Hologic Aquilex Fluid Control System Manuel D'instructions Et D'utilisation page 10

Purpose of the System
EN
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scopic surgery. It is critical to closely monitor the input and outflow of the
distending liquid at all times.
WARNING!
Fluid deficit
The fluid left in the patient must be monitored. The deficit is the total amount of
fluid left in the patient or unaccounted for otherwise. Take notice of the mea-
surement tolerance of the system (see Chapter 10, Technical Data). Estimating
the fluid volume remaining in the patient is the physician's responsibility.
WARNING!
Fluid intake and output surveillance
Strict fluid intake and output surveillance should be maintained. If a low viscos-
ity liquid distention medium is used, intrauterine instillation exceeding 2 liters
should be followed with great care due to the possibility of fluid overload. If a
high viscosity fluid (e. g. Hyskon) is used, the use of more than 500 ml should be
followed with great care. See labeling for Hyskon for additional information.
WARNING!
Serum sodium concentration
It is also necessary to monitor the concentration of sodium in the blood of the pa-
tient to prevent electrolyte disturbances. Monitoring of the concentration of so-
dium in the blood must be performed by the physician and is not performed or
supported by the system.
WARNING!
The deficit display value is lost in case of a power loss or "brownout."
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
Hysteroscopic surgery is associated with a risk of developing pulmonary edema
resulting from fluid overload with isotonic fluids. It is critical to closely monitor
the input and outflow of the distending liquid at all times.