Solving Problems - Covidien Shiley Manual De Usuario

Solving problems

SolVinG pRoBlEmS
SYMPTOM
Excessive air leak through nose
and mouth .
Tube comes out of the opening
in the neck .
difficult to remove or insert
inner cannula for fenestrated
tube .
Tube, or any part of the tube,
breaks or doesn't work .
20
WHAT MAY HAVE HAPPENED
Insufficient air in cuff (cuffed tubes
only).
Leak in cuff, inflation line, pilot
balloon or luer valve (cuffed tubes
only).
Tube too small for trachea.
You may have an uncuffed tube and
need a cuffed tube.
Fenestrated inner cannula is in the
tube.
Excessive pulling or weight at the
connector.
Trach tube ties too loose or
incorrectly tied.
Tracheal lining may be pushing
through the fenestration.
Trach tube alignment has changed.
Excessive use or wear on the trach
tube.
Trach tube was cleaned using
improper cleaning agents.
Excessive pulling or weight at the
connector.
Trach tube ties are too loose or
incorrectly tied.
WHAT TO DO
Deflate and reinflate the cuff with
the proper amount of air.
Replace the tube.
Call your doctor.
Call your doctor.
Remove it and replace it with a non-
fenestrated inner cannula.
Hold the neck flange with one hand
while disconnecting the ventilator
tubing to reduce pulling. Move the
ventilator if need be. Reattach the
ventilator tube to the trach tube
connector.
Retie the trach ties (see page 9).
Call your doctor.
Call your doctor.
Replace the tube.
Replace the tube. Always use only
those cleaning agents recommended
by the tube manufacturer (see
page 16).
Hold the neck flange with one hand
while readjusting ventilator tubing to
reduce pulling. Move the ventilator
if need be. Put the ventilator tube
adapter back onto the trach tube
connector.
Make sure tube is properly inserted
in the trachea. Then retie trach ties
(see page 9).