1103415 Airway Adapter Set CO2 / O2 Nasal Cannula

Philipilip CO2 CapnoTrak Airway Adapter Set 1103415 CO2/O2 Nasal Cannula

Product Description:

Reduced or eliminated need for water traps

The CapnoTrak reduces or eliminates the need for water traps by using water filters with hydroPhilipilipilic filters and hydroPhilipilipobic plugs, which protect the sample cell from moisture and secretions. To increase the lifespan of the water filter, we recommend adding a dehumidification tube.

During moderate or deep sedation, the adequacy of ventilation shall be evaluated by continual observation of qualitative
clinical signs and monitoring for the presence of exhaled carbon dioxide unless precluded or invalidated by the nature of the patient,
procedure or equipment.”

Monitoring severity of lung disease and impact of treatment

Since etCO2 offers a measure of the alveolar O2/CO2
exchange capabilities, clinicians are able to assess the effect of
medications being used to treat asthma and chronic
obstructive pulmonary disease in both intubated and non￾intubated patients. As the therapy is given, the capnogram
appearance is assessed for its slope and timing. The aim of
therapy would be to have a near to normal capnogram
displayed.
Monitoring efficiency of mechanical ventilatory
support
Patients who are intubated and receiving mechanical
ventilatory support benefit from etCO2 monitoring in several
ways;
• Disappearance of the etCO2 value & capnogram is
suggested of ventilator disconnect. This may be detected on
the patient monitor prior to the ventilator associated alarm.
• Rebreathing of CO2 can be assessed by observing the
upward trend of the capnogram over time.
• There is a correlation between the etCO2 and PaCO2; a
gradient between 1-5mmHg is normal & expected. When
detecting a drop in etCO2, the clinician can measure the
PaCO2 and compare the two values. When there is a
widened gradient, this is suggestive of a pulmonary emboli
and the patient needs immediate investigation.
• One of the earliest indicators of insufficient neuromuscular
blockade is the attempt of the patient to breath
2 spontaneously. This can be seen on the capnogram which
will have a notched appearance.

Monitoring adequacy of pulmonary and coronary
blood flow e.g. Cardiac Arrest
Research has shown a close correlation between cardiac output
and etCO2 readings. Therefore several organizations are now
recommending that during cardio-pulmonary resuscitation
(CPR), etCO2 be measured and used as an indicator
effectiveness of CPR.
Monitoring spontaneous breathing in non-intubated
patients receiving procedural sedation
Pulse oximetry (SpO2) is the standard used for measuring
oxygen saturation of the blood; however it does not provide an
accurate snapshot of the patient's current ventilatory status.
Studies have shown that the earliest indicator of respiratory
depression and apnea are changes in the etCO2 level, which
occur long before changes are detected in the SpO2
measurement.
Because SpO2 does not provide information on the patients
ventilatory status, the Joint Commission on Accreditation of
Healthcare Organizations (JCAHO) and the American Society
of Anesthetists (ASA) have revised their monitoring standards
and now recommend that all patients under heavy sedation or
anesthesia should have continuous monitoring of their
respiratory measurements. The mandated use of capnograPhilipilipy
applies whenever drugs are administered that interfere with the
protective airway reflex.
Helping Choose the Appropriate CO2
Technology - Mainstream or Sidestream and/
or Microstream®
There are various types of CO2 sampling technologies available
with Philipilip. It is important to understand the difference
between the applications in order to help you select the best
option to satisfy your specific clinical requirements.
Mainstream CO2 Technology
With mainstream CO2 technologies, the CO2 sensor is placed
on an airway adapter which is directly in the breathing circuit.
As a patient breathes or is ventilated, the sensor analyzes the
gas passing through the adapter and reports the CO2 values.
Mainstream technology is the ideal choice for intubated
patients such as in the ICU. The benefits of this type of
technology are that the measurement is made immediately at
the airway. There is no sample removed from the breathing
circuit.
What is the limitation of mainstream for nonintubated patients?
Because mainstream technology requires the insertion of an
airway adapter into a breathing circuit, there is no easy
connection for monitoring your non-intubated patients.

Clearly visible CO2 ripples

The CapnoTrak has a small diameter opening in the center of the lumen of the airway adapter, along with a water filter and a very small sample cell, which results in very clear CO2 ripples that rapidly rise in time, up to 100 rpm Also very suitable

Sidestream CO2 and Microstream ® Technology
With sidestream and Microstream® technology, a nasal
cannula is placed on the patient, or, if the patient is intubated,
an airway adapter set is connected to the breathing circuit. As
the patient breathes, a portion of the breath is transported
through the sample line, filtered and analyzed by an infrared
sensor.
Sidestream and Microstream® technology is the ideal choice
for monitoring non-intubated patients such as in the ED for
conscious sedation or for use as a safety monitor in the ICU
after a patient has been extubated to help assure that the
patient maintains adequate ventilation on their own.

What is the limitation of sidestream for intubated patients?

Patients who require intubation and long term ventilation
typically will have thick secretions that are expelled through
coughing or by suctioning. Because sidestream technology
requires that the gas sample be transported from the breathing
circuit, through the sample line to reach the CO2 analyzer,
these secretions often will be aspirated into the sample line,
causing the line to occlude requiring user intervention to
correct the situation.

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