Stryker PneumoSure Gebrauchsanleitung Seite 33

Using and Controlling the PNEUMO SURE High Flow Insufflator in High Flow Mode
problems. The risk for hypothermia can be significantly reduced with the use of
EN
gas that is pre-warmed to body temperature. Always monitor the patient's body
temperature during the entire insufflation. Make especially sure that the follow-
ing, hypothermia promoting, surgical conditions are avoided as best as possible:
• High gas flow due to large leaks
• Long surgeries
• Use of cold (not preheated) irrigation and infusion solutions
WARNING!
Dehydration
Insufflation can lead to dehydration of the tissue. This can result in organ tissue
damage and cardiovascular reactions of the patient. Long surgeries and large
leaks increase the risk of dehydration (especially at the insertion points of the
trocars or when changing instruments).
WARNING!
Embolism
Improper placement of the insufflation instrument could cause insufflation of
gas into a vessel, resulting in air or CO embolisms. To reduce the risk of air or
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CO embolism, perform initial insufflation at a low flow rate and ensure that the
2
insufflation instrument is correctly positioned. Check the position of the insuf-
flation instrument immediately if the actual pressure rapidly reaches the nomi-
nal pressure value. CO embolisms can also be caused by a high intra-abdominal
2
pressure. Avoid high-pressure settings and close damaged blood vessels at once.
WARNING!
Additional insufflation sources
The use of additional insufflation sources increases the intra-abdominal pres-
sure. Continuously monitor intra-abdominal pressure over the course of the en-
tire insufflation if additional sources are used.
WARNING!
Please read the general risks and dangers information in chapter 2.1 Hazards,
page 5 and chapter 3.3 General Device-Inherent Dangers, page 8.
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