Covidien Shiley Instrucciones De Uso página 6

• During and after attachment of respiratory or anesthesia tubing connectors to
the Shiley™ Inner Cannula XLT, avoid application of excessive rotational, linear,
or rocking forces on the tubing and/or connectors to prevent damage to the
tracheostomy tube.
• Because of its special design, the Shiley Inner Cannula XLT requires careful
handling during insertion and removal. When inserting an inner cannula, use
a smooth, uniform and consistent motion, using the least amount of force
necessary for complete insertion.
• If you are unable to insert or remove the inner cannula, contact a physician
immediately.
• Under no circumstances should more than 25 mm of mercury (Hg) air pressure
be used to inflate the cuff. Over-inflation of the cuff may cause tracheal
damage and may inhibit ventilation.
• As a further precaution for ventilator-dependent patients, cuff inflation
should be checked on a regular basis and replacement tracheostomy tubes
and inner cannula should be kept at the patient's bedside
• Do not use the Shiley Tracheostomy Tube XLT and Shiley Inner Cannula XLT
in procedures which will involve the use of LASER or an electrosurgical active
electrode in the immediate area of the devices. Contact of the beam or electrode
with the tracheostomy tube and inner cannula, especially in the presence of
oxygen-enriched or nitrous oxide containing mixtures could result in the rapid
combustion of the tube with harmful thermal effects and toxic emissions.
• 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.
CAUTIONS
• Precautions should be taken when discarding any of the tracheostomy tube devices
and accessories. Disposal of medical devices should be made in accordance with
applicable national regulations for biologically hazardous waste.
• The Shiley Inner Cannula XLT, neck strap and Shiley TTH Tracheostomy Tube Holder
are designed for single use and should not be cleaned or reused.
• Patients in the home care environment should be carefully instructed by the Home
Health Care Provider in the proper use and handling of the tracheostomy tubes and
accessories.
• To ease insertion and to guard against cuff perforation from sharp edges of
cartilage, the cuff should be tapered back. This can be accomplished by first
inflating the cuff. Then gently move the cuff away from the distal tip of the outer
cannula towards the swivel neck plate as the residual air is removed by deflation.
Do not use any sharp instruments such as forceps or hemostats that would damage
the cuff when tapering it.
• When using a water soluble lubricant, verify that the lubricant does not enter and
occlude the tube lumen, which may restrict ventilation. Petroleum-based lubricants
should not be used.
• The obturator should be cleaned (Refer to Table 4) and then stored in an accessible
location near the patient should it be needed.
• To avoid applying pressure against the patient, the neck plate may be stabilized
with your free hand during the locking procedure.
• Verify that the twist-lock connector engages securely. If parts become worn or
loose, immediately report this to the physician for prompt replacement of the
tracheostomy tube.
• This product is composed of soft materials to conform to tracheal tissue for
performance and patient comfort. Simple precautions in handling of the Shiley
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