Tracoe 721 Instrucciones De Uso página 10

During connection and disconnection of the connecting tube, do not bend the luer fitting
of the device, to prevent damage. Furthermore, make sure that the connecting tube is held
on the connector (not at the tubing).
If the vacuum valve is used, do the following test prior to use:
3a) Inflate the low pressure cuff of a tracheal tube with the Cuff Pressure Gauge to 40 cmH
(picture 4).
3b) Attach the inflation line to the Luer nozzle of the red vacuum valve (picture 5, 6).
3c) Squeeze the inflation bulb several times; the low pressure cuff has to deflate.
3d) Squeeze the inflation bulb until it does not return to its original position; the low pressure
cuff must be completely empty now (picture 6).
3e) Disconnect the inflation line from the vacuum valve. Connect the inflation line to the Luer
nozzle of the Cuff Pressure Gauge. The needle of the Cuff Pressure Gauge has to show a
negative pressure by moving counter-clockwise (picture 7).
INSTRuCTION FOR uSE
Before use check the low pressure cuff for leaks. Prior to intubation or extubation withdraw
all air from the cuff via a syringe or the vacuum valve. Connect the Cuff Pressure Gauge
(eventually by using the connecting tubing) to the inflation line of the tracheal tube. Inflate
the cuff to a pressure of 60 - 90 cmH
the tracheal wall. Release the pressure immediately by pressing the red release valve until the
pointer reaches the green area. We recommend the intra cuff pressure to be above 22 cmH
due to the risk of aspiration or pneumonia and below 32 cmH
the tracheal mucous membrane (see publication of J. Stauffer in Respiratory Care, July 1999).
Check and monitor the cuff pressure continuously. Adjust pressure increase via the red release
valve and pressure decrease via the inflation bulb.
EXTuBATION
Before extubation attach the inflation line to the vacuum valve and squeeze the inflation bulb
until it does not return to its original position. In order to check for complete deflation, attach
the inflation line to the Luer nozzle of the cuff pressure gauge. The needle of the Cuff Pressure
Gauge has to show a negative pressure by moving counter-clockwise. Only then the cuff is
completely deflated and the patient can be extubated.
wIpE DISINFECTION
Wipe disinfection using conventional surface disinfectants based on alcohol (e.g., Incides
from Ecolab Deutschland GmbH) is suitable for disinfection. When choosing a product for
disinfection, a disinfectant with appropriate ranges of action must be used: bactericidal, yeas-
ticidal, tuberculocidal and virucidal. After the wipe disinfection, the devices must be inspected
for visible contamination. If necessary, repeat the wipe disinfection. After the wipe disinfec-
tion, the devices must be checked in accordance with the section "Functional check".
O. This ensures that the cuff is in close contact with
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O due to the risk of ischemia of
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