Aesculap Flow 50 Instrucciones De Manejo página 116

Indications of the Flow 50 Insufflator
EN
34
WARNING!
CO absorption
2
CO is absorbed during insufflation (intravasation). This means the body absorbs
2
part of the CO gas used for insufflation. CO
2
spiratory system that are too high can lead to death of the patient in extreme
cases. To lower this risk, always carefully and closely monitor the patient's vital
signs during the entire insufflation process and make sure patient is breathing
well. Sufficient respiration can help avoid or limit problems with CO
sure or a high gas flow promotes CO
distended using a pressure between 10 to 15 mmHg. Pressure values above
15 mmHg are required for only a few cases but do increase the risk of intravasa-
tion. Never exceed the maximum intra-abdominal pressure of 30 mmHg.
WARNING!
Metabolic and cardiac reactions
Insufflating CO may result in metabolic acidosis. This can lead to cardiac irregu-
2
larities expressed with the following symptoms:
• Reduced respiration with restricted diaphram function
• Hypercapnia
• Reduction of venous reflux
• Reduced cardiac output
• Metabolic acidosis
WARNING!
Hypothermia/monitoring body temperature
The gas flow can lead to a lowering of the patient's body temperature during in-
sufflation. Hypothermia during insufflation can cause heart and cardiovascular
problems. The risk for hypothermia can be significantly reduced with the use of
gas that is pre-warmed to body temperature. Therefore, you must always moni-
tor the patient's body temperature during the entire insufflation process. Make
especially sure that the following, hypothermia-fostering, surgical conditions
are avoided as best as possible:
• High gas flow due to large leaks
• Long surgeries
• Use of irrigation and infusion solutions that are not preheated to body temper-
ature.
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/insufflation of internal organs
Improper placement of the insufflation instrument could cause gas penetrating
a vessel or an internal organ, resulting in air or CO
risk, use a low flow rate for the first insufflation and ensure that the insufflation
instrument is correctly positioned. Check the position of the insufflation instru-
ment immediately if the actual pressure rapidly reaches the nominal pressure
value. CO embolisms can also be caused by a high intra-abdominal pressure.
2
Avoid high-pressure settings and close damaged blood vessels at once.
concentrations in the blood or re-
2
absorption. The abdomen is sufficiently
2
embolisms. To reduce the
2
. High pres-
2