Cleaning And Disinfection - Fahl TRACHEOTEC Instrucciones De Uso

Before the air is removed from the balloon by means of a syringe and the tracheostomy tube is with-
drawn, the region of the trachea above the balloon must first be cleaned by suctioning off secretions
and mucus. If the patient is responsive and reflexes are intact, it is recommended that the patient
be suctioned while at the same time unblocking the tracheostomy tube. Suctioning is performed by
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inserting a suction catheter through the cannula tube into the trachea. In this way, suctioning can be
performed without any problems and gently for the patient and cough stimulus and the risk of aspiration
are minimised.
Then deflate the cuff while suctioning at same time. If secretions are present, these are now removed
and can no longer be aspirated. Please note that prior to reinsertion, the tracheostomy tube must
always be cleaned, disinfected if necessary and lubricated with stoma oil as specified below.
Proceed very carefully to avoid injury to the mucus membranes.
Step­by­step instructions to remove the Fahl
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).
Carefully remove the tracheostomy tubes.
When removing the inner cannula, the following must be observed:
Accessories such as a tracheostoma valve or HME (Heat Moisture Exchanger) must be removed first
before proceeding to remove the Fahl
The inner cannula can now be removed from the outer cannula by pulling it gently.
Reinsertion of the inner cannula is performed in reverse sequence as described above.
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.
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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 insertion. 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 required, must al-
ways 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 in-
fections for patients with specific problems (e.g. MRSA, ORSA etc.), who are subject to an
increased danger of re­infection. We recommend chemical disinfection 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 irritations of the
mucus membranes or other health impairments.
The tracheostomy tube should basically only be cleaned as required, depending on the formation of
secretions, the condition of the tracheostoma, the individual disease condition of the patient and the
corresponding hygiene requirements.
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 every day.
1. Cleaning
Fahl tracheostomy tubes must be cleaned/replaced regularly in accordance with the individual pa-
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tient'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
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.
Heating to 65°C can cause slight clouding of the material; this normalises again after some time though.
tracheostomy tube.
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tracheostomy tubes with cleaning agents that are not approved by the manufacturer.
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tracheostomy tubes:
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