Aesculap Flow 50 Instrucciones De Manejo página 117

WARNING!
Subcutaneous emphysema
Incorrect placement of a cannula or a trocar into subcutaneous tissue may lead
to emphysema. To reduce the risk, use a low gas flow rate for the first insuffla-
tion and ensure that the insufflation instrument is correctly positioned. Long sur-
geries, the use of many access points, duration and size of leaks at these points
may also contribute to emphysema. Be sure to close leakages in trocar accesses
immediately.
WARNING!
Additional insufflation sources/automatic venting system
Make sure the automatic venting system is activated (see chapter 7 Menu). The
use of additional insufflation sources increases the intra-abdominal pressure.
Continuously monitor intra-abdominal pressure over the course of the entire in-
sufflation if additional sources are used.
6.2 Bariatric Indication
The Bariatric indication is used to distend the peritoneal cavity during laparo-
scopic procedures by insufflating CO
Depending on the surgery, the user can choose one of the following modes. For
further details see also chapter 5.8 Setting the Nominal Gas Flow Rate - All Indi-
cations.
• Veress
• Highflow
Alternatively, the user can work with a previously created user profile (see chap-
ter 7.1 Profiles).
The Bariatric indication is designed for laparoscopies performed on normal
weight and overweight patients over the age of 14.
The maximum nominal pressure can be set to 30 mmHg and the maximum gas
flow to 50 l/min.
WARNING!
Idiosyncratic reactions
Patients with sickle cell anemia or pulmonary insufficiency may have a higher
risk of metabolic imbalance related to excessive CO
reaction).
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.
.
2
absorption (idiosyncratic
2
concentrations in the blood or re-
2
absorption. The abdomen is sufficiently
2
Indications of the Flow 50 Insufflator
Patients
Insufflation parameters
. High pres-
2
EN
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