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recommendation of pressure levels proSA (pdf - Christoph Miethke ...

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Aesculap Neurosurgery<br />

Recommendation for <strong>proSA</strong> ®<br />

opening<br />

<strong>pressure</strong> <strong>of</strong> the<br />

whole shunt<br />

system<br />

Horizontal position<br />

Differential <strong>pressure</strong> unit<br />

In the horizontal position the gravitational unit doesn‘t have any<br />

resistance. Only the differential <strong>pressure</strong> unit determines the<br />

opening <strong>pressure</strong> <strong>of</strong> the whole shunt system.<br />

As standard configuration we recommend a differential<br />

<strong>pressure</strong> unit with opening <strong>pressure</strong> <strong>of</strong> 5 cmH 2 O.<br />

opening <strong>pressure</strong><br />

differential <strong>pressure</strong> unit<br />

with differential <strong>pressure</strong> unit*<br />

opening <strong>pressure</strong><br />

gravitational unit<br />

The <strong>recommendation</strong>s are based on common patient treatments, but can vary depending on the individual patient´s condition.<br />

Gravitational unit<br />

Vertical position<br />

In the vertical position the opening <strong>pressure</strong> <strong>of</strong> the complete shunt<br />

system is the sum <strong>of</strong> the opening <strong>pressure</strong> <strong>of</strong> the differential unit<br />

and the opening <strong>pressure</strong> <strong>of</strong> the gravitational unit. The opening<br />

<strong>pressure</strong> <strong>of</strong> the gravitational unit should be chosen depending on<br />

height, weight and age <strong>of</strong> the patient.<br />

Our <strong>recommendation</strong> is as follows:<br />

opening <strong>pressure</strong><br />

differential <strong>pressure</strong> unit<br />

MIETHKE<br />

<strong>recommendation</strong> opening <strong>pressure</strong><br />

gravitational unit<br />

children up to 5 years 20 cmH2O 5 cmH2O + 0 cmH2O opening<br />

opening<br />

<strong>pressure</strong> <strong>of</strong> the <strong>pressure</strong> <strong>of</strong> the adults up to 60 years = =<br />

+<br />

25 cmH2O whole shunt differential unit<br />

without differential unit<br />

system<br />

adults over 60 years 20 cmH2O 0 cmH2O + 0 cmH2O *as special configurations in addition to the standard configuration, differential <strong>pressure</strong><br />

units with <strong>pressure</strong> <strong>levels</strong> 0,10,15 cmH 2 O are available.

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