Arthrex Synergy Insufflation FM134 Instructions D'utilisation page 14

General Information
EN
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• 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).
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.
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Avoid high-pressure settings and close damaged blood vessels at once.
WARNING!
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 (> 200 min.), 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 tro-
car accesses immediately.
WARNING!
Additional insufflation sources
The use of additional insufflation sources increases the intra-abdominal pres-
sure. Continuously monitor intra-abdominal pressure over the course of the en-
tire insufflation if additional sources are used.
WARNING!
Automatic venting system
Make sure the automatic venting system is activated (see chapter 8 Configura-
tion Menu (Overview), page 34) when using an additional insufflation source. It
is not possible to use an additional insufflation source when the automatic vent-
ing system is deactivated.
WARNING!
Gas flow limit
The gas flow may not exceed 14 l/min when performing a laparoscopy on
patients weighing less than 25 kg (approx. 55 US pounds).
embolisms. To reduce the
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