LABORIE Nexam Pro CIM, Руководство пользователя

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138 Nexam Pro User Manual Chapter 9
Wait until the onset of the rise in anal pressure is at the marker line.
Press the Anal profile button to mark the start of the test.
Wait until the drop of anal pressure to zero reaches the marker line.
Press the Profile end button to mark the end of the test. The puller
returns to its starting position automatically (protocol settings) or use
the puller icon in the software. Reposition the catheter and repeat the
procedure if necessary.
Press the Next test button until the text Start puller [Squeeze] is
displayed on the left button.
Ask the patient to squeeze and to maintain the squeeze. Press the
Start puller [Squeeze] button to start the puller. After a short while
there should be an increase in the anal pressure.
Wait until the onset of the rise in anal pressure is at the marker line.
Press the Anal Squeeze profile button to mark the start of the test.
Wait until the drop of anal pressure to zero reaches the marker line.
Press the Profile end button to mark the end of the test. The puller
returns to its starting position automatically (protocol settings) or use
the puller icon in the software. Reposition the catheter and repeat the
procedure if necessary.
Variations
Instead of a rest profile it also possible to perform stress profiles similar to the
procedure described above. To perform a stress profile, let the patient cough
during the profile manometry. During the analysis, the software can calculate
transmission parameters for the peaks.
9.4.10 Rest and Squeeze Profile with Manual Pull
The purpose of the anal resting and squeeze pressure profile is to obtain a
continuous pressure profile of the entire anal sphincter. This is accomplished
by withdrawing the catheter through the anal-sphincter by means of the puller