RF分娩镇痛——UTURN.ppt

The setup procedure for the pump is as follows 9. Set “CONTINUOUS INFUSION” at 100 μg/hr for patients with pregnant body weight 90 kg. Press on “ENTER” to go to the next screen. ? 10. Press on the downwards arrow to zero the counter. Press on “ENTER” to go to the next screen. The setup procedure for the pump is as follows 11.End of setup. Close the cover and turn the key to lock it. Press on “ENTER” to go to the next screen. 12. The final screen appears. Press the “start button” to start the continuous infusion and activate the PCA. 13. Instruct the patient in the use of the PCA button. Care is essential which placing and exchanging syringes Forcing a syringe in the pump, and/or pushing the syringe drive mechanism against the syringe plunger, can result in an extra unwanted bolus dose of Remifentanil being administered to the patient. Accordingly a rigid standard procedure must be employed when placing or changing Remifentanil syringes. An obsessively safe procedure is set out below, and applied in the Rijnland Hospital. Care is essential which placing and exchanging syringes Turn the Remifentanil syringe pump off. . Turn the three-way valve so that the Remifentanil infusion / PCA to the patient is turned off. Remove the old infusion line and Remifentanil syringe. Attach a NEW infusion line on the new Remifentanil syringe. Remove all air from the infusion line and syringe. Care is essential which placing and exchanging syringes Connect the new infusion line to the three-way valve, but DO NOT turn the valve so that the valve is open to the patient. This is absolutely essential to prevent an unintentional extra Remifentanil bolus dose when the syringe is inserted in the infusion / PCA pump. Place the Remifentanil syringe in the syringe pump. Care is essential which placing and exchanging syringes Turn Remifentanil infusion / PCA pump on. Turn the Remifentanil infusion / PCA three-way va