WEBVTT

00:01.540 --> 00:04.550
mm hmm . Yeah .

00:09.940 --> 00:12.420
The Codman interface unit and external

00:12.420 --> 00:14.910
drainage system or ventricular Ostuni .

00:14.920 --> 00:17.087
Our instruments that work with the pro

00:17.087 --> 00:19.690
pack em and pro pack M . D . To monitor

00:19.690 --> 00:22.290
intracranial pressure or I . C . P .

00:23.510 --> 00:25.454
Codman interface unit is a passive

00:25.454 --> 00:27.510
device that does not require battery

00:27.510 --> 00:29.677
power becomes with several cables that

00:29.677 --> 00:31.732
connect the patient with the patient

00:31.732 --> 00:35.550
monitoring device . Mm .

00:36.040 --> 00:37.040
Yeah .

00:40.940 --> 00:43.051
To set up the common interface unit ,

00:43.051 --> 00:45.273
start by finding the patient's sensor .

00:45.273 --> 00:46.607
Zero reference number ,

00:49.840 --> 00:52.007
connect the monitor interface cable to

00:52.007 --> 00:53.284
the pro pack monitor .

01:02.540 --> 01:04.750
Mm . Mhm . Mhm .

01:06.340 --> 01:08.950
Mhm . Then attach the sensor to the

01:08.950 --> 01:10.260
Codman cable .

01:15.440 --> 01:16.440
Mhm .

01:20.640 --> 01:22.862
Adjust the zero Reference number on the

01:22.862 --> 01:25.050
dial to match the patient's sensor

01:28.640 --> 01:32.220
lock in place . Note that this

01:32.220 --> 01:34.520
device is not zeroed to atmosphere

01:34.520 --> 01:38.130
pressure Switch The Codman to

01:38.140 --> 01:40.150
Stand by zero . Mhm .

01:43.340 --> 01:45.940
On the pro pack , zero the appropriate

01:45.940 --> 01:48.600
invasive pressure line . This is most

01:48.600 --> 01:50.060
likely line p . two .

01:53.540 --> 01:55.940
Next test the function of the Codman

01:55.940 --> 01:57.996
monitor . By switching the Codman to

01:57.996 --> 02:01.320
100 millimeters of mercury , Verify

02:01.320 --> 02:03.990
that you get a reading between 98 and

02:03.990 --> 02:07.670
102 mm of Mercury . Finally

02:07.680 --> 02:10.250
switch the Codman to transducer to

02:10.250 --> 02:13.960
obtain the patients I . CPI readings .

02:17.140 --> 02:19.340
Mhm . Uh huh .

02:20.640 --> 02:23.160
First connect the invasive pressure

02:23.160 --> 02:25.330
cable to the transducer and the pro

02:25.330 --> 02:29.220
pack next level

02:29.220 --> 02:30.942
the external transducer to the

02:30.942 --> 02:33.440
tradition of the year . The trick is is

02:33.440 --> 02:35.496
an external landmark that correlates

02:35.496 --> 02:38.860
with the foramen of monro . Mhm .

02:43.140 --> 02:45.750
Mhm . Mhm .

02:47.140 --> 02:50.000
Then zero . By turning the transducer

02:50.000 --> 02:51.960
stop off to the patient .

02:53.440 --> 02:56.490
Next Open the cap to atmosphere and use

02:56.490 --> 02:58.160
proper techniques to zero the

02:58.160 --> 03:00.327
corresponding invasive pressure line .

03:08.240 --> 03:10.530
Then replace the cap and turn the stop

03:10.790 --> 03:13.068
so that it's in alignment with the cap ,

03:15.140 --> 03:18.030
adjust the pressure gradient or pop off

03:18.030 --> 03:20.030
pressure level as prescribed by the

03:20.030 --> 03:23.140
sending M . T . F . In this case that

03:23.140 --> 03:26.360
pressure will be 20 of mercury . The

03:26.360 --> 03:28.490
ventricular system he has 23 way stop

03:28.490 --> 03:31.140
cocks , each with three directions open

03:31.150 --> 03:34.630
in one direction closed . One stop got

03:34.630 --> 03:36.963
controls drainage and transducer . Sing .

03:37.140 --> 03:39.307
The second stop controls drainage from

03:39.307 --> 03:41.473
the bureau troll to the CSF collection

03:41.473 --> 03:44.070
bag . I . C . P . S . Should be

03:44.070 --> 03:46.680
continuously monitored with a stop in a

03:46.690 --> 03:49.600
transducer . Only position I . C . P .

03:49.600 --> 03:51.489
S . Should be documented at least

03:51.489 --> 03:54.240
hourly in the event that drainage is

03:54.240 --> 03:56.740
required . Turn the stop towards the

03:56.740 --> 03:59.660
transducer . It's important to ensure

03:59.660 --> 04:01.716
that the bureau trial stop is in the

04:01.716 --> 04:05.490
off position prior to draining . Keep

04:05.490 --> 04:07.434
in mind that not all stop cox used

04:07.434 --> 04:09.434
around the world are configured the

04:09.434 --> 04:11.920
same . If you use a foreign ventricular

04:11.920 --> 04:13.976
lost me draining device , ensure you

04:13.976 --> 04:16.198
understand its configuration . Prior to

04:16.198 --> 04:20.020
use . You should not be simultaneously

04:20.020 --> 04:22.242
transducer , sing and draining during a

04:22.242 --> 04:24.660
seacat transport . This can lead to a

04:24.660 --> 04:26.882
false I . CPI reading and could lead to

04:26.882 --> 04:28.382
accidental over drainage .

04:30.440 --> 04:32.496
CSF drainage . Using the ventricular

04:32.496 --> 04:34.607
Ostuni is controlled by the height of

04:34.607 --> 04:36.773
the bureau through all relative to the

04:36.773 --> 04:39.080
patient . Always follow the

04:39.080 --> 04:40.913
neurosurgeons . Orders regarding

04:40.913 --> 04:43.700
drainage . Without an order from a

04:43.700 --> 04:46.750
neurosurgeon , it is safe to drain 5-10

04:46.750 --> 04:50.490
ml of CSF at a time . Up to a maximum

04:50.490 --> 04:53.690
of 30 in one hour . With your pop off

04:53.690 --> 04:56.960
pressure set at 20 of mercury .

04:57.840 --> 04:59.840
It is not recommended that you walk

04:59.840 --> 05:02.062
away when actively draining a patient .

05:02.540 --> 05:04.762
All team members must have awareness of

05:04.762 --> 05:07.040
a patient who is actively draining CSF .

05:09.340 --> 05:11.220
Remember to return the stop to

05:11.220 --> 05:13.164
transducer . Sing when training is

05:13.164 --> 05:16.140
complete . Do not lay the drainage

05:16.140 --> 05:18.160
system on its side as wedding the

05:18.160 --> 05:19.938
sterile bent may alter pressure

05:19.938 --> 05:23.200
settings if the vent does become wet

05:23.210 --> 05:25.210
and may be necessary to replace the

05:25.210 --> 05:28.060
ventricular Rostami unit during major

05:28.060 --> 05:30.360
position changes , such as transferring

05:30.360 --> 05:32.249
from the hospital bed to litter ,

05:32.249 --> 05:34.950
logrolling and repositioning , clamp

05:34.950 --> 05:37.117
the ventricle lost me , or turn , stop

05:37.180 --> 05:40.510
off to the patient . You may also need

05:40.510 --> 05:42.454
to do this at various times during

05:42.454 --> 05:45.650
ground transport . Remember , due to

05:45.650 --> 05:47.970
the drastic nature of ground transport

05:48.380 --> 05:51.080
readings may not be accurate . It is

05:51.080 --> 05:52.858
feasible to obtain intermittent

05:53.050 --> 05:55.660
readings during safe or stable periods

05:56.640 --> 05:58.418
after ground transport or major

05:58.418 --> 06:00.810
position changes , re level and zero

06:00.810 --> 06:03.032
the transducer to the tricks of the ear

06:03.032 --> 06:05.460
and resume continuous monitoring . Mhm .

06:09.540 --> 06:09.740
Yeah .

