Reinsertion of the inner cannula is performed in reverse sequence as described above.
The tracheostomy tubes should be removed with the head slightly tilted back. Grip the tube
at the side by the neck flange or the housing (see picture 7).
EN
Carefully remove the tracheostomy tubes.
IX. CLEANING AND DISINFECTION
CAUTION!
For reasons of hygiene and to avoid the risk of infection, you should thoroughly
clean the Fahl
tracheostomy tube at least twice a day, more often during heavier
®
secretion production.
In case of an unstable tracheostoma, the airways must always be secured before
removing the tracheostomy tube and a replacement tube must be kept ready for in-
sertion. The replacement tube must be inserted immediately, even before cleaning
and disinfecting the changed tube.
CAUTION!
the tracheostomy tubes must not be cleaned using a dishwasher, a steam cooker, a
microwave oven, a washing machine or similar appliances!
Keep this in mind, your personal cleaning schedule, including additional disinfection if re-
quired, must always be determined in consultation with your doctor/physician and according
to your individual needs.
Regular disinfection is only required if this is indicated from the medical point of view as
ordered by the doctor/physician. The reason for this is that the upper airways are not free of
microbes in healthy patients either.
General cleaning may be insufficient to meet the special hygiene requirements to
prevent infections for patients with specific problems (e.g. MRSA, ORSA etc.), who
are subject to an increased danger of re-infection. We recommend chemical disinfec-
tion of the tubes according to the instructions provided below. Please consult your
doctor/physician.
CAUTION!
Cleaning agent and disinfectant residues on the tracheostomy tube can lead to irrita-
tions of the mucus membranes or other health impairments.
Tracheostomy tubes are considered as belonging to the category of instruments with hollow
cavities. Special care must therefore be taken when performing cleaning or disinfection that
the tube is fully wetted with the solution used and is unobstructed (see picture 8).
The solutions used for cleaning and disinfection must be freshly prepared prior to each use.
1. Cleaning
Fahl
tracheostomy tubes must be cleaned/replaced regularly in accordance with the indi-
®
vidual patient's needs.
Only use cleaning agents if the tube is outside the tracheostoma.
A mild, pH-neutral washing lotion can be used for cleaning the tube. We recommend using
the special cannula-cleaning powder (REF 31110) as directed by the manufacturer.
Never clean Fahl
tracheostomy tubes with cleaning agents that are not approved by the
®
manufacturer. Never use aggressive household cleaners, detergents, high-concentration
alcohol or denture cleaners.
This may be very hazardous to health. The tube may also be destroyed or damaged.
Never under any circumstances expose the tubes to boiling water for disinfection. This could
seriously damage the tracheostomy tube.
Cleaning Steps
Cleaning the tracheostomy tubes without cuff
Remove any additional items before cleaning.
First, rinse the tube thoroughly under running water (see picture 9).
Use only lukewarm water to prepare the cleaning solution and observe the instructions for
use of the cleaning agent.
We recommend the use of the cannula-cleaning tub with sieve insert (REF 31200) to facili-
tate the cleaning procedure.
To do this, hold the sieve insert by the upper edge to prevent contact with and contamination
of the cleaning solution (see picture 10).
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