Covidien Shiley Instrucciones De Uso página 4

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• Lubricate the cuff and distal tip of the tube with a water-soluble
lubricant prior to insertion. It is essential to verify that lubricant
does not enter and occlude the tube lumen thereby preventing
ventilation.
• The use of Lidocaine Topical Aerosol has been associated with the
formation of pinholes in cuffs (Jayasuriya, K.D. and Watson, W.F.:
PVC Cuffs and Lignocaine-base Aerosol. Brit. J. Ann. 53: 1368,
1981). The same authors report that Lidocaine hydrochloride
solution does not have this effect.
• Syringes, three-way stopcocks or other devices should not be left
inserted in the inflation valve for extended periods of time.
WARNINGS/PRECAUTIONS
• Care must be taken to avoid contact of a LASER beam or an
electrosurgical active electrode in the immediate area of the
device. Such contact, especially in the presence of oxygen-
enriched mixtures, could result in rapid combustion of the tube
with harmful thermal effects and with emission of corrosive and
toxic combustion products, including hydrochloric acid (HCl).
It has been reported by Hirshman and Smith that mixtures of
nitrous oxide and oxygen support combustion about the same
as pure oxygen and that in addition to ignition by direct contact
with the beam, the interior of a tracheal tube can also be ignited
by contact with flaming tissue in close proximity to the tip of
the tube (Hirshman C.A., and Smith J., Indirect Ignition of the
Endotracheal tube During Carbon Dioxide Laser Surgery, Arch
Otolaryngol Vol. 106:639-641, 1980).
• Before tracheotomy, the trachea should be intubated with
a tracheal tube (unless contraindicated) to ensure adequate
ventilation during the procedure.
• Expert clinical judgement should be exercised in the selection of
the appropriate size tube for each individual patient.
• Use only with equipment having standard 15mm connectors.
• Precautions should be taken when discarding the device and
disposal of the device shall be made in accordance with applicable
national regulations for biologically hazardous waste.
• Do not use the reinforced tubes with magnetic resonance imaging
(MRI) or similar instruments, due to the presence of metal parts
within the airway.
• During an MRI scan the pilot balloon should be secured near the
Y connector of the ventilator circuit at least 3 cm from the area
of interest to prevent movement and image distortion.
(General):
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