Covidien Shiley Manual De Usuario página 14

Changing the Tube
!
REAd BEfoRE CHAnGinG A
CUffEd TUBE
noTE: During the leak test, if you see
any air leaks, do not use the tube.
CAUTion: Carefully air dry the inflation
line before inflating to ensure no water
enters when you inflate the cuff.
CAUTion: Do not use anything sharp
while handling the cuff to avoid causing
damage to it.
noTE: Do not use petroleum-based
products, such as Vaseline
lubricate your tube.
noTE: If you have a fenestrated tube,
insert the inner cannula before inflating
the cuff.
noTE: If you use a fenestrated tube,
make sure the cuff is fully deflated prior
to using a decannulation plug.
WHAT yoU Will nEEd
Blunt-nose scissors
Gloves
Pre-cut tracheostomy dressing
Replacement tracheostomy tube
Small wash basin
Sterile 4" X 4" gauze
10 cc syringe (for cuffed tubes)
Twill tape or Shiley Tracheostomy
Tube Holder
Water-based lubricant
12
5. Deflate the cuff completely using a syringe. As you are
doing this, gently push the cuff away from the end of the
tube. Be sure to remove all air. (This makes it easier to
insert the tube.)
6. Insert the ties through one neck flange hole. Insert the
obturator into the cannula. (Do this before inserting
the tube.)
*, to
® 7. Lubricate the tube using a thin layer of water-based
lubricant.
8. Place the tube on a sterile surface.
9. If required, suction secretions that might have pooled
above the cuff of the old tube. Follow your doctor's or
hospital's directions for this procedure.
10. Deflate the cuff completely using the syringe, cut the ties
and remove the old tube.
11. As you breathe in, gently insert the new tube, pushing
back, then down in an arcing motion.