pajunk SPROTTE Standard Mode D'emploi page 13

further warning indications:
1. Caution: Sharp object warning. The device or device components may,
depending on the type of tip, have sharp edges or tips. Various infec-
tious pathogens can be transmitted if a stab wound occurs. For practical
purposes, the most important of these are the human immunodeficiency
virus (HIV), the hepatitis B virus (HBV) and the hepatitis C virus (HCV).
2. You must routinely take general precautions for handling blood and bodily
fluids when using and disposing of the device, due to the risk of contact
with blood-borne pathogens.
3. Please note that the continued use of a device of the same type must be
assessed cumulatively as described in the legislation on medical devices,
even after the device has been exchanged or replaced.
Sequence of use
Single-shot spinal anesthesia
1. Perform skin disinfection and cover the area to be punctured with a sterile
fenestrated surgical drape (aperture drape).
2. Administer a local anesthetic.
3. If necessary, perform a perforating incision of the area to be punctured
(lancet or similar).
4. Advance the introducer into the intervertebral ligaments.
5. Introduce the spinal cannula through the introducer and push it up to the
subarachnoidal space.
6. Retract the stylet from the cannula.
7. After positive identification of the subarachnoidal space by the respective
return flow of cerebrospinal fluid, inject the anesthetic (depending on age
and weight of the patient, as well as on the type of the intervention and the
composition of the anesthetic).
Procedures of pain management
1. Perform skin disinfection and cover the area to be punctured with a sterile
fenestrated surgical drape (aperture drape), local anesthesia.
2. If necessary, perform a perforating incision of the area to be punctured
(lancet or similar).
3. Puncture by means of cannula.
4. Identification of the target area (optionally by dispensation of the contrast
medium).
5. Administration of analgesia.
6. Further procedure in accordance with the individual indication.
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