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VBM Medizintechnik Laryngeal Tube LTS-D Gebrauchsanweisung Seite 11

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CAUTION
Never use force to insert the tube! During insertion, the cuffs must not be damaged.
 Insert the tube either in the midline of the mouth or into the corner of the mouth while rotating the tube and
advance to the upper teeth mark (picture 4).
 Use a syringe to inflate the cuffs with the recommended volume (see table) (picture 5).
Thanks to the high-volume low-pressure cuffs, a seal can already be achieved with low cuff pressures
(< 60 cmH
O).
2
 Connect the tube to a ventilation system (picture 6).
CAUTION
 Ventilation must be checked each time the patient is repositioned.
Oxygen, air or anaesthesia gases can change the cuff volume or cuff pressure.
Excessive cuff pressure can lead to swelling of the tongue.
 Reduce the cuff pressure to the Airway Leak Pressure and check regularly.
 Use an appropriate procedure to check ventilation and exclude gastric insufflation.
 If no sufficient ventilation can be verified, withdraw the tube with inflated cuffs between the teeth marks until
ventilation is easy an free flowing (large tidal volume with minimal airway pressure).
 Check the cuff pressure again and adjust to the Airway Leak Pressure.
 Fix the tube to prevent dislocation. From size 2, the manufacturer offers a bite block with fixation tape.
The drain tube (see table) allows the insertion of a gastric tube or suction catheter.
Removal:
 Deflate the cuffs completely (picture 7).
Once the tube is in the correct position, it is well tolerated until the return of the protective reflexes.
 Remove the tube in an area where suction equipment and the ability for rapid intubation are present.
Tube size
Weight/height
Colour coding ISO
connector 15 mm
Recommended cuff
volume
Maximum cuff
pressure
Drain tube
Bronchoscopy via
ventilation lumen
External diameter of
the tube
PRODUCT SPECIFICATIONS
#0
#1
#2
< 5 kg 5 - 12 kg 12 - 25 kg 125 - 150 cm < 155 cm 155 - 180 cm
trans-
white
green
parent
10 ml
20 ml
35 ml
10 Fr
< 3.0 mm
9 mm
#2.5
#3
orange
yellow
40 - 45 ml
50 - 60 ml
60 cmH
O
2
16 Fr
< 4.0 mm
14 mm
-11-
#4
#5
> 180 cm
red
purple
70 - 80 ml
80 - 90 ml
18 Fr
< 6.0 mm
17.6 mm

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