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AnaConDa
®
®
Anaesthetic Conserving Device
Brief Instructions for AnaConDa Set-Up
Step 1
• D
epending on the type of monitor used, follow the below steps to connect the
AnaConDa to the gas monitor.
- For use with a side stream monitor, connect the gas monitor line to the gas
monitor port. (An additional Nafion Line can be used to prevent accumulation
of condensation in the water trap)
- For use with a main stream monitor, an airway adaptor is required between
the endotracheal tube and the AnaConDa.
•
Remove the protective cap and connect the AnaConDa between the patient and
the Y-piece.
Step 2
•
Attach the correct filling adaptor to the Isoflurane or Sevoflurane bottle.
•
Fill the syringe with approximately 20ml of air and connect it to the adaptor
securely.
•
Hold the bottle upside down and fill the syringe with anaesthetic by carefully and
slowly move the syringe plunger back and forth several times.
•
Before disconnecting, turn the bottle upright and wait for four seconds for it to
equalise.
•
Remove any air from the syringe and close with cap. Note on the syringe label
which anaesthetic is used and date it.
Step 3
• P
lace the syringe in the syringe pump and set it for BD Plastipak or Monoject
Sherwood 50ml syringes.
•
Connect the anaesthetic agent line to the syringe. Fill the agent line with a bolus
of 1.5ml via the syringe pump. (1.5ml when initially connecting AnaConDa or
1.2ml when replacing an already connected device)
• Do not prime the agent line manually.
•
When the anaesthetic gas has evaporated in the AnaConDa the gas monitor will
display an Fet value greater than 0.
•
Start the syringe pump at 3ml/h for Isoflurane or 5ml/h for Sevoflurane. Adjust
the dosage according to the patient’s clinical need.
1
Step 4
• Sedation is monitored by the Fet value. (End-tidal gas concentration)
• Target Fet Values: Isoflurane: 0.2 - 0.6% Fet / Sevoflurane: 0.5 - 1.0% Fet.
•
Sedation must be individually titrated for each patient based on their individual
clinical needs.
•
If required a low bolus of 0.1 – 0.5ml can be administered to reach the target
sedation level.
•
The above mentioned values are average and may vary depending of the patient’s
needs.
CONSERVATION
•
CONTROL
•
SIMPLICITY
AnaConDa
®
®
Anaesthetic Conserving Device
Brief Instructions for Gas Filter Set-Up
Step 1
• A
ttach the mount for the anaesthetic gas filter to a standard bar on the ventilator
or close to the ventilator.
• Place the anaesthetic gas filter in the mount and remove the protective cap.
Step 2
Use of Accessory Kit
•With some ventilators it may be necessary to use the 22M/30F adapter
(Hamilton Galileo, GE Carestream, Maquet Servol) on the air outlet of the
ventilator.
•
Attach the 22mm flextube on to the exhaust of the ventilator and connect to
the scavenging filter.
Step 3
•When using a side-stream gas monitor attach an additional 22M/22F
adaptor with a secondary outlet to connect the 8mm O2 tube for the
exhaust from the gas monitor.
Examples of Gas filter set-up
ProductCode
Servo I
REF26000
AnaConDa Syringe
REF26022
Accessory Kit
REF26072
Isoflurane Adaptor
REF26064
Sevoflurane Adaptor
REF26042
Nafion Tubing
REF26053
FlurAbsorb Filter
REF26096
FlurAbsorb Mount
REF26098
3 000 041-1405/EN
Evita 4
AnaConDa System
CONSERVATION
•
CONTROL
•
SIMPLICITY