Precautions For Monitoring, Care And Nursing Of The Patient; Complications / Side Eff Ects; Infection; Cerebral Hemorrhage - Sophysa PRESSIO PSO-PVT Manual De Instrucciones

W :
ARNING
M
AKE SURE THE LOOP FORMED BY THE CATHETER IS NOT TOO TIGHT
CSF
OR THE DRAINAGE OF THE MAY BE SLOWED
At this stage the Pressio® monitor displays the mean intracranial pressure in mmHg.
Specifi c case for the PSO-VTT
At this stage, the Pressio® monitor displays the mean intracranial pressure in mmHg.
The temperature is also displayed and will stabilize at its precise value in a maximum
of 150 seconds.
N :
OTE
A
TEMPERATURE MEASUREMENT CAN ONLY BE ACCURATE IF THE SENSOR IS IMPLANTED
IS NOT SUITABLE FOR MEASURING TEMPERATURE IN THE AIR
In both cases (PSO-VT and PSO-VTT), instability in the pressure value, the appearance
of error codes "E001", "E002", "E005" or the message "CONNECT SENSOR"
on the Pressio® monitor after connecting the catheter to the extension cable may
be a sign of an incorrect connection.
In this case, make sure that the catheter connector is pushed right up to the stop
in the catheter extension cable, and that the latter is correctly connected
to the Pressio® monitor.
The appearance of error codes "- - -", "999", "E001", "E002", "E005" or the message
"CONNECT SENSOR" on the Pressio® monitor after implantation of the catheter,
even though the catheter is correctly connected, may be a sign that the sensor
on the end of the catheter is damaged.
In this case, try to reposition the catheter, and if it fails again, try with a new
catheter.
The maximum recommended duration for the catheter to be implanted is 5 days.
After the fi rst 24 hours the Pressio® monitor displays the duration of implantation
for the catheter in the form of a message "Implantation: X days". This is then shown
throughout the implantation period.
This message starts to fl ash on the Pressio® monitor from the 6th day of implantation
meaning that the catheter has exceeded the recommended implantation duration.
If the Pressio® interface is used, the diode showing the implantation duration
for the catheter will fl ash as soon as the catheter exceeds the recommended
implantation duration.
Once the catheter is implanted it can be disconnected and then reconnected
to the same or another unit from the Pressio® range (PSO-3000 software V2,
PSO-3000 software V1, PSO-IN00) without the necessity of recalibration
to atmospheric pressure. In fact, the monitoring catheter keeps all the zeroing data
in the memory.
Recommended stages for explantation of the catheter
- Stop the Pressio® monitor.
- Disconnect the catheter from the extension cable.
- Proceed with the explantation of the catheter.
- Check the integrity of the explanted catheter.
( 15
RADIUS OF MORE THAN
.
. T
HE SENSOR
.
8. Precautions for monitoring,
)
MM
care and nursing of the patient
W :
ARNING
D P ®
O NOT USE THE RESSIO MONITORING KIT IF THERE ARE NO TRAINED PERSONNEL AVAILABLE
TO PROVIDE CONTINUOUS SURVEILLANCE
P :
RECAUTIONS
T
HE PATIENT SHOULD ONLY BE MONITORED BY AN ANESTHETIST
.
QUALIFIED PERSON
I
T IS RECOMMENDED THAT THE CLIP BE USED ON THE CATHETER EXTENSION CABLE TO PREVENT
ANY DISCONNECTION OF THE CATHETER
During monitoring, look after the catheter implantation site in compliance
with standard hospital procedures.
P :
RECAUTIONS
H
ANDLE THE PATIENT WITH CARE TO PREVENT ANY DISCONNECTION OF THE CABLE OR ANY MOVEMENT
. C
OF THE IMPLANTED CATHETER
P ®
AND TO THE RESSIO MONITORING SYSTEM AFTER HANDLING THE PATIENT
T P ®
HE RESSIO CATHETERS ARE NOT SENSITIVE TO THE EFFECTS THAT COULD OCCUR DURING AN
EXAMINATION BUT THEY COULD BE A SOURCE OF ARTIFACTS
D P ®
O NOT USE A RESSIO MONITORING SYSTEM AND THE IMPLANTED
TIME AS A HIGH FREQUENCY ELECTRO
/
AND OR MONITORING SYSTEM COULD BE DAMAGED OR THEIR OPERATION COULD BE DISTURBED
9.

Complications / Side eff ects

Complications which may result from the implantation of a Pressio® monitoring
system include the inherent risks in any surgical intervention and the insertion
of a foreign body.
These complications require the rapid intervention of a doctor.

Infection

The major complication associated with this type of monitoring is infection.
The infection risks can be reduced by adhering to asepsis techniques for the handling
and implantation of the catheter and also adhering to the maximum duration
for catheter implantation (5 days). If monitoring must be continued after
this timescale, it is recommended that a new system is put in place on another site.
Adherence to the tunneling technique recommended in these instructions for use will
also make it possible to reduce the risks of infection.
If there is infection, removal of the system is indicated in conjunction
with the start of a specifi c treatment by a general or intrathecal route.

Cerebral hemorrhage

Cerebral hemorrhage may also be observed during monitoring of this type.
The probability of this complication may be reduced by limiting the number of cerebral
incisions during the introduction procedure and by ensuring that this procedure is
only performed by trained, competent professionals.
9
.
,
A NEUROSURGEON OR OTHER
.
HECK THE CONNECTION OF THE CATHETER TO THE EXTENSION CABLE
.
.
P ®
RESSIO
-
SURGICAL INSTRUMENT OR A DEFIBRILLATOR
MRI
CATHETER AT THE SAME
. T
HE CATHETER
.