Fahl TRACHLINE Manual Del Usuario página 22

WARNING!
Patients must be briefed by trained medical professionals in the safe use of the Fahl
tracheostomy tubes.
EN
1. Insertion of the tube
Step-by-step instructions to insert Fahl
Before application, users should clean their hands (see picture 3).
Remove tube from the package (see picture 4).
If an obturator is to be used, this must first be fully inserted into the cannula tube so that the
collar on the gripping piece of the obturator comes into contact with the outer edge of the 15
mm connector and the tip of the olive projects beyond the tip of the cannula (proximal end of
cannula). The obturator must be held in this position during the entire procedure.
When using tracheostomy tubes with cuff, pay special attention to the following points:
Before inserting the tracheostomy tube, check the cuff (balloon) as well - the cuff must be
free of damages of any kind and must be leakproof so as to ensure tight sealing as required.
We therefore recommend to perform a leakproofness test prior to every insertion (see Sec-
tion VII, 3.1.1). The balloon must be completely empty prior to insertion of the tracheostomy
tube (see picture 7b)! When using an aid for dilating the tracheostoma, take care to ensure
that the tracheostomy tube, and especially the cuff, is not damaged by friction.
Then a tracheal compress is pushed onto the tracheostomy tube.
To increase the lubricity of the tracheostomy tube and thus facilitate insertion into the
trachea, it is recommended to wipe the outer tube with an OPTIFLUID
(REF 31550), which allows even distribution of the stoma oil on the tube (see Figs. 4a
and 4b) or FAHL
Lubricant Gel 3g sachet (Ref 36105).
If you are inserting the tube yourself, use a mirror to make insertion of the Fahl
stomy tube easier.
When inserting the Fahl
picture 5).
Pull the tracheostoma slightly apart with your free hand to allow the tip of the tube to fit into
the tracheostoma more easily.
Special aids for dilating the tracheostoma are also available (tracheal dilator, REF 35500).
These allow the tracheostoma to be dilated gently and evenly, for instance also in emergen-
cy situations with collapsing tracheostoma (see picture 6).
Make sure that the tube is not damaged by friction when using an instrument for assistance.
Now carefully insert the tube into the tracheostoma during the inspiration phase (while bre-
athing in) while tilting your head slightly back (see picture 7).
Advance the tube into the trachea.
Straighten your head once the tube has been inserted further into the trachea.
If an obturator is used, this must then immediately be removed from the tracheostomy tube.
The tracheostomy tubes should always be attached with a special tube holder. This stabili-
ses the tube and thus ensures that the tracheostomy tube is securely seated in the tracheo-
stoma (see picture 1).
1.1 Inflating the cuff (if such exists)
The cuff is inflated by applying a defined pressure to the cuff via the Luer connection (stan-
dardised conical connection) of the inflation tube by means of a cuff pressure gauge. If not
instructed otherwise by the doctor/physician, we recommend a cuff pressure of at least 15
mmHg (20 cmH
circumstances exceed 18mmHg (approx. 25 cmH
Inflate the cuff at most to this target pressure and check to make sure that sufficient air is supplied via
the tracheostomy tube. Always make sure that the cuff is undamaged and is functioning faultlessly.
If the desired sealing is not achieved even after repeated attempts with the specified limit
volume, a tracheostomy tube with larger diameter may be indicated.
The correct cuff pressure must be checked regularly, i.e. at least every 2 hours.
CAUTION!
All instruments used for inflating the cuff must be clean and free of foreign particles!
Detach the instruments from the Luer connection of the inflation tube as soon as the
cuff has been inflated.
OPTIFLUID Lubricant Gel 20g tube (REF 36100) or FAHL
® ®
tracheostomy tube, hold it by the neck flange with one hand (see
®
O) to 18mmHg (25 cmH
2
tracheostomy tubes.
®
O). The cuff pressure should never under any
2
O).
2
22
®
stoma oil wipe
®
OPTIFLUID
® ®
tracheo-
®