Porter Silhouette-LG, User Instructions

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6
Easy to Attach Setup Sequence: Also refer to FM-
1312 (supplied with each Circuit Pack).
1.
Please review brief instructional setup and usage videos at
www.porterinstrument.com/silhouette.
2.
Use scavenging and set vacuum flow for Silhouette per
instructions on Page 5 (read Warning on Nitrous Oxide
exposure minimization on Page 8).
3.
Use Disposable Silhouette with Reusable SIL-CONN-KIT
Connector Kit. Attach smaller diameter hose end to
attachment barb or flowmeter adapter. Attach larger diameter
hose end to Porter AVS or other vacuum control device.
4.
Place colored sizer masks over the nose to determine
appropriate mask size for the patient. Sizers may be sterilized
after each use.
5.
The Silhouette disposable breathing circuit is packaged in a
color-coded box and is first removed from the box for
placement on the patient.
6.
Prepare for placement of the mask on the patient’s nose by
removing the adhesive cover tab from the mask.
7.
Pull the slide bolo down to create a loop large enough to place
behind the patient’s ears.
8.
Place nasal barb fully into the right nostril, flexing the mask as
needed.
9.
Rotate the mask down over the nose until contact is made.
10.
Compress the mask adhesive at the bridge of the nose.
Verify good seal is achieved around the entire mask.
11.
Place the tubing over the top of the left and right ear.
12.
Move the slide bolo up until the circuit is snug against
the
patient’s neck.
13.
Connect disposable section union (diameter indexed) to
gas and vacuum reusable hoses (SIL-CONN-KIT).
14.
Observe overall position of the patient, mask, and
circuit for proper positioning with good mask seal and no evidence
of tubing kinking. Use Clip Strap on Reusable Hose to side of
chair or to patient.
15.
If End tidal CO2 (EtCO2)
monitoring is being used, disconnect the
cap at the end of the disposable breathing
section and attach the EtCO2 male Luer
lock sample line.
16.
You are now ready to turn on your Nitrous Oxide
flowmeter.
After patient’s treatment is completed, dispose of the
Silhouette breathing c
ircuit (36” disposable section only).
Porter Silhouette suggested flow instructions
1.
Use scavenging and set vacuum flow for
Silhouette per instructions on Page 5 (read
Warning on Nitrous Oxide exposure
minimization on Page 8). Follow Flowmeter
directions for use.
2.
How much total flow to start ? A
general determination is the “4-5-6 Rule” where
6 is the liters per minute (lpm) for an average
male, 5 is the lpm for the average female, and 4
is the lpm for a child [values represent Minute
Breathing Volume] (typical procedure begins
with 100% O2 and then moves to a chosen
N2O mixture percentage).
3.
Increase flow or percentage as needed
based on patient observation.
4.
Always remind the patient to refrain from
mouth breathing.