PRECAUTIONS
VF8 DELTA/DELTA XL/KAPPA 26-7
CAUTION:
If the PiCCO pod appears to be damaged, do not use the pod; contact Dräger
instead.
If the pulse contour measurement values seem unreasonable, perform a
thermodilution measurement. This will automatically recalibrate the PiCCO
pod and provide more accurate continuous pulse contour cardiac output
measurements. Recalibration is recommended if the hemodynamic conditions
change significantly, due to volume shifts or medication changes.
Inaccurate measurements can be caused by incorrectly placed catheters,
defective connections or sensors, and by electromagnetic interference (for
example, electric blankets, electric coagulation).
The displayed GEDV value may be erroneously high in patients with an aortic
aneurysm if thermodilution measurements are made via the femoral artery.
Aortic aneurysms may cause the displayed blood volume (GEDV/ITBV) derived
by thermodilution measurements to be erroneously high.
As the pulse contour cardiac output of children has not been sufficiently
validated thus far, the CO should be checked by thermodilution before
therapeutic interventions. Recalibration is recommended with significant
changes in hemodynamic conditions, such as volume shifts or changes to
medication.
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