Cooper Surgical Inca 44-27 Serie Instrucciones De Uso página 3

INCA Complete Set, Replacement Set and Accessory Pack
®
4. Place knit cap over neonate's occipital area to ensure stability (cap
can be cuffed for size.) Leave band open (Figure 4).
Figure 4
5. Begin the prescribed gas fl ow. Fit nasal cannula in neonate's nares.
Hold prongs in place until neonate becomes stable and continuous
fl ow begins through the circuit. This may take a minute or two
(Figure 5).
Figure 5
The cannulae prongs should fi t the nares snugly without
pinching the septum. If the prongs do not fi t snugly, the excess
movement may cause damage to the mucosa and possible
septal erosion.
The nasal prongs should fi ll the nasal opening completely
without stretching the skin or putting undue pressure on the
nares (blanching around the rim of the nostrils suggests that the
prongs are too large).
Do not allow the bridge of the cannula to press up against the
septum. There should be a small space between the tip of the
septum and the bridge between the prongs.
Note: Applying a skin barrier material where the nasal cannula makes
contact with the skin may minimize tissue damage.
(Ref. NEO-prep skin barrier, small P/N 44-8000 or large, P/N 44-8001).
6. Make initial bends in Stay-Flex tubing to conform to neonate's head
size and position (i.e., prone, supine).
7. Place both left and right lengths of Stay-Flex tubing snugly into slit of
foam block (Figure 6).
Figure 6
KNIT CAP
HOOK/LOOP
BAND
8. Position foam blocks between knit cap and cotton band, and secure
by wrapping the band around the head and securing it with the hook/
loop tab. This will hold tubing securely and comfortably in place. The
foam also provides a cushion between the tubing and the neonate's
head (Figure 7).
FOAM BLOCK
Figure 7
9. Make fi nal adjustments in Stay-Flex tubing to fi ne-tune prong position.
Ideally 1/3 to 1/2 of the prong should rest in neonate's nares.
10. Alter the neonate's positioning from the supine to the prone or sideline
positions as necessary. Re-adjust the Stay Flex tubing if required.
11. Use an oral gastric tube to eliminate gastric insuffl ation if required.
12. To help optimize the effect of CPAP, a chin strap may help prevent
mouth leaks. To apply the chin strap to the neonate, place cotton side
of the chin strap under the chin (blue lines on exterior side). Ensure
blue line side does not touch neonate's face. Apply adhesive side of
hook tab to cotton side of chin strap. Fasten both ends of chin strap to
knit cap band. Be careful not to fasten the chin strap too tightly.
INSTRUCTIONS FOR USE – INCA REPLACEMENT SECTIONS
To remove the used tubing and cannula:
1. Gently remove the cannula from the nares.
2. Lift the tubing out of the head band assembly, leave foam blocks.
3. Disconnect the used tubing from the circuit at the white adapter on
one side, and at the pressure "T" adapter on the other side. If the
ventilator system does not have a separate pressure monitoring line,
remove "T" adapter and replace with extra white adapter included in
tray.
4. Install replacement tubing and cannula per previous instructions.
INSTRUCTIONS FOR USE – INCA ACCESSORY PACK
The Accessory Pack provides clinicians with extra hats when cannula and
hat sizes do not match neonate. The pack also includes extra chin straps,
hook-and-loop fasteners and foam blocks.
See "INCA Complete Set" above for instructions for use.
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(English)
FOAM BLOCK