Aesculap Flow 50 Instrucciones De Manejo página 94

General Information
EN
12
WARNING!
Increased airway pressure
When laparoscopic procedures are performed on children, the increased intra-
abdominal pressure also increases the risk for higher airway pressures. Always
strictly monitor respiration and airway function when performing laparoscopic
procedures on children younger than 12 years of age.
WARNING!
Compression of the vena cava
When insufflating the abdomen of a child with medical CO
compressing the vena cava exists. This risk can be reduced by monitoring the sys-
tolic and diastolic blood pressure during the entire surgery.
WARNING!
Haemodynamic stability
A laparoscopy performed on children younger than 12 years of age may result in
problems of the haemodynamic system due to the CO
recommended to increase the breathing rate of the patient and to work with low
flow values and pressure values not exceeding 12 mmHg. The patient's circula-
tory system should be monitored at all times.
WARNING!
Hypothermia
The insufflation gas flow usually drops significantly after the target pressure has
been reached and it is then only required to maintain the abdominal pressure.
However, leaks within the abdomen or the instrument can lead to a constant gas
flow of above 1 l/min. When operating on children younger than 12, a gas flow
of more than 1 l/min poses an increased risk of hypothermia for the patient. Cor-
responding measures to prevent hypothermia include the use of blankets or pre-
warmed gas. The patient's body temperature has to be monitored at all times
during surgery.
WARNING!
Laparoscopy with CO should not be performed on children with cardiovascular
2
problems.
WARNING!
Because pediatric patients are especially susceptible to hypercapnia, it is recom-
mended to establish an end-tidal CO
, an increased risk of
2
content in the blood. It is
2
monitoring routine.
2