Tracoe twist REF 301 Instrucciones De Uso página 16

cuff needs to be unblocked. When closing the tube, the patient's
breathing and vital signs must be monitored by a nursing pro-
fessional. If any signs of breathing difficulties are detected, the
occlusion cap must be removed immediately.
9.4 Keeping the Fenestration Open
If the tube is used over a prolonged period, it must be ensured at
regular intervals that the fenestration is not blocked by secretions,
incrustation or in-growing tissue. If required, replace the tube.
9.5 Application of REF 306, REF 888-306
with Subglottic Suction Line
These tubes are fitted with a flat suction line (9) that is fixed to
the outer curve of the outer cannula and ends with two openings
immediately above the cuff (2). The suction line has a female Luer
connector, through which any secretion can be removed using a
syringe. As an alternative, a special suction device with a vacu-
um controller connected to the enclosed connectors (11) can be
used. After suctioning, ensure that the Luer connector is closed.
CAUTION:
• Ensure during suctioning that no excessive vacuum is
used over a prolonged period (- maximum of 200 mbar).
• To prevent the subglottic area from drying out, we recom-
mend the use of intermittent suction.
• The suction line may get blocked due to accumulated
secretions or adhesions to the tracheal mucosa. If it is intend-
ed to rinse the suction line (e.g. with a small amount of air or
physiological saline solution), ensure beforehand that the cuff is
sufficiently blocked (risk of aspiration).
• The suction line may cause pressure points in the area
of the tracheostoma or may cause the tracheostoma to become
irregular. In such cases, the doctor needs to decide whether this
type of tube can still be used.
9.6 Use of REF 309 with air supply for speaking
This tube is equipped with an air supply line that ends in the mid-
dle of the outer curve of the outer cannula, and has four openings.
The air supply line is fitted with a T connector. At the conical
opening, the line can be connected to the air or oxygen sup-
ply on the intensive care ward. Opening the side outlet allows
the air or oxygen supplied to exit. With deliberate closure of the
side opening, the air or oxygen flows through the trachea into the
larynx, which allows vocalisation.
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