Covidien Shiley Instrucciones Del Uso página 7

clear the ridged lock on the outer cannula. The outer cannula should always be used
with the disposable inner cannula in place unless the Disposable Decannulation Plug
(DDCP) is being used.
CAUTION:
To avoid applying pressure against the patient, the tabs on the connector may
be held slightly open, and the neck plate may be stabilized with your free hand
during the locking procedure.
Verify that the snap-lock connector engages securely. If parts become worn or
loose, immediately report this to your physician for prompt replacement of the
tracheostomy tube.
Cuff Inflation
WARNINGS:
UNDER NO CIRCUMSTANCES SHOULD MORE THAN 25 mm OF MERCURY AIR
PRESSURE BE USED TO INFLATE THE CUFF. OVER-INFLATION OF THE CUFF MAY
CAUSE TRACHEAL DAMAGE AND MAY INHIBIT VENTILATION.
AS A FURTHER PRECAUTION FOR VENTILATOR-DEPENDENT PATIENTS, CUFF
INFLATION SHOULD BE CHECKED ON A REGULAR BASIS AND REPLACEMENT
TRACHEOSTOMY TUBES SHOULD BE KEPT AT BEDSIDE.
6. Inflate the low pressure cuff by injecting air into the luer valve of the inflation
line using a syringe. Selection of a cuff inflation and deflation procedure is left to the
discretion of the physician.
CAUTION:
This product is composed of soft materials to conform to tracheal tissue for
performance and patient comfort. Simple precautions in handling of the Shiley
Cuffed Tracheostomy Tube during insertion and while in place will facilitate
proper function and minimize tears and breaks in the inflation system. Avoid
pulling or manipulation of the inflation line, as it is designed to conduct and
hold air as part of the cuff inflation system. It is recommended that the inflation
line be maintained in a position allowing for patient mobility without placing
tension on the line-to-cannula junction. Prevent lint or other particulates from
entering the luer valve of the pilot balloon.
7. Secure the tracheostomy tube to the patient using the neck strap provided.
Cuff Deflation
8. Accumulated secretions above the cuff (DCT, DFEN) may need to be suctioned
before deflating the cuff with a syringe, unless suctioning is contraindicated.
9. To deflate the low pressure cuff, withdraw air slowly from the luer valve of the
inflation line using a syringe.
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