Tracoe 450-P Instrucciones De Uso página 37

Caution:
• The airflow through the upper airways may irritate the patient or may lead to increased
secretions, coughing, nausea or retching.
• If the voice sounds gruff, repeat subglottic suction to clear the airway.
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• Adjust the duration of a single ACV session to the capabilities/endurance of the patient.
• Use short sessions of ACV to prevent drying of the laryngeal mucosa.
• Regularly monitor patients with tracheostoma by medically trained staff.
8.9 Deflating the Cuff
Before deflating the cuff, ensure that as little secretions as possible enter the lower respiratory
tract, e.g. by subglottic suctioning, suctioning through the tube. To deflate the cuff, attach a
syringe (with the plunger pushed in) to the female Luer connector of the pilot check valve. Pull the
plunger back until all air is removed from the cuff. The cuff must be deflated (empty) prior to
removal of the tracheostomy tube.
Caution:
• When removing the air from the cuff, pay attention to the volume of the air removed. This
services as a reference for the integrity of the system for further cuff inflation.
8.10 Removing the Tube
In case of the tube change, prepare the replacement tube as described in chapter "Preparation".
1. Slightly overextend the patient`s neck, if possible.
2. Deflate the cuff (see chapter "Deflating the Cuff").
3. Secure the neck flange, while loosening the neck strap.
4. Firmly hold the base of the 15 mm connector and gently pull the tracheostomy tube from
the stoma.
If necessary, suctioning of secretions through the tube may be helpful to prevent infiltration into
the lower respiratory tract.
5. Following removal, the tube should be cleaned as soon as possible to prevent encrustation
of fluids.
6. If the product is damaged, do not reuse the tube. Please inform TRACOE Customer Service with
the REF and LOT number, do not discard the tube and follow instruction in chapter "Returns and
Complaints".
9. Care and Cleaning
Caution:
• The device should not be used for more than 29 days beginning from the initial opening
of the sterile barrier.
• This maximum period of use includes both patient and non-patient (e. g. cleaning) use
of the device.
• The product should be inspected for integrity and function prior to re-use/re-insertion.
Cleaning of the tracheostomy tube and obturator is intended to remove any bodily fluids or encrus-
tation that may inhibit its clinical use.
Please take care to hold the tube after cleaning at the 15 mm connector and the obturator at
its handle.
The following instruction for manual cleaning applies to all TRACOE vario models and sizes:
1. To clean the tube and obturator, rinse the devices separately under body warm (max. 37 °C /
98.6 °F) potable water until they are visibly clean and free of encrustations.
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