12. Immediately remove the obturator, while holding the
tube in place with your fingers.
13. Insert the new inner cannula making sure that it is prop-
erly secured in place. If you use a twist-lock inner can-
nula, it is secure when you feel it lock into place and the
blue dots on the inner and outer cannulae are lined up. If
you are using a disposable inner cannula, make sure that
both sides of the winged flange are snap-locked securely
in place.
14. Inflate the cuff to the proper volume using a syringe.
(Your doctor will tell you what volume to use.)
15. Finish fastening the ties as described on page 9.
16. Throw away the old tube.
Changing the Tube
13