Covidien Nellcor Mode D'emploi page 3

Instructions for Use
1. Match the initial color of the indicator to the purple color labeled
CHECK around the detector window as shown in
If the purple color of the indicator is not the same color or darker than
the area marked CHECK, DO NOT USE.
2. Insert the endotracheal tube. Inflate the cuff, if equipped.
3. Firmly attach the PEDICAP detector to the endotracheal tube; then
attach the breathing device, as shown in
4. When a Heat and Moisture Exchanger (HME) is used, note:
• Connect the HME to the endotracheal tube
• Connect the PEDICAP detector to the HME
• Connect the breathing device to the PEDICAP detector
5. Ventilate the patient with SIX BREATHS of moderate tidal volume
(may be done slowly or quickly). Compare the indicator color in the
window on full-end expiration to ranges printed on the detector cover.
Interpret results according to the decision tree that follows.
If PEDICAP detector results are not conclusive, the endotracheal tube
should be immediately reinserted unless correct anatomic location can
be confirmed with certainty by other means.
WARNING: INTERPRETING RESUlTS BEfORE CONfIRmING SIx
BREATh CyClES CAN yIElD fAlSE RESUlTS.
Gastric distention with air prior to attempted intubation may
introduce CO
endotracheal tube is misplaced in the esophagus. Initial PEDICAP
detector color (yellow) may be interpreted as a false positive if read
before delivery of six breaths.
WARNING: ThE PEDICAP DETECTOR WIll RESPOND TO CO
PRESENCE Of A mAIN STEm BRONChIAl INTUBATION OR If ThE
TUBE TIP IS IN ThE POSTERIOR PhARyNx. STANDARD ClINICAl
ASSESSmENT ShOUlD BE USED TO CONfIRm PROPER POSITION Of
ThE ENDOTRAChEAl TUBE WIThIN ThE TRAChEA.
A
2.0
<
levels as high as 4.5% into the PEDICAP detector if the
2
≈
% ETCO 2
CHECK
B
0.5
.
B
PEDICAP
detector
Connect to
ET tube
3
.
IN ThE
2
Connect
breathing
device
here