Thank you for visiting the ZOLL web site. If you </li></ul><ul><li>have any questions or need additional information, </li></ul><ul><li>please call 1 (800) 348-9011 or (978) 421-9655 </li></ul><ul><li>ZOLL Medical Corporation </li></ul><ul><li>269 Mill Road </li></ul><ul><li>Chelmsford, MA 01824 </li></ul>This material is presented with the consent of Respironics Inc. Wallingford CT. CAPNOSTAT is a registered trademark and LoFlo is a trademark of Respironics, Inc. Microstream is a registered trademark of Oridion