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Tracoe silcosoft Gebrauchsanweisung Seite 14

Tracheostomiekanülen für neugeborene / kleinkinder und kinder
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  • DE

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  • DEUTSCH, seite 21
underneath the neck flange.
Ensure that the syringe for filling the H
EN
of contaminants. The syringe must be removed immediately after use.
Failure to do so may result in a deflation of the H
which will reduce efficient ventilation or protection from aspiration.
To avoid damage to the H
tion, always ensure that the H
insertion.
To avoid damage to the H
contact with lidocaine-containing aerosols or ointments.
When repositioning the patient, ensure that the patient does not
squeeze the pilot balloon (5a). This can increase the cuff pressure and
therefore harm the trachea.
Prolonged storage of the tube after reprocessing can increase
the risk of bacterial contamination.
For appropriate handling of the tracheostomy tube follow the
standard guidelines for prevention of infection as stipulated by the
Center for Disease Control and Prevention (USA), the Robert Koch
Institut (DE), or the local or national authority.
6.
Warnings
Do not use, if the sterile packaging has been compromised/
damaged, e.g. open edges, holes in packaging etc.
Improper storage conditions may result in tube damage or con-
tamination.
Use only water-soluble lubricating gel.
To prevent an increase in air resistance, ensure that the tube
does not become obstructed when applying lubricating gel to the
obturator tip.
Check the position and function of the tube following insertion.
Incorrect placement may result in permanent damage to the tracheal
mucosa or increased air resistance.
Do not move or shift the tube once it is in position, as this may
damage the stoma / trachea or lead to insufficient ventilation.
A subtle increase in air resistance is possible, if the tube is not
suctioned regularly.
Use only suction catheters to clear the secretions from the
patient's respiratory tract and the tracheostomy tube. Instruments with
a conical tip may wedge in the tube and restrict ventilation.
Regularly check that all connections are secure to prevent an
inadvertent disconnection of the tube from external equipment and
ensure efficient ventilation.
Only fill the H
with air as this would impair the sealing function of the cuff which may
result in aspiration or VAP (ventilator associated pneumonia).
The H
O Cuff is an HPLV (high pressure low volume) cuff there-
2
fore, the measured cuff pressure is not related to the actual cuff pres-
sure exerted on the tracheal wall.
Before deflating the H
10
O Cuff and improve ease of inser-
2
O Cuff is completely deflated prior to
2
O Cuff material it should not be in
2
O Cuff with sterile water. Do not fill the H
2
O Cuff (removal of sterile water), ensure
2
O Cuff is clean and free
2
O Cuff filling system
2
O Cuff
2

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