Chapters Transcript Video ZepHr® Sphincter Locator Tutorial This tutorial describes how to setup the CompactFlash Card, connect to the ZepHr® Recorder, and intubate using the Sphincter Locator. at the conclusion of this welcome to San Till University Online training Using the Airflow Sphincter Locator At the conclusion of this tutorial, you should be able to accurately set up the compact flash card for the air sphincter locator, connect the Zephyr recorder to the air sphincter locator and described the proper intubation of the probe using the airflow Sphincter Locator In addition, the following two documents are available for download the air flows faith through locator, quick start guide and a troubleshooting guide Click on start new patient complete the fields that we've described before, including any asteroid field such as last name and first name. You can also fill in the patient I'd on the visit I'd and finally the date of birth and the gender. You've already completed this side of the set up screen, including the hospital physician and referring physician, and you selected the protocol. Once you complete the event keys by filling in the most prevalent symptoms, including cough, heartburn and drug. Then you go to options menu and click on use pressure L E s location. Click. OK, then saved. Compact flash. Click. OK, once you see the screen popped down again you're going to press, enter why and then enter again and finally. Okay, we're now going to learn how to connect the Airflow, Sphincter Locator and the Zephyr recorder. Connect the lower lock airflow sphincter locator tubing to the infusion port on the infused impedance PH catheter. Make sure the connection is tight. Then we're going to connect the probe as we've seen before, and finally the telephone Jack connector right next to the probe in the Zephyr. Unscrew the bulb just a little bit and gently squeeze until you reach 7.5 millimeters of mercury. It's very important that it's 7.5 millimeters of mercury for your pressure. Put the probe in the water and you will be able to see bubbles. And once you see bubbles, you will know that you are the proper pressure setting. We're now going to intubate the patient again. Please explain in details of the patient understands the process of intubation, particularly where we want the patient to breathe continuously, which will help the gag reflex and small sips of water that will facilitate the passage of the probe. Have the patient look straight ahead while inserting the probe and pass it straight back, not up. You want to pass the probe to 60 centimeters so that the air infusion port and Ph. Electrode is below the lower Sophocles sphincter in the stomach? Noted gastric pH on your recorder. You can see in this visual demonstration as we pass the probe through the sphincter. Both the pH electrode and air locator are below the sphincter on the recorder screen. You'll notice the pH reading as well as the pressure reading. If the screen is dark, simply push the light bulb key to illuminate the screen. When the infusion port is in the stomach, the pressure should be zeroed by pushing the down key, which is also the recumbent key. The pressure displayed will read zero or close to zero. The pressure does not have to stay constant as you pull the pro back and infusion port through the stomach. Pull the pro back one centimeter at a time, watching the pressure on the recorder. When the infusion port enters this sphincter area of increased pressure, the pressure will become positive and stay positive. It does not matter what the pressure is on Lee that it is a constant positive pressure as you can see on the Zephyr screen. As the probe is pullback one centimeter to time, the pressure on the screen will go from a positive pressure to a constant negative pressure. This is the proximal edge of this sphincter. No, to probe depth. When the pressure goes from a positive pressure to a negative pressure to position the pH electrode, the probe needs to be pulled back. 11 centimeters. Theory Fusion Portis, six centimeters above the electrode. If the probe was pulled back five centimeters, this would position the infusion port five centimeters above the proximal border of the L E s. To position the pH electrode five centimeters above the pro would need to be pulled back another six centimeters. Yeah. Congratulations on completing. Using the airflow sphincter located. Now, you can move on to the next course. Created by
