Covidien Shiley Instrucciones De Uso página 8

2. With the cuffed Shiley™ Tracheostomy Tube XLT, the cuff and inflation system
should be tested for leakage before inserting the tube. This test can be performed
as follows: Inflate the cuff with the volume of air indicated in (Table 2). Then either
observe for deflation over several minutes or immerse the tube in sterile saline
and observe for air leakage. Completely deflate the cuff prior to insertion.
Insertion
3. Insert the obturator into the tracheostomy tube. The obturator should be fully
seated before the tracheostomy tube is inserted into the patient. A thin film
of water soluble lubricant can be applied to both the outer cannula, cuff, and
protruding portion of the obturator to facilitate insertion.
4. After the tracheostomy procedure is performed, insert the tube into the patient's
trachea. After the tube is properly in place, remove the obturator immediately.
5. The Shiley Inner Cannula XLT is thin walled to provide maximum airway diameter
and has a special flexible design to allow it to assume the shape of the Shiley
Tracheostomy Tube XLT in-situ.
(a) Always inspect the Shiley Inner Cannula XLT prior to use. If the inner cannula
is damaged, creased or the lumen is compromised, discard and replace with a
new inner cannula. Do not insert a damaged inner cannula.
(b) Insert the Shiley Inner Cannula XLT into the Shiley Tracheostomy Tube XLT and
lock into position. The Shiley Inner Cannula XLT may be moistened with sterile
saline or water soluble lubricant to facilitate insertion. To lock the Shiley Inner
Cannula XLT in place, twist the locking ring clockwise until it stops. The Shiley
Tracheostomy Tube XLT should always be used with the Shiley Inner Cannula
XLT in place.
NOTE: The inner cannula is locked only when the indicator points of the inner cannula
locking ring and tube outer cannula are aligned.
6. The Shiley Inner Cannula XLT can be replaced to maintain a patent airway without
requiring the entire tracheostomy tube to be changed.
7. To remove the Shiley Inner Cannula XLT from the Shiley Tracheostomy Tube
XLT, twist the locking ring counter-clockwise until it stops. Withdraw slowly and
discard.
Cuff inflation following insertion
8. Inflate the low pressure cuff by injecting air into the luer valve of the inflation line.
Selection of a cuff inflation and deflation procedure is left to the discretion of the
clinician.
9. Secure the Shiley Tracheostomy Tube XLT to the patient using either the TTH
Tracheostomy Tube Holder or neck strap provided.
Diagram 1
1-2 Thread narrow Velcro® fasteners through slots in flange and adhere to
foam laminate.
3-4 Adjust bands to proper length around patient's neck, adhere wide
Velcro® fastener (A) to band (B). Cut off excess.
Cuff Deflation
10. Accumulated secretions above the cuff may need to be suctioned before deflating
the cuff.
Diagram 2
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Diagram 3 Diagram 4