Tabla de contenido
Idiomas disponibles
Idiomas disponibles
Using and Controlling the PNEUMO SURE XL High Flow Insufflator in Bariatric Operating Mode
EN
44
WARNING!
CO2 supersaturation
To avoid generating CO2 supersaturation, an increased level of respiratory activ-
ity is required. An overweight patient's oxygen demand and carbon dioxide pro-
duction are greater and increase faster under physical stress than do those of
patients with normal body weight.
WARNING!
Heart and cardiovascular insufficiency
Constantly monitor all heart and cardiovascular parameter during surgery since
morbidly obese patients have an increased risk of heart and cardiovascular insuf-
ficiencies.
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. 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).
Capítulos
Tabla de contenido
