Hologic Aquilex Fluid Control System Manuel D'instructions Et D'utilisation page 19

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WARNING!
Deficit displays and warnings
Deficit displays and warnings serve as a tool for the treating physician and do not
replace the monitoring of the patient's condition.
WARNING!
Resetting the deficit display
Filling the tubing with irrigation fluid and resetting the deficit display to zero are to
be done at the physician's discretion.
WARNING!
Incorrect determination of fluid deficit
Always use the hooks of the bag scale to hang the fluid bags to ensure an accurate
determination of the fluid deficit. In addition, leave the empty fluid bags hanging
on the bag scale until the end of surgery.
WARNING!
Combination of low set pressures and excessive vacuum pressures
When using the Aquilex® Fluid Control System with tissue removal systems, e.g.
MyoSure®, the combination of low set pressures and excessive vacuum pressures
may result in a significant loss of intrauterine distension pressure which has the
potential to affect the visibility of the surgical field. Conversely, when employing a
high distension pressure, the deactivation of the tissue removal system can lead to
pressure peaks that can exceed 150 mmHg.
WARNING!
Hyponatremia
Some distension fluids may lead to fluid overload and, consequently, hyponatremia
with its attending sequelae. This can be affected by the distending pressure, flow
rate, and duration of hysteroscopic procedure. It is critical to closely monitor the in-
put and outflow of the distending liquid at all times.
WARNING!
Pulmonary edema
Hysteroscopic surgery is associated with a risk of developing pulmonary edema res-
ulting from fluid overload with isotonic fluids. It is critical to closely monitor the in-
put and outflow of the distending liquid at all times.
WARNING!
Cerebral edema
Hysteroscopic surgery is associated with a risk of developing cerebral edema result-
ing 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 in-
put and outflow of the distending liquid at all times.