Fahl TRACHLINE Manual Del Usuario página 20

CAUTION!
The following are possible signs indicating leakages in the cuff (balloon):
• Externally visible damage to the balloon (holes, fissures etc.)
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• Audible and/or tactile perception of air escaping from the balloon
• Water in inlet tubes of the tracheostomy tube (after cleaning!)
• Water in the cuff (after cleaning!)
• Water in the pilot balloon (after cleaning!)
• No cough stimulus when pressure is applied to the pilot balloon
CAUTION!
When testing the balloon or when inserting, removing or cleaning the tracheostomy
tube, never under any circumstances use sharp or pointed objects, such as for
instance forceps or clamps, since these can damage or even destroy the balloon.
Should one of the above-named signs of leakage be detectable, the tracheostomy
tube must under no circumstances be used any more since it is no longer functioning
properly!
3.2 Obturator
Please check whether the obturator can easily be removed from the cannula before inser-
ting the tracheostomy tube!
After checking the obturator for ease of movement, reinsert the obturator into the cannula
for inserting the tracheostomy tube.
The insertion aid serves to stabilise the tracheostomy tube during insertion into the tra-
cheostoma.
Insertion aids are single-patient products and are intended for single use only. They must
not be cleaned or disinfected.
3.3 Suction opening (only in Suction tracheostomy tube versions)
Secretions that have accumulated above the inflated cuff can be removed via the suction
opening in the outer tube of the Suction tracheostomy tubes. The suction tube leading to
the outside can be connected to a syringe or a suction device. The user must decide in
consultation with the treating physician and after appropriate risk analysis, which of these
suctioning variants to use. The individual disease condition of the patient should be conside-
red in this context. Suctioning using a suctioning device may in any case only be performed
if the suctioning device is equipped with vacuum adjuster. The suction pressure must never
exceed – 0.2 bar.
When using the suction variants of the tracheostomy tubes, the secretions that have accu-
mulated above the cuff must be suctioned off via the suction opening on the tracheostomy
tube directly before deflating the cuff in order to prevent aspiration of secretions. In this
way, additional suctioning with a suction catheter while deflating the cuff may be rendered
unnecessary, which facilitates handling significantly.
CAUTION!
When using any of the tracheostomy tube versions with a suctioning device („SUCTION"),
take special care during the suctioning procedure to generate a vacuum for as short a time
as possible; drying out of the subglottic space as a result of this must be avoided.
CAUTION!
Contraindicated in patients with increased bleeding tendency (e.g. during anticoa-
gulant therapy). In such cases, the Suction tracheostomy tube with suction opening
may not be used, since suctioning entails an increased risk.
4. Inner cannula
The inner cannulas are, depending on specification, either equipped with a standard attach-
ment or permanently connected to particular adapters/connectors, or they can be connected
to detachable accessories such as for instance speaking valves.
The inner cannulas can easily be removed from the outer cannula, thus allowing the air
supply to be increased quickly if necessary (for instance in case of dyspnoea).
Inner cannulas must never be used without outer cannula but must always be affixed to the
outer cannula.
4.1 Speaking valves
Tracheostomy tubes with speaking valve (LINGO/PHON) are used after tracheotomy with a
complete or partially retained larynx and enable the user to speak.
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