Tracoe 450-P Instrucciones De Uso página 35

• If the tube requires additional adjustment unlock the neck flange and adjust accordingly.
B. With the Obturator
The obturator is non-perforated and cannot be used in combination with a Seldinger wire.
EN
1. Prepare the tube and the patient as described in chapter "Preparation" and "Preparation the
Patient"
2. When inserting the tube (with the obturator inside) into the tracheostoma, hold the tube at the
flange and press the obturator firmly against the 15 mm connector.
3. Gently push the tube forward until the neck flange is in contact with the skin surface.
4. Secure the tube with one hand and remove immediately the obturator after insertion.
Caution:
• If the tube requires additional adjustment unlock the neck flange and adjust accordingly.
8.4 Following Tube Insertion
1. Check if the airway through the tube is unobstructed and if necessary, adjust the position of the
tracheostomy tube (e.g. using a bronchoscope) and the neck flange. The correct position of the
TRACOE vario tracheostomy tube neck flange must be checked regularly.
2. Connect the 15 mm connector of the tracheostomy tube with the respiratory system if ventila-
tion is required.
3. If appropriate: Inflate the cuff of the tracheostomy tube with air through the Luer connector
located at the pilot balloon.
4. If necessary, the wings of the neck flange can be re-adjusted.
5. To prevent the tube dislocation, secure the tube in place with the neck strap.
6. It is recommended that a dressing is placed between the tracheostoma and the adjustable
flange to prevent irritation of the skin underneath the flange.
7. Re-check the cuff pressure to make sure that the cuff has not been damaged during
the insertion.
8.5 Inflating the Cuff
Option 1: In place of a standard syringe for inflating the cuff, we recommend the use of a hand-
held manometer. Adjust the cuff pressure to the individual ventilation therapy and check it at reg-
ular intervals. Typically, the pressure should be between 20 cmH
(≈ 22 mmHg).
Option 2: Use a TRACOE smart Cuff Manager to maintain the cuff pressure within the range of
20 to 30 cmH O through passive control. Attach the male Luer of the TRACOE smart Cuff Man-
2
ager to the female Luer of the check valve of the tracheostomy tube. Inflate the TRACOE smart
Cuff Manager using a standard syringe according to the respective IFU.
Caution:
• When repositioning the patient, while in bed, ensure that the patient does not lie on the pilot
balloon, as this could increase the cuff pressure and potentially damage the trachea.
8.6 Connecting/Disconnecting External Equipment
To connect to external equipment or accessories (e.g. ventilator) firmly hold the base of the 15 mm
connector and gently push the connection end of the external device until it is securely attached
to the tracheostomy tube. If in doubt, twist the connection end on and off several times, in order
to confirm the amount of force needed to ensure the connection is secure and the external device
can be easily disconnected at a later time.
If disconnection is difficult, use a standardized disconnect wedge (not supplied) to uncouple the
tracheostomy tube from external equipment or accessories (see Image 4) by sliding the opening
32
O (≈ 15 mmHg) and 30 cmH
2
O
2