Covidien Shiley Instrucciones Del Uso página 10

Additional Instructions for Use – Fenestrated Tracheostomy Tubes (DFEN, DCFN)
WARNINGS:
SPECIAL CARE MUST BE EXERCISED TO MAINTAIN FENESTRATION PATENCY,
PARTICULARLY FOR PATIENTS WITH THICK, TENACIOUS SECRETIONS THAT
MAY BLOCK THE FENESTRATIONS. USE APPROPRIATE HUMIDIFICATION WHEN
INDICATED TO ASSIST IN MAINTAINING LUMEN PATENCY.
CARE SHOULD BE TAKEN IN THE SELECTION AND PLACEMENT OF THE DFEN
OR DCFN TRACHEOSTOMY TUBE TO MINIMIZE THE COMPLICATIONS THAT MAY
ARISE FROM GRANULATION TISSUE. OBSTRUCTION OF THE FENESTRATIONS
MAY PREVENT INSERTION OF THE DISPOSABLE INNER CANNULA NEEDED
FOR MECHANICAL VENTILATION OR COMPROMISE UPPER AIRWAY ACCESS.
IF THIS OCCURS, THE DFEN OR DCFN TRACHEOSTOMY TUBE MAY NEED TO BE
REPLACED WITH ANOTHER TYPE OF TUBE.
WHEN USING A FENESTRATED TUBE (DFEN or DCFN) THE DISPOSABLE INNER
CANNULA (DIC) MUST BE IN PLACE DURING SUCTIONING TO PREVENT THE
SUCTION CATHETER FROM PROTRUDING THROUGH THE FENESTRATIONS OF
THE TRACHEOSTOMY TUBE. SUCTIONING WITHOUT THE DISPOSABLE INNER
CANNULA (DIC) IN PLACE COULD RESULT IN DAMAGE TO THE TRACHEAL WALL
AND COULD CAUSE THE SUCTION CATHETER TO BECOME CAUGHT IN THE
FENESTRATIONS.
IF YOU FEEL RESISTANCE WHEN INSERTING THE DISPOSABLE INNER CANNULA
(DIC) PAST THE FENESTRATION, DO NOT FORCE THE INNER CANNULA THROUGH
THE CANNULA. NOTIFY YOUR HEALTH CARE PROVIDER IMMEDIATELY.
NEVER USE THE FENESTRATED TRACHEOSTOMY TUBES FOR MECHANICAL
VENTILATION UNLESS THE DISPOSABLE INNER CANNULA WITH 15mm
CONNECTOR IS IN PLACE TO PREVENT LEAKAGE THROUGH THE FENESTRATIONS.
10