Operators Manual
356 Pages
Preview
Page 1
BeneView T5
Patient Monitor
Operator’s Manual
© Copyright 2006-2009 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved. For this Operator’s Manual, the issue date is 2009-08.
WARNING z
Federal Law (USA) restricts this device to sale by or on the order of a physician.
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Intellectual Property Statement SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual property rights to this Mindray product and this manual. This manual may refer to information protected by copyrights or patents and does not convey any license under the patent rights of Mindray, nor the rights of others. Mindray intends to maintain the contents of this manual as confidential information. Disclosure of the information in this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden. Release, amendment, reproduction, distribution, rental, adaption and translation of this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden.
,
and
are the registered trademarks or trademarks
owned by Mindray in China and other countries. All other trademarks that appear in this manual are used only for editorial purposes without the intention of improperly using them. They are the property of their respective owners.
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Responsibility on the Manufacturer Party Contents of this manual are subject to changes without prior notice. All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained herein nor for incidental or consequential damages in connection with the furnishing, performance, or use of this manual. Mindray is responsible for the effects on safety, reliability and performance of this product, only if:
all installation operations, expansions, changes, modifications and repairs of this product are conducted by Mindray authorized personnel;
the electrical installation of the relevant room complies with the applicable national and local requirements;
the product is used in accordance with the instructions for use.
WARNING z
This equipment must be operated by skilled/trained clinical professionals.
z
It is important for the hospital or organization that employs this equipment to carry out a reasonable service/maintenance plan. Neglect of this may result in machine breakdown or personal injury.
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Warranty THIS WARRANTY IS EXCLUSIVE AND IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE.
Definitions
Main unit: Integrated facilities which implements the specified function separately. Generally speaking, the main unit should include power supply, control system and some functional modules.
Accessories: Materials connected to the main unit to extend or implement specified function.
Consumables: Disposable or short-life parts which should be replaced each time after use or periodically.
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Exemptions Mindray's obligation or liability under this warranty does not include any transportation or other charges or liability for direct, indirect or consequential damages or delay resulting from the improper use or application of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel. This warranty shall not extend to
Malfunction or damage caused by improper use or man-made failure.
Malfunction or damage caused by unstable or out-of-range power input.
Malfunction or damage caused by force majeure such as fire and earthquake.
Malfunction or damage caused by improper operation or repair by unqualified or unauthorized service people.
Malfunction of the instrument or part whose serial number is not legible enough.
Others not caused by instrument or part itself.
The standard warranty period is as below:
Main unit: 18 months from shipment
Accessories: 6 months from shipment (For Mainstream CO2 sensor, it is 12 months from shipment). Main Accessories include SpO2 sensor and extension cable, ECG cable, NIBP cuff and tubing, Temp probe, Power cord, IBP/C.O./ICP cable, Battery, Bracket and Grounding cable.
Consumables: N/A
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Return Policy Return Procedure In the event that it becomes necessary to return this product or part of this product to Mindray, the following procedure should be followed:
Return authorization: Contact the international Customer Service Department and obtain a Return Materials Authorization number. This number must appear on the outside of the shipping container. Returned shipments will not be accepted if the number is not clearly visible. Please provide the model number, serial number, and a brief description of the reason for return.
Freight policy: The customer is responsible for freight charges when this product is shipped to Mindray for service (this includes customs charges).
Return address: Please send the part(s) or equipment to the address offered by the international Customer Service Department.
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Company Contact Manufacturer:
Shenzhen Mindray Bio-Medical Electronics Co., Ltd.
E-mail Address:
Tel:
+86 755 26582479 26582888
Fax:
+86 755 26582934 26582500
EC-Representative:
Shanghai International Holding Corp. GmbH(Europe)
Address:
Eiffestraβe 80, Hamburg 20537, Germany
Tel:
0049-40-2513175
Fax:
0049-40-255726
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FOR YOUR NOTES
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Preface Manual Purpose This manual contains the instructions necessary to operate the product safely and in accordance with its function and intended use. Observance of this manual is a prerequisite for proper product performance and correct operation and ensures patient and operator safety. This manual is based on the maximum configuration and therefore some contents may not apply to your product. If you have any question, please contact us. This manual is an integral part of the product. It should always be kept close to the equipment so that it can be obtained conveniently when needed.
Intended Audience This manual is geared for clinical professionals who are expected to have a working knowledge of medical procedures, practices and terminology as required for monitoring of critically ill patients.
Illustrations All illustrations in this manual serve as examples only. They may not necessarily reflect the setup or data displayed on your patient monitor.
Conventions
Italic text is used in this manual to quote the referenced chapters or sections.
[ ] is used to enclose screen texts.
→ is used to indicate operational procedures.
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FOR YOUR NOTES
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Contents 1 Safety... 1-1 1.1 Safety Information ... 1-1 1.1.1 Dangers ... 1-2 1.1.2 Warnings ... 1-2 1.1.3 Cautions ... 1-3 1.1.4 Notes ... 1-3 1.2 Equipment Symbols ... 1-4 2 The Basics ... 2-1 2.1 Monitor Description ... 2-1 2.1.1 Intended Use ... 2-1 2.1.2 Contraindications ... 2-1 2.1.3 Components ... 2-1 2.2 Main Unit ... 2-2 2.2.1 Front View... 2-2 2.2.2 Side View ... 2-4 2.2.3 Rear View... 2-5 2.3 Satellite Module Rack ... 2-7 2.4 Modules... 2-8 2.4.1 Plug-In Modules... 2-8 2.4.2 Multi-Parameter Module... 2-9 2.5 Display Screen ... 2-10 2.6 QuickKeys... 2-12 3 Basic Operations ... 3-1 3.1 Installation... 3-1 3.1.1 Unpacking and Checking ... 3-2 3.1.2 Environmental Requirements... 3-3 3.2 Getting Started ... 3-4 3.2.1 Turning Power On ... 3-4 3.2.2 Starting Monitoring ... 3-4 3.3 Disconnecting from Power... 3-5 3.4 Using a mouse... 3-5 3.5 Using Keys... 3-6 3.6 Using Keyboards... 3-6 3.7 Using the Touchscreen ... 3-6 3.8 Setting the Screen... 3-7 3.9 Using the Main Menu ... 3-8 3.10 Setting Parameters... 3-9 1
3.10.1 Accessing the Parameters Menu... 3-9 3.10.2 Removing a Module Conflict... 3-10 3.10.3 Removing a Label Conflict ... 3-10 3.11 Using a CF Storage Card...3-11 3.12 Changing General Settings... 3-12 3.12.1 Setting up a Monitor... 3-12 3.12.2 Changing Language ... 3-12 3.12.3 Adjusting the Screen Brightness ... 3-12 3.12.4 Showing/Hiding the Help... 3-13 3.12.5 Setting the Date and Time ... 3-13 3.12.6 Adjusting Volume... 3-14 3.13 Managing Configurations... 3-15 3.13.1 Restoring the Latest Configuration Automatically... 3-15 3.13.2 Setting Default Configuration at Startup... 3-15 3.13.3 Saving as User Configuration ... 3-16 3.13.4 Deleting a User Default Configuration ... 3-16 3.13.5 Restoring Default Configuration Manually... 3-17 4 Managing Patients... 4-1 4.1 Admitting a Patient... 4-1 4.2 Quick Admitting a Patient... 4-2 4.3 Editing Patient Information... 4-3 4.4 Discharging a Patient ... 4-3 4.5 Transferring a Patient ... 4-3 4.6 Connecting to a Central Monitoring System... 4-6 5 User Screens... 5-1 5.1 Tailoring Your Screens ... 5-1 5.1.1 Setting the Waveform Sweep Mode ... 5-1 5.1.2 Changing the Wave Line Size ... 5-1 5.1.3 Changing Measurement Colors... 5-1 5.1.4 Changing Screen Layout ... 5-2 5.2 Viewing Minitrends... 5-3 5.2.1 Having a Split-Screen View of Minitrends ... 5-3 5.2.2 Setting Minitrends... 5-4 5.3 Viewing oxyCRG ... 5-4 5.4 Viewing Other Patients ... 5-5 5.4.1 Care Group ... 5-5 5.4.2 Viewing the Care Group Overview Bar ... 5-5 5.4.3 Understanding the View Other Patient Window ... 5-6 5.5 Understanding the Big Numerics Screen ... 5-7 6 Alarms ... 6-1 6.1 Alarm Categories... 6-1 2
6.2 Alarm Levels ... 6-2 6.3 Alarm Indicators... 6-2 6.3.1 Alarm Lamp ... 6-2 6.3.2 Alarm Message... 6-3 6.3.3 Flashing Numeric ... 6-3 6.3.4 Audible Alarm Tones... 6-3 6.3.5 Reminder Tones... 6-4 6.3.6 Alarm Status Symbols ... 6-4 6.4 Alarm Tone Configuration ... 6-5 6.4.1 Setting the Minimum Alarm Volume ... 6-5 6.4.2 Changing the Alarm Volume ... 6-5 6.4.3 Setting the Interval between Alarm Sounds ... 6-6 6.4.4 Changing the Alarm Tone Pattern ... 6-7 6.4.5 Setting the Reminder Tones ... 6-7 6.5 Understanding the Alarm Setup Menu ... 6-7 6.5.1 Setting Alarm Properties for All Parameters ... 6-8 6.5.2 Adjusting Alarm Limits Automatically ... 6-8 6.5.3 Setting Alarm Delay Time... 6-13 6.5.4 Entering CPB Mode ... 6-13 6.6 Pausing Alarms ... 6-14 6.7 Silencing the Alarm Sound... 6-14 6.8 Latching Alarms... 6-14 6.9 Silencing Technical Alarms... 6-15 6.10 Testing Alarms ... 6-15 6.11 When an Alarm Occurs ... 6-16 6.12 Using Care Group Alarms... 6-16 6.12.1 Care Group Auto Alarms... 6-16 6.12.2 Silencing Care Group Alarms ... 6-16 7 Monitoring ECG ... 7-1 7.1 Introduction... 7-1 7.2 Safety ... 7-2 7.3 Preparing to Monitor ECG ... 7-3 7.3.1 Preparing the Patient and Placing the Electrodes... 7-3 7.3.2 Choosing AHA or IEC Lead Placement ... 7-4 7.3.3 ECG Lead Placements... 7-4 7.3.4 Checking Paced Status ... 7-7 7.4 Understanding the ECG Display... 7-8 7.5 Changing ECG Settings ... 7-9 7.5.1 Accessing ECG Menus... 7-9 7.5.2 Setting Pacemaker Rate (For Mortara only)... 7-9 7.5.3 Choosing the Alarm Source ... 7-9 7.5.4 Setting the ECG Lead Set ... 7-9 7.5.5 Choosing an ECG Display Screen ... 7-9 3
7.5.6 Changing the ECG Filter Settings... 7-10 7.5.7 Switching the Notch Filter On or Off... 7-10 7.5.8 About the Defibrillator Synchronization ...7-11 7.5.9 Changing ECG Wave Settings ...7-11 7.5.10 Choosing the Heart Rate Source ... 7-12 7.5.11 Enabling Smart Lead Off ... 7-12 7.5.12 Setting the Alarm Level for ECG Lead Off Alarms ... 7-12 7.5.13 Adjusting QRS Volume ... 7-12 7.6 About ST Monitoring ... 7-13 7.6.1 Switching ST On and Off... 7-13 7.6.2 Changing ST Filter Settings ... 7-13 7.6.3 Understanding the ST Display ... 7-14 7.6.4 Changing the ST Alarm Limits ... 7-14 7.6.5 Setting the ST Alarm Delay Time ... 7-14 7.6.6 Adjusting ST Measurement Points ... 7-14 7.7 About Arrhythmia Monitoring ... 7-16 7.7.1 Understanding the Arrhythmia Events ... 7-16 7.7.2 Changing Arrhythmia Alarm Settings ... 7-18 7.7.3 Changing Arrhythmia Threshold Settings (For Mortara Only) ... 7-18 7.7.4 Reviewing Arrhythmia Events ... 7-19 7.7.5 Initiating an ECG Relearning Manually... 7-19 7.7.6 Automatic ECG Relearning... 7-19 7.8 12-Lead ECG Monitoring ... 7-20 7.8.1 Entering the 12-lead ECG Monitoring Screen ... 7-20 7.8.2 Interpretation of resting 12-lead ECG ... 7-21 7.8.3 Reviewing Interpretation of resting 12-lead ECG Results ... 7-22 8 Monitoring Respiration (Resp) ... 8-1 8.1 Introduction... 8-1 8.2 Safety Information ... 8-1 8.3 Understanding the Resp Display... 8-2 8.4 Placing Resp Electrodes... 8-2 8.4.1 Optimizing Lead Placement for Resp ... 8-3 8.4.2 Cardiac Overlay ... 8-3 8.4.3 Abdominal Breathing ... 8-3 8.4.4 Lateral Chest Expansion ... 8-4 8.5 Choosing the Respiration Lead ... 8-4 8.6 Changing the Apnea Alarm Delay... 8-4 8.7 Changing Resp Detection Mode ... 8-4 8.8 Changing Resp Wave Settings ... 8-5 8.9 Setting alarm properties ... 8-5 8.10 Switching Resp Measurement On/Off ... 8-5 9 Monitoring PR... 9-1 4
9.1 Introduction... 9-1 9.2 Setting the PR Source ... 9-2 9.3 Selecting the Active Alarm Source ... 9-3 9.4 QRS Tone ... 9-3 10 Monitoring SpO2... 10-1 10.1 Introduction... 10-1 10.2 Safety ... 10-2 10.3 Identifying SpO2 Modules... 10-3 10.4 Applying the Sensor ... 10-3 10.5 Changing SpO2 Settings ... 10-4 10.5.1 Accessing SpO2 Menus ... 10-4 10.5.2 Adjusting the Desat Alarm ... 10-4 10.5.3 Setting SpO2 Sensitivity... 10-4 10.5.4 Changing Averaging Time... 10-4 10.5.5 Monitoring SpO2 and NIBP Simultaneously... 10-5 10.5.6 Sat-Seconds Alarm Management ... 10-5 10.5.7 Changing the Speed of the Pleth Wave ... 10-6 10.5.8 Setting the Alarm Level for SpO2 Sensor Off Alarm... 10-6 10.5.9 Setting the SpO2 Tone Mode ... 10-7 10.6 Measurement Limitations... 10-7 10.7 Masimo Information ... 10-8 10.8 Nellcor Information... 10-8 11 Monitoring NIBP...11-1 11.1 Introduction ...11-1 11.2 Safety ...11-2 11.3 Measurement Limitations...11-3 11.4 Measurement Methods ...11-3 11.5 Setting Up the NIBP Measurement ...11-3 11.5.1 Preparing to Measure NIBP ...11-3 11.5.2 Starting and Stopping Measurements ...11-4 11.5.3 Correcting the Measurement if Limb is not at Heart Level...11-4 11.5.4 Enabling NIBP Auto Cycling and Setting the Interval...11-4 11.5.5 Starting a STAT Measurement...11-5 11.6 Understanding the NIBP Numerics ...11-5 11.7 Changing NIBP Settings ...11-6 11.7.1 Setting the Initial Cuff Inflation Pressure...11-6 11.7.2 Setting NIBP Alarm Properties...11-6 11.7.3 Displaying NIBP List ...11-6 11.7.4 Setting the Pressure Unit ...11-7 11.8 Assisting Venous Puncture ...11-7 11.9 Resetting NIBP...11-7 11.10 NIBP Leakage Test...11-8 5
11.11 NIBP Accuracy Test ...11-9 11.12 Calibrating NIBP...11-10 12 Monitoring Temp... 12-1 12.1 Introduction... 12-1 12.2 Safety ... 12-1 12.3 Making a Temp Measurement... 12-2 12.4 Understanding the Temp Display ... 12-2 12.5 Setting the Temperature Unit ... 12-2 13 Monitoring IBP ... 13-1 13.1 Introduction... 13-1 13.2 Safety ... 13-1 13.3 Setting Up the Pressure Measurement ... 13-2 13.4 Understanding the IBP Display... 13-3 13.5 Changing IBP Settings ... 13-4 13.5.1 Changing a Pressure for Monitoring ... 13-4 13.5.2 Setting Alarm Properties ... 13-4 13.5.3 Changing Averaging Time... 13-4 13.5.4 Setting the Pressure Unit... 13-5 13.5.5 Setting Up the IBP Wave... 13-5 13.6 Measuring PAWP ... 13-6 13.6.1 Preparing to Measure PAWP ... 13-7 13.6.2 Setting Up the PAWP Measurement... 13-8 13.6.3 Understanding the PAWP Setup Menu... 13-9 13.7 Zeroing the Transducer ... 13-9 14 Monitoring Cardiac Output ... 14-1 14.1 Introduction... 14-1 14.2 Understanding the C.O. Display ... 14-2 14.3 Influencing Factors ... 14-2 14.4 Setting Up the C.O. Measurement ... 14-3 14.5 Measuring the Blood Temperature ... 14-6 14.6 Changing C.O. Settings... 14-7 14.6.1 Setting the Temperature Unit ... 14-7 14.6.2 Setting Alarm Properties ... 14-7 14.6.3 Setting the Interval between Measurements... 14-7 15 Monitoring CCO/SvO2... 15-1 15.1 Introduction... 15-1 15.2 Safety ... 15-1 15.3 Automatic Communication Detection... 15-2 15.4 Connecting the Vigilance II® Monitor ... 15-2 15.5 Understanding CCO Parameters ... 15-4 6
15.6 Understanding the CCO Display... 15-4 15.7 Changing CCO Settings ... 15-5 15.7.1 Selecting Vascular Resistance Unit ... 15-5 15.7.2 Selecting the Displayed Parameters ... 15-5 15.7.3 Checking the C.O. Measurements... 15-5 15.7.4 Setting Signal Output ... 15-5 15.7.5 Selecting Alarm Properties... 15-6 15.8 Understanding SvO2 Parameters ... 15-6 15.9 Understanding the SvO2 Display... 15-6 15.10 Changing SvO2 Settings ... 15-7 15.10.1 Setting Signal Output ... 15-7 15.10.2 Selecting Alarm Properties... 15-7 16 Monitoring Carbon Dioxide ... 16-1 16.1 Introduction... 16-1 16.2 Identifying CO2 Modules ... 16-2 16.3 Preparing to Measure CO2... 16-3 16.3.1 Using a Sidestream CO2 Module ... 16-3 16.3.2 Using a Microstream CO2 Module... 16-4 16.3.3 Using a Mainstream CO2 Module ... 16-5 16.4 Changing CO2 Settings... 16-6 16.4.1 Accessing CO2 Menus... 16-6 16.4.2 Entering the Standby Mode... 16-6 16.4.3 Setting the CO2 Unit... 16-6 16.4.4 Setting up Gas Compensations... 16-7 16.4.5 Setting up Humidity Compensation ... 16-8 16.4.6 Setting the Apnea Alarm Delay... 16-8 16.4.7 Choosing a Time Interval for Peak-Picking ... 16-9 16.4.8 Setting the Flow Rate ... 16-9 16.4.9 Setting up the CO2 Wave... 16-9 16.5 Setting Barometric Pressure Compensation ... 16-10 16.6 Measurement Limitations... 16-10 16.7 Troubleshooting the Sidestream CO2 Sampling System ...16-11 16.8 Removing Exhaust Gases from the System ...16-11 16.9 Zeroing the Sensor ...16-11 16.9.1 For Sidestream and Microstream CO2 Modules...16-11 16.9.2 For Mainstream CO2 Modules ... 16-12 16.10 Calibrating the Sensor ... 16-12 16.11 Oridion Information ... 16-13 17 Monitoring AG ... 17-1 17.1 Introduction... 17-1 17.2 Identifying AG Modules ... 17-1 17.3 Understanding the AG Display ... 17-2 7
17.4 MAC Values... 17-3 17.5 Preparing to Measure AG... 17-4 17.6 Changing AG Settings... 17-5 17.6.1 Setting Gas Unit ... 17-5 17.6.2 Setting the Apnea Alarm Delay... 17-5 17.6.3 Changing the Sample Flow Rate... 17-6 17.6.4 Setting up the O2 Compensation ... 17-6 17.6.5 Entering the Standby Mode... 17-6 17.6.6 Setting up the AG Wave ... 17-7 17.7 Changing the Anesthetic Agent... 17-7 17.8 Measurement Limitations... 17-7 17.9 Troubleshooting ... 17-8 17.9.1 When the Gas Inlet is Blocked ... 17-8 17.9.2 When an Internal Occlusion Occurs... 17-8 17.10 Removing Exhaust Gases from the System ... 17-8 18 Monitoring ICG... 18-1 18.1 Introduction... 18-1 18.2 Safety ... 18-1 18.3 Understanding ICG Parameters... 18-2 18.3.1 Measured Parameters ... 18-2 18.3.2 Calculated Parameters... 18-2 18.4 Understanding the ICG Display ... 18-3 18.5 ICG Limitations ... 18-3 18.6 Preparing to Monitor ICG ... 18-4 18.6.1 Preparing the Patient ... 18-4 18.6.2 Placing ICG Sensors ... 18-4 18.6.3 Setting up the Patient Information ... 18-5 18.7 Changing ICG Settings ... 18-5 18.7.1 ICG Averaging ... 18-5 18.7.2 Selecting Secondary Parameters ... 18-6 18.7.3 Checking Sensors ... 18-6 18.7.4 Changing the ICG Wave Speed... 18-6 19 Monitoring BIS... 19-1 19.1 Introduction... 19-1 19.2 Safety Information ... 19-2 19.3 Understanding the BIS Display... 19-3 19.3.1 BIS Parameter Area... 19-3 19.3.2 BIS Waveform Area ... 19-4 19.4 Setting up the BIS Measurement... 19-5 19.5 Continuous Impedance Check... 19-6 19.6 Cyclic Impedance Check... 19-6 19.7 BIS Sensor Check Window... 19-7 8
19.8 Choosing the BIS Smoothing Rate ... 19-8 19.9 Changing the Secondary Parameters... 19-8 19.10 Changing the EEG Wave Size... 19-8 19.11 Changing the Speed of the EEG Wave... 19-8 19.12 Setting the Trend Length... 19-8 20 Monitoring RM ... 20-1 20.1 Introduction... 20-1 20.2 Safety Information ... 20-3 20.3 Preparing to Monitor RM... 20-4 20.4 Understanding the RM Display... 20-5 20.5 Changing RM Settings ... 20-6 20.5.1 Accessing RM Menus ... 20-6 20.5.2 Setting the Apnea Alarm Delay... 20-6 20.5.3 Selecting TV or MV for Display ... 20-6 20.5.4 Selecting Flow or Vol Waveform for Display ... 20-6 20.5.5 Changing the Wave Sweep Speed ... 20-7 20.5.6 Changing the Wave Scale... 20-7 20.6 Understanding the Respiratory Loops... 20-8 20.7 Zeroing the RM Module... 20-9 20.8 Calibrating the Flow Sensor... 20-9 21 Freezing Waveforms ... 21-1 21.1 Freezing Waveforms ... 21-1 21.2 Viewing Frozen Waveforms ... 21-1 21.3 Unfreezing Waveforms ... 21-2 21.4 Recording Frozen Waveforms... 21-2 22 Review ... 22-1 22.1 Accessing Respective Review Windows... 22-1 22.2 Reviewing Graphic Trends... 22-2 22.3 Reviewing Tabular Trends ... 22-3 22.4 Reviewing Events ... 22-5 22.5 Reviewing Waveforms ... 22-7 23 Calculations ... 23-1 23.1 Introduction... 23-1 23.2 Dose Calculations ... 23-2 23.2.1 Performing Calculations... 23-2 23.2.2 Selecting the Proper Drug Unit ... 23-3 23.2.3 Titration Table ... 23-3 23.3 Oxygenation Calculations ... 23-4 23.3.1 Performing Calculations... 23-4 23.3.2 Entered Parameters... 23-5 9