Fahl DURACUFF Manual De Instrucciones página 21

- Water in inlet tubes of the tracheostomy tube (after cleaning!)
- Water in the cuff (after cleaning!)
- Water in the pilot balloon (after cleaning!)
EN
- 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 inserting the
tracheostomy tube!
After checking the obturator for ease of movement, reinsert the obturator into the cannula for inserting
the tracheostomy tube.
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 suction variants to use. The individual disease condition of the patient should be considered here.
Suction using a suction device may in any case only be performed if the suction device is equipped with
vacuum adjustment. The suction pressure must never exceed – 0.2 bar.
When using the suction variants of the tracheostomy tubes, the secretions that have accumulated
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 anticoagulant 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 convenient Easy Lock hexagonal lock serves to securely attach the inner cannula and compatible
accessories.
The inner cannulas are, depending on specification, either equipped with a standard attachment 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).
The connection between inner and outer cannula must first be released by slight lifting (unbuttoning
with thumb and index finger). This causes holding prongs/engaging elements of the inner cannula to be
pulled off the Easy Lock hexagonal connection of the outer cannula.
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.
In the case of tracheostomy tubes with silicone speaking valve, the valve is directly attached to the inner
cannula and is included in delivery of these tube versions.
The HUMIDOPHONE speaking valve or the COMBIPHON speaking valve are also available. These
® ®
can be used by tracheotomised patients who for instance use a perforated tracheostomy tube (with
inner cannula) with 22 mm combi-adapter.
In tracheostomy tubes with silver speaking valve, the speaking valve can be detached from the
inner cannula by pushing it out.
In tracheostomy tubes with silicone speaking valve, the speaking valve can be detached from the
inner cannula by pulling it off.
21