inhealth Blom-Singer Manual Del Usuario página 10

neck strap to avoid touching the portion that inserts into the
puncture.
2. Attach the neck strap of the voice prosthesis securely over the
safety peg of the inserter as shown in diagram 4. This should
prevent inadvertent dislodgment of the voice prosthesis off
the inserter during insertion into the puncture.
3. Hold the end of the inserter as shown in diagram 5, and
align the top of the voice prosthesis partially in the puncture
with the neck strap oriented upwards. Firmly insert the voice
prosthesis until the esophageal flange can be felt to "snap" into
the esophagus. It should be noted that insertion or removal of
the voice prosthesis occasionally may cause slight bleeding at
the puncture. You should consult a qualified, trained medical
professional if bleeding is persistent.
4. While firmly holding the inserter, lift the neck strap off the
safety peg on the inserter (see diagram 6). Gently withdraw
the inserter with a twisting motion from the fully inserted
voice prosthesis. Warning: Caution should be exercised when
removing the inserter to avoid accidental displacement of the
voice prosthesis, which could result in aspiration (inhaling)
of the voice prosthesis. Should aspiration occur, attempt to
cough the voice prosthesis out of the windpipe. Seek medical
attention immediately if unsuccessful.
5. Apply a strip of medical adhesive tape over the neck strap
to prevent strap movement as shown in diagram 7. Caution:
If the voice prosthesis does not insert easily on the first
attempt, do not continue to try to insert it. Instead, reinsert
a clean puncture dilator, of the appropriate diameter, for
a few minutes to dilate the TE puncture, then try again. In
cases where there is repeated difficulty managing the voice
prosthesis, consult the qualified, trained medical professional
who provided initial instruction in the voice prosthesis use.
Warning: When the valve fails to close completely a few drops
of fluid may pass back through the valve from the esophagus to
the trachea, which may cause coughing. The valve closure can be
verified by looking at it with a mirror, while it is still positioned in
the puncture, to see if fluids leak through it during swallowing.
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