Covidien Shiley Manual De Usuario página 23

SYMPTOM
Unable or difficult to pass a
suction catheter through
trach tube .
Ventilator's "High pressure"
alarm goes off .
Ventilator's "low pressure"
alarm goes off .
WHAT MAY HAVE HAPPENED
Mucus is plugging the trach tube.
Catheter is too large for the tube
size.
Tube is not properly positioned in
the trachea.
A fenestrated inner cannula is in
the tube.
Ventilator tubing is blocked or
kinked.
Mucus is plugging the trach tube.
Excessive amounts of water have
collected in the ventilator circuit,
blocking airflow.
If the first three suggestions don't
work, there may be a more serious
problem.
Ventilator tubing is not connected at
machine.
If you have a cuffed trach tube: there
may be a leak in the cuff, inflation
line, pilot balloon or luer valve.
A fenestrated inner cannula is in
the tube.
If the first three suggestions don't
work, there may be a ventilator
problem.
Solving problems
WHAT TO DO
Remove inner cannula and clean it,
if reusable. Replace it, if disposable
(DIC).
Contact your home healthcare
provider for guidance in the size of
catheter needed.
Reposition the tube.
Replace it with a non-fenestrated
inner cannula.
Clear tubing of kink or block.
Suction to clear mucus.
Drain the ventilator circuit of water
or condensation.
Contact your home healthcare
provider immediately.
Make sure all tubing to the machine
and patient is connected.
Remove the ventilator tubing from
the trach tube. Deflate and reinflate
the cuff with the proper volume.
Replace the tube if it does not
remain inflated. Attach ventilator
tubing. Turn on the machine. If the
problem continues, replace the tube.
Replace it with a non-fenestrated
inner cannula.
Contact your home healthcare
provider. Deliver breaths with
a manual resuscitation bag, if
available.
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