Philips End Tidal CO2 Monitoring

We now have the ability to perform end tidal CO2 monitoring using the bedside Philips monitors. There are 2 different microstream products in the service center which will allow you to either monitor the non-intubated patient using a nasal cannula Or an intubated patient using an in-line attachment.

2 modules available… Locked up in T3 Philips monitor module (brick) with ETCO2 outlet (behind sliding segment)

Microstream CapnoLine that has nasal cannula with CO2 detector. Nasal prongs with projection piece that extends over mouth To flowmeter and module Microstream CapnoLine that has nasal cannula with CO2 detector.

Philips in-line adaptor for use with intubated patients

These are chargeable items! Both the microstream cannula for non-intubated patients and inline adapter for intubated patients are located in the service center. These are chargeable items!

View of Philips monitor with standard module in place View of Philips monitor with standard module in place. The ETCO2 module cannot be piggybacked onto this as shown here.

Remove standard module and slide ETCO2 module onto it and attach to monitor.

Slide door down and screw microstream catheter into outlet Slide door down and screw microstream catheter into outlet. The CO2 information will automatically display on screen.

CO2 display

This illustrates microstream connected to module and O2 line connected to flowmeter.

While using nasal cannula, if you have to go above 5 liters, change to a mask. It is ok to place an oxygen mask over the nasal cannula, but you must remove the cannula from the oxygen source and only connect the mask to O2. Normal CO2 levels are 35-45. Pre-set limits are 30 and 50. You may have to adjust accordingly if patient has a different baseline. This is a “plug n play” device. You only need to attach to the module and no calibration is required. Please give the monitor a minute or so to detect the CO2 level.

The CO2 readings do not equal the results you would obtain from an arterial CO2 measurement, therefore you are monitoring for trends in the CO2 readings. Please remember to charge for the microstream items you use! Please return the CO2 module to T3 when you are finished so it can be easily located! ETCO2 monitoring is REQUIRED if you are performing deep sedation in the ED. (See new policy on deep sedation that was disseminated in March2011 policy updates!) Please ask the physician if there is any question if CO2 monitoring is indicated.