Fahl TRACHEOTEC Instrucciones De Uso página 21

If the tube material has become discoloured, the tracheostomy tube should be discarded
of immediately.
WARNING
Patients must be briefed by trained medical professionals in the safe use of the Fahl
tracheostomy tubes.
1. Insertion of the tube
Step-by-step instructions to insert Fahl
Before application, users should clean their hands (see picture 3).
Remove tube from the package (see picture 4).
If an obturator is to be used, this must first be fully inserted into the cannula tube so that the
collar on the gripping piece of the obturator comes into contact with the outer edge of the 15
mm connector and the tip of the olive projects beyond the tip of the cannula (proximal end of
cannula). The obturator must be held in this position during the entire procedure.
When using tracheostomy tubes with low-pressure cuff, pay special attention to the
following points:
Before inserting the tracheostomy tube, check the cuff (balloon) as well - it must be free of
damages of any kind and must be leakproof so as to ensure tight sealing as required. We
therefore recommend to perform a leakproofness test prior to every insertion (see Section
VII, No. 3.1.1). The balloon must be emptied completely prior to insertion of the tracheostomy
tube (see picture 7b)! When using an aid for dilating the tracheostoma, take care to ensure
that the tracheostomy tube, and especially the cuff, is not damaged by friction.
Next, push a tracheal compress, e.g. SENSOTRACH
3-Plus (REF 30780), onto the tracheostomy tube.
To facilitate insertion of the tracheostomy tube, it is advisable to lubricate the outer tube by
wiping it with an OPTIFLUID
applied evenly to the whole surface of the tube (see picture 4a and 4b).
If you are inserting the tube yourself, use a mirror to make insertion of the Fahl
tube easier.
When inserting the Fahl
picture 5).
Pull the tracheostoma slightly apart with your free hand to allow the tip of the tube to fit into
the tracheostoma more easily.
Special aids for dilating the tracheostoma are also available (tracheal dilator, REF 35500).
These allow the tracheostoma to be dilated gently and evenly, for instance also in emergency
situations with collapsing tracheostoma (see picture 6).
Make sure that the tube is not damaged by friction when using an instrument for assistance.
Now carefully insert the tube into the tracheostoma during the inspiration phase (while
breathing in) while tilting your head slightly back (see picture 7).
Advance the tube into the trachea.
Straighten your head once the tube has been inserted further into the trachea.
If an obturator is used, this must then immediately be removed from the tracheostomy tube.
The tracheostomy tubes should always be attached with a special tube holder. This
stabilises the tube and thus ensures that the tracheostomy tube is securely seated in the
tracheostoma (see picture 1).
1.9 Inflating the low-pressure cuff (if present)
The low-pressure cuff is inflated by applying a defined pressure to the cuff via the Luer
connection (standardised conical connection) of the inflation tube by means of a cuff
pressure gauge (e.g.MUCOPROTECT
doctor/physician, we recommend a cuff pressure of at least 15 mm Hg (20 cm H2O) to 22
mm Hg (30 cm H2O). The cuff pressure should never under any circumstances exceed 22
mm Hg (approx. 30 cm H2O).
Inflate the low pressure cuff at most to this target pressure and check
to make sure that sufficient air is supplied via the tracheostomy tube.
Always make sure that the low-pressure cuff is undamaged and in perfect working order.
If the desired sealing is not achieved even after trying repeatedly with the
specified limit volume, a tracheostomy tube with larger diameter may be indicated.
The correct cuff pressure must be checked regularly, i.e. at least every 2 hours.
tracheostomy tubes.
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stoma oil wipe (REF 31550) which allows the stoma oil to be
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tracheostomy tube, hold it by the neck flange with one hand (see
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, REF 19500). If not instructed otherwise by the
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DUO (REF 30608) or SENSOTRACH
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EN
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tracheostomy
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