Lowenstein Medical elisa 300, Instructions For Use Manual

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A 2 | Manoeuvres
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Instructions for Use elisa 300-500 | Supplement A | SW 2.09.x | Rev. 11
A 2.6.3
Warnings and remarks
Warning
With PEEPfinder, high pressures can be applied over an extended
period of time.
Warning
No ventilation occurs during the PEEPfinder manoeuvre. By taking
suitable measures and through close monitoring, the user needs to
protect the ventilated patient from possible complications.
Warning
All patient alarms are deactivated for the PEEPfinder manoeuvre.
Warning
When using PEEPfinder in patients with severe COPD, there is a
risk of elevated volumes. The safety parameter Vmax needs to be
adapted to the clinical situation.
Warning
During the manoeuvre, a relatively high intrathoracic pressure may
occur for a relatively long period of time. Before activating the
manoeuvre, the user needs to assess the ventilated patient as hae-
modynamically stable, and close monitoring of the vital signs must
be ensured during the manoeuvre.
Warning
A sudden drop of the intrathoracic pressure may lead to an over-
load of the heart in certain circumstances.
Warning
The PEEPfinder manoeuvre may be associated with special risks
for the patient, such as pneumothorax or cardiovascular depres -
sion. The safety parameters need to be adapted to the clinical sit-
uation and close monitoring must be ensured.
Remark
PEEPfinder cannot be started if a system test was not carried out,
if the patient breathes spontaneously, and immediately after onset
of ventilation.
Remark
Activating the PEEPfinder will disable some of the elisa 300 / elisa
500 functions (e.g., drug nebulizer, hold manoeuvre, etc.) because
they may influence the PEEPfinder manoeuvre.