Manualshelf

Safety Notes

ManualsBrandsFluid Control Lap 2216 ManualsElectronicsMedical Pump with RFID technology
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Using the Hysteroscopy Indication
en
WARNING!
Hyponatremia
Some distension fluids may lead to fluid overload and, consequently, hyponatre-
mia with its attending sequelae. This can be affected by the distending pressure,
flow rate, and duration of hysteroscopic procedure. It is critical to closely moni-
tor the input and outflow of the distending liquid at all times.
WARNING!
Pulmonary edema
A surgical procedure has the risk of pulmonary edema, which is formed due a
"fluid overload" with isotonic fluids. It is critical to closely monitor the input and
outflow of the distending liquid at all times.
WARNING!
Cerebral edema
A surgical procedure has the risk of cerebral edema resulting from fluid overload
and electrolyte disturbances with hypoosmolar (non-ionic) fluids such as glycine
1.5 % and sorbitol 3.0 %. It is critical to closely monitor the input and outflow of
the distending liquid at all times.
WARNING!
Idiosyncratic reactions
In rare cases, idiosyncratic reactions such as
• intravascular coagulopathy
• allergic reaction including anaphylaxis
may occur during a surgical procedure if a liquid distention medium is used.
WARNING!
Rupture of the fallopian tube secondary to tubal obstruction
Distention of the uterus may lead to a tear of the fallopian tube should there be
an obstruction or permanent occlusion. The rupture could lead to irrigation fluid
flowing into the patient's peritoneal cavity, resulting in a fluid overload. It is crit-
ical to closely monitor the input and outflow of the distending liquid at all times.
WARNING!
Instrument replacement
Stop the device using the START/STOP switch if replacing the instrument during
surgery.
WARNING!
Deficit displays and warnings serve as a tool for the treating physician and do not
replace the monitoring of the patient's condition.
WARNING!
Fluid volume/sodium concentration
The fluid left in the patient and the concentration of sodium in the blood serum
must both be monitored. The deficit amount is the entire amount of fluid lost by
or to the system. Take note of the measurement tolerance of the system. Esti-
mating the fluid volume remaining in the patient is the doctor’s responsibility.
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