Gima CMS8000 Manual Del Uso página 191

71
• In the MANUAL mode, only one measurement is conducted for each time.
• In the AUTO mode, the measurement is cycled; you can set the interval time to 1/ 2/ 3/ 4/ 5/ 10/
15/30/60/90/120/240/480/960 minutes.
• In the continuous mode, the monitor measures the blood pressure as many times as possible in five
minutes.
Warning
• You must not perform NIBP measurements on patients with sickle-cell disease or under any condition
which the skin is damaged or expected to be damaged.
• For a thrombasthemia patient, it is important to determine whether measurement of the blood pressure
shall be done automatically. The determination should be based on the clinical evaluation.
• Ensure that the correct setting is selected when performing measurements on children. It may be dange-
rous for the children to use an over pressure level.
13.2 nIBP Monitoring
13.2.1 nIBP Measuring
Warning
• Before starting a measurement, verify that you have selected a setting appropriate for your patient
(adult, pediatric or neonate.)
• Do not apply the cuff to a limb that has an intravenous infusion or catheter in place. This could cause
tissue damage around the catheter when infusion is slowed or blocked during cuff inflation.
• Make sure that the air conduit connecting the blood pressure cuff and the monitor is neither blocked nor
tangled.
1. Plug in the air hose and switch on the system.
2. Apply the blood pressure cuff to the patient's arm or leg following the instructions below (Figure 13-1).
• Ensure that the cuff is completely deflated.
• Apply the appropriate size cuff to the patient, and make sure that the symbol "Φ" is over the appropriate
artery. Ensure that the cuff is not wrapped too tightly around the limb. Excessive tightness may cause
discoloration and eventual ischemia of the extremities.
Figure 13-1 Applying Cuff
Note
The width of the cuff should be either 40% of the limb circumference (50% for neonates) or 2/3 of the upper
arm length. The inflatable part of the cuff should be long enough to encircle 50-80% of the limb. The wrong
size of cuff can cause erroneous readings. If the cuff size is in question, then use a larger cuff.
Size of reusable cuff for neonate/children/adult
Patient Type
Neonate
Infant
Child
Adult
Large Adult
Thigh
Limb perimeter
6~11cm
10 ~19 cm
18 ~ 26 cm
25 ~ 35 cm
33 ~ 47 cm
46 ~ 66 cm
Cuff width
4.5cm
8 cm
10.6 cm
14 cm
17 cm
21 cm
Hose
3 m