Sophysa Pressio PSO-PB - 8 Precautions for Monitoring, Care and Nursing of the Patient; 9 Complications; Side Effects; Infection; Cerebral Hemorrhage

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- Push the catheter several centimeters further into the cerebral parenchyma
(1-3cm) in relation to the bolt exit marker (cf. Figure 4-5).
Catheter xation
- Once the chosen introduction depth is reached, turn the clamping nut
on the Pressio® bolt clockwise to x the catheter in place (cf. Figure 4-6).
No t e :
t
h e c l a m p i n g n u t m u s t b e t i g h t e n e d c o m p l e t e l y (t o t h e s t o p ) t o e n s u R e o p t i m a l
m a i n t e n a n c e o f t h e c a t h e t e R i n t h e b o l t .
At this stage the Pressio® monitor displays the mean intracranial pressure in mmHg.
Specic case for the PSO-PBT:
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.
No t e :
a
t e m p e R a t u R e m e a s u R e m e n t c a n o n l y b e a c c u R a t e i f t h e s e n s o R i s i m p l a n t e d . th e s e n s o R
i s n o t s u i t a b l e f o R m e a s u R i n g t e m p e R a t u R e i n t h e a i R .
In both cases (PSO-PB and PSO-PBT), 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 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 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 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.
- Remove the bolt, unscrewing it very carefully.
Pr e c a u t i o N :
w
h e n t h e b o l t is R e m o v e d , m a k e s u R e t h a t t h e s p a c e R R i n g i s a l s o R e m o v e d .
Precautions for monitoring, care and nursing 8.
of the patient
Wa r N i N g :
d
o n o t u s e t h e pRe s s i o ® m o n i t o R i n g k i t i f t h e R e a R e n o tR a i n e d p e R s o n n e l a v a i l a b l e
t o p R o v i d e c o n t i n u o u s s u R v e i l l a n c e .
P
r e c a u t i o N s :
t
h e p a t i e n t s h o u l d o n l y b e m o n i t o R e d b y a n a n e s t h e t i s t , a n e u R o s u R g e o n o R o t h e R
q u a l i f i e d p e R s o n .
i
t i s R e c o m m e n d e d t h a t t h e c l i p b e u s e d o n t h e c a t h e t e R e x t e n s i o n c a b l e t o p R e v e n t a n y
d i s c o n n e c t i o n o f t h e c a t h e t e R.
During monitoring, look after the catheter implantation site in compliance with
standard hospital procedures.
Pr e c a u t i o N s :
h
a n d l e t h e p a t i e n t w i t h c a R e t o p R e v e n t a n y d i s c o n n e c t i o n o f t h e c a b l e o R a n y m o v e m e n t
o f t h e i m p l a n t e d c a t h e t e R. ch e c k t h e c o n n e c t i o n o f t h e c a t h e t e R t o t h e e x t e n s i o n c a b l e
a n d t o t h e pR e s s i o ® m o n i t o R i n g s y s t e m a f t e R h a n d l i n g t h e p a t i e n t .
t
h e pRe s s i o ® c a t h e t e R s a R e n o t s e n s i t i v e t o t h e e f f e c t s t h a t c o u l d o c c u R d u R i n g a n mRi
e x a m i n a t i o n b u t t h e y c o u l d b e a s o u R c e o f a R t i f a c t s .
d
o n o t u s e a pR e s s i o ® m o n i t o R i n g s y s t e m a n d t h e i m p l a n t e d pR e s s i o ® c a t h e t e R a t t h e s a m e
t i m e a s a h i g h f R e q u e n c y e l e c t R o -s u R g i c a l i n s t R u m e n t o R a d e f i b R i l l a t o R. th e c a t h e t e R
a n d /o R m o n i t o R i n g s y s t e m c o u l d b e d a m a g e d o R t h e i R o p e R a t i o n c o u l d b e d i s t u R b e d .
Complications / Side eects9.
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.
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.
If there is infection, removal of the system is indicated in conjunction
with the start of a speci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.
These complications require the rapid intervention of a doctor.
ENGLISH