CAE Healthcare Fidelis Lucina, User Manual

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Müse Parameter Descriptions
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Postpartum - Basic Parameters
Uterine Massage
The Uterine Massage parameter determines the effect of massage on the postpartum boggy/
contracted uterus.
Possible choices are:
Ineffective - Massage of the uterus does not cause it to contract.
Effective - With Effective , successful compression of the uterus will fully contract
the boggy uterus. Five effective compressions are required before contraction
occurs. The feel of the uterus will not change for the first four massages, i.e., the
uterus stays fully boggy for massages one through four. With the fifth massage,
the uterus fully contracts over approximately 90 seconds and the message
“Boggy uterus was declared resolved” appears in the event log.
A single massage/compression consists of pressing, holding, and releasing the
uterus. With each successful massage, the message “Uterine compression was
applied” is logged in the event log, independent of uterus mode (
Effective or
Recurring atony ). In order to completely contract the uterus, one must execute
five successful compressions in Effective or Recurring atony mode.
Additionally, when Vaginal Bleeding Severity is active (Mild, Moderate, Severe,
or Profuse), each massage will produce a gush of blood in addition to the
bleeding enabled by the vaginal bleeding severity parameter (see
Vaginal
Bleeding in the Using Fidelis Lucina section of this guide). This gush of blood
occurs every time one presses on the uterus, whether or not the message
“Uterine compression was applied” is logged in the event log, and is
independent of the uterus mode ( Effective or Recurring atony ).
Recurring atony - With Recurring atony , the function is similar to Effective (i.e.,
the boggy uterus contracts after five successful logged massages). However, 90
seconds after contraction the uterus returns to the boggy state, and the message
“Boggy uterus was declared resolved” does not appear in the event log.
In this mode, if massage is interrupted for 90 seconds or longer before it fully
contracts, the massage count is reset, even when the uterine compressions are
marked as effective (i.e., logged as “Uterine compression was applied”).
For example, if the learner applies three logged massages then waits 90 seconds
or longer to apply the next massage, the ‘massage count’ resets. From this point,
five effective consecutive massages (i.e., without interruption) are required
before the uterus contracts.
Postpartum Parameters - Basic
Uterine Massage
Resolve Boggy Uterus
Inverted Uterus Can Be Reverted