Covidien Shiley Instrucciones De Uso página 6

5. Once the patient is intubated, inflate cuff only with enough gas mixture to provide an effective seal at
the desired lung inflation pressure. The use of Minimal Occluding Volume, Minimum Leak techniques and
monitoring (measuring) of cuff pressure can help reduce occurrence of many of the adverse reactions
associated with the use of cuffed tracheal tubes.
6. Remove syringe from the valve housing after cuff inflation. Leaving the syringe attached will keep the valve
open, permitting the cuff to deflate.
7. Always assure the 15 mm connector is firmly seated in both the tracheal tube and the breathing circuit to
prevent disconnection during use.
8. Check to verify inflation system is not leaking. Integrity of the system should be verified periodically during
the intubation period. Uncorrected failure of the inflation system could result in death. Cuff pressure should
be closely monitored and any deviation from the selected seal pressure should be investigated and corrected
immediately.
9. The device should be secured in the patient's airway following currently accepted medical techniques.
10. Minimize the traction exerted by the breathing circuit on the 15 mm connector.
11. If patient position is altered while intubated, verify that the tracheal tube placement remains correct.
12. Verify the integrity of the circuit-connector-RAE Tracheal Tube connections throughout the case.
13. Prior to extubation, deflate cuff by inserting syringe into valve housing and removing gas mixture until a
definite vacuum is noted in the syringe and the pilot balloon is collapsed.
14. Extubate patient following currently accepted medical techniques.
15. Discard tracheal tube.
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