15 Monitoring Carbon Dioxide Setting up all CO
2
Measurements
190
CO
2
values for non-intubated patients using Microstream accessories will always tend to be lower than
for intubated patients. If values appear extremely low, check whether the patient is breathing through
the mouth or whether one nostril is blocked
Removing Exhaust Gases from the System
WARNING Anesthetics: When using the Microstream CO
2
measurement on patients who are receiving or have
recently received anesthetics, connect the outlet to a scavenging system, or to the anesthesia machine/
ventilator, to avoid exposing medical staff to anesthetics.
Use an exhaust tube to remove the sample gas to a scavenging system. Attach it to the MMS Extension
at the outlet connector.
Suppressing Zero Calibration
To prevent an automatic zero calibration from being started in the next five minutes,
♦ in the Setup CO
2
menu, select No Zero For 5Min, or select the Suppress CO
2
Zero
SmartKey, if configured.
Selecting No Zero For 5Min or selecting the Suppress CO
2
Zero SmartKey again before
the timer has timed out resets the timer to five minutes, unless an AutoZero became due during the
previous suppression.
Setting up all CO
2
Measurements
These tasks are common to all CO
2
measurements except where otherwise noted.
Adjusting the CO
2
Wave Scale
1 In the CO
2
Wave menu or the Setup CO
2
menu, select Scale.
2 Choose a suitable scale range from the pop-up list.
Setting up CO
2
Corrections
Temperature, water vapor in the patient’s breath, barometric pressure, and the proportions of O
2,
N
2
O
and Helium in the mixture all influence CO
2
absorption. If values seem inaccurately high or low,
check that the monitor is using the appropriate corrections.
If one of the corrections does not appear in your Setup CO
2
menu, your CO
2
measurement does not
require that correction.
Correction
Altitude Altitude is set during installation. The monitor automatically applies an appropriate
correction.
O
2
In the Setup CO
2
menu, select Oxy. Corr and select a value between 0% and
100%, the default value is 20%.