Precautions For Monitoring, Care And Nursing Of The Patient; Complications / Side Effects; Infection; Cerebral Hemorrhage - Sophysa PRESSIO PSO-PBT Manual De Instrucciones

- Push the catheter several centimeters further into the cerebral parenchyma
(1-3cm) in relation to the bolt exit marker (cf. Figure 4-5).
Catheter fixation
- Once the chosen introduction depth is reached, turn the clamping nut
on the Pressio® bolt clockwise to fix the catheter in place (cf. Figure 4-6).
N :
ote
t
he clamping nut must be tightened completely
maintenance of the catheteR in the bolt
At this stage the Pressio® monitor displays the mean intracranial pressure in mmHg.
Specific case for the PSO-PBT:
At this stage, the Pressio® monitor displays the mean intracranial pressure in mmHg.
The temperature is also displayed and will stabilize at its precise value in a maximum
of 150 seconds.
N :
ote
a
tempeRatuRe measuRement can only be accuRate if the sensoR is implanted
is not suitable foR measuRing tempeRatuRe in the aiR
In both cases (PSO-PB and PSO-PBT), instability in the pressure value, the appearance
of error codes "E001", "E002", "E005" or the message "CONNECT SENSOR" on the Pressio®
monitor after connecting the catheter to the extension cable may be a sign
of an incorrect connection.
In this case, make sure that the catheter connector is pushed right up to the stop in
the catheter extension cable, and that the latter is correctly connected to the Pressio®
monitor.
The appearance of error codes "- - -", "999", "E001", "E002", "E005" or the message
"CONNECT SENSOR" on the Pressio® monitor after implantation of the catheter,
even though the catheter is correctly connected, may be a sign that the sensor
on the end of the catheter is damaged.
In this case, try to reposition the catheter, and if it fails again, try with a new catheter.
The maximum recommended duration for the catheter to be implanted is 5 days.
After the first 24 hours the Pressio® monitor displays the duration of implantation
for the catheter in the form of a message "Implantation: X days". This is then shown
throughout the implantation period.
This message starts to flash on the Pressio® monitor from the 6th day of implantation
meaning that the catheter has exceeded the recommended implantation duration.
If the Pressio® interface is used, the diode showing the implantation duration for the
catheter will flash as soon as the catheter exceeds the recommended implantation
duration.
Once the catheter is implanted it can be disconnected and then reconnected
to the same or another unit from the Pressio® range (PSO-3000 software V2,
PSO-3000 software V1, PSO-IN00) without the necessity of recalibration to atmospheric
pressure. In fact, the monitoring catheter keeps all the zeroing data in the memory.
Recommended stages for explantation of the catheter
- Stop the Pressio® monitor.
- Disconnect the catheter from the extension cable.
- Proceed with the explantation of the catheter.
- Check the integrity of the explanted catheter.
- Remove the bolt, unscrewing it very carefully.
( )
to the stop to ensuRe optimal
.
. t
.
P :
recautioN
w
hen the bolt is Removed
8. Precautions for monitoring, care and nursing
of the patient
W :
arNiNg
d p
o not use the Ressio
to pRovide continuous suRveillance
P :
recautioNs
t
he patient should only be monitoRed by an anesthetist
.
qualified peRson
i
t is Recommended that the clip be used on the catheteR extension cable to pRevent any
disconnection of the catheteR
During monitoring, look after the catheter implantation site in compliance with
standard hospital procedures.
he sensoR
P :
recautioNs
h
andle the patient with caRe to pRevent any disconnection of the cable oR any movement
of the implanted catheteR
p ®
and to the Ressio monitoRing system afteR handling the patient
t p ®
he Ressio catheteRs aRe not sensitive to the effects that could occuR duRing an
examination but they could be a souRce of aRtifacts
d p ®
o not use a Ressio monitoRing system and the implanted
time as a high fRequency electRo
/
and oR monitoRing system could be damaged oR theiR opeRation could be distuRbed
9.

Complications / Side effects

Complications which may result from the implantation of a Pressio® monitoring
system include the inherent risks in any surgical intervention and the insertion of
a foreign body.

Infection

The major complication associated with this type of monitoring is infection.
The infection risks can be reduced by adhering to asepsis techniques for the handling
and implantation of the catheter and also adhering to the maximum duration for
catheter implantation (5 days). If monitoring must be continued after this timescale,
it is recommended that a new system is put in place on another site.
If there is infection, removal of the system is indicated in conjunction
with the start of a specific treatment by a general or intrathecal route.

Cerebral hemorrhage

Cerebral hemorrhage may also be observed during monitoring of this type.
The probability of this complication may be reduced by limiting the number
of cerebral incisions during the introduction procedure and by ensuring that
this procedure is only performed by trained, competent professionals.
These complications require the rapid intervention of a doctor.
9/74
,
make suRe that the spaceR Ring is also Removed
®
monitoRing kit if theRe aRe no tRained peRsonnel available
.
,
a neuRosuRgeon oR otheR
.
. c
heck the connection of the catheteR to the extension cable
.
p
Ressio
-
suRgical instRument oR a defibRillatoR
.
.
mRi
®
catheteR at the same
. t
he catheteR
.