Stryker PneumoSure Gebrauchsanleitung Seite 41

Using and Controlling the PNEUMO SURE High Flow Insufflator in Pediatric Operating Mode
WARNING!
EN
Increased airway pressure
When laparoscopic procedures are performed on children, the increased intra-
abdominal pressure also increases the risk for higher airway pressures. Always
strictly monitor respiration and airway function when performing laparoscopic
procedures on children younger than 12 years of age.
WARNING!
Compression of the vena cava
When insufflating the abdomen of a child with medical CO2, an increased risk of
compressing the vena cava exists. This risk can be reduced by monitoring the sys-
tolic and diastolic blood pressure during the entire surgery.
WARNING!
Haemodynamic stability
A laparoscopy performed on children younger than 12 years of age can result in
the phenomenon of the increased CO2 content in the blood and with that to
problems of the haemodynamic system. It is recommended to increase the
breathing rate of the patient and to work with low flow values and pressure val-
ues not exceeding 12 mm Hg. The patient' circulatory system should be moni-
tored at all times.
WARNING!
Hypothermia
The insufflation gas flow usually drops significantly after the target pressure has
been reached and it is then only required to maintain the abdominal pressure.
However, leaks within the abdomen or the instrument can lead to a constant gas
flow of above 1 l/min. When operating on children younger than 12, a gas flow
of more than 1 l/min poses an increased risk of hypothermia for the patient. Cor-
responding measures to prevent hypothermia include the use of blankets or pre-
warmed gas. The patient' body temperature has to be monitored at all times
during surgery.
WARNING!
Device-inherent dangers
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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