Purpose
en
6
WARNING!
Fluid deficit
The fluid left in the patient must be monitored. The deficit is the total amount of
fluid left in the patient or unaccounted for otherwise. Take notice of the mea-
surement tolerance of the system (see Chapter 11, Technical Data). Estimating
the fluid volume remaining in the patient is the physician's responsibility.
WARNING!
Fluid intake and output surveillance
Strict fluid intake and output surveillance should be maintained. If a low viscos-
ity fluid distention medium is used, intrauterine instillation exceeding 2 liters
should be followed with great care due to the possibility of fluid overload.
WARNING!
Serum sodium concentration
It is also necessary to monitor the concentration of sodium in the blood of the pa-
tient to prevent electrolyte disturbances. Monitoring of the concentration of so-
dium in the blood must be performed by the physician and is not performed or
supported by the system.
WARNING!
The deficit display value is lost in case of a power loss or "brownout."
WARNING!
If the message "Check Scale Connection" appears, the deficit must be calculated
manually. The pump keeps displaying the last known deficit value determined
prior to the failure of the scale connection.
WARNING!
A container change during surgery is only allowed, if the container holds at least
0,5 liters of fluid. Otherwise, the deficit value may be falsified. In this case, the
manufacturer recommends manual deficit calculation.
WARNING!
Hyponatremia
Some distension fluids may lead to fluid overload and, consequently, hyponatre-
mia with its attending sequelae. This can be affected by the distending pressure,
flow rate, and duration of hysteroscopic procedure. It is critical to closely moni-
tor the input and outflow of the distending liquid at all times.
WARNING!
Pulmonary edema
Hysteroscopic surgery is associated with a risk of developing pulmonary edema
resulting from fluid overload with isotonic fluids. It is critical to closely monitor
the input and outflow of the distending liquid at all times.