Medtronic COVIDIEN Shiley Mode D'emploi page 7

should be cleared by coughing and/or suctioning before inserting the fenestrated
inner cannula. Moisten the fenestrated inner cannula with the green 15 mm
connector with sterile saline to facilitate insertion. To lock the fenestrated inner
cannula in place, hold the swivel neck plate firmly with your fingertips and twist
the green 15 mm connector clockwise one-quarter turn past the locking detent.
7. The patient's respirations and vital signs should be routinely evaluated after
locking the inner cannula in the tube.
CAUTION:
To avoid applying pressure against the patient, the neckplate may be stabilized
with your free hand during the locking procedure.
Verify that the twist-lock connector engages securely after each use. If parts
become worn or loose, immediately report this to your physician for prompt
replacement of the tracheostomy tube.
WARNINGS:
DO NOT ATTEMPT TO VENTILATE THE PATIENT WITH THE GREEN 15 mm
CONNECTOR FENESTRATED INNER CANNULA IN PLACE.
IF YOU ARE UNABLE TO REMOVE THE INNER CANNULA, CONTACT A PHYSICIAN
IMMEDIATELY.
Cuff Inflation
WARNINGS:
UNDER NO CIRCUMSTANCES SHOULD MORE THAN 25 mm OF MERCURY AIR
PRESSURE BE USED TO INFLATE THE CUFF. OVER-INFLATION OF THE CUFF MAY
CAUSE TRACHEAL DAMAGE AND MAY INHIBIT VENTILATION.
AS A FURTHER PRECAUTION FOR VENTILATOR-DEPENDENT PATIENTS, CUFF
INFLATION SHOULD BE CHECKED ON A REGULAR BASIS AND REPLACEMENT
TRACHEOSTOMY TUBES SHOULD BE KEPT AT BEDSIDE.
8. Inflate the low pressure cuff by injecting air into the luer valve of the inflation line
using a syringe. Selection of a cuff inflation and deflation procedure is left to the
discretion of the physician.
CAUTION:
These cuffed products (LPC, FEN) are composed of soft materials to conform
to tracheal tissue for performance and patient comfort. Simple precautions in
handling of the Shiley™ Cuffed Tracheostomy Tubes during insertion and while in
place will facilitate proper function and minimize tears and breaks in the inflation
system. Avoid pulling or manipulation of the inflation line, as it is designed to
conduct and hold air as part of the cuff inflation system. It is recommended that
the inflation line be maintained in a position allowing for patient mobility without
placing tension on the line-to-cannula junction. Prevent lint or other particulates
from entering the luer valve of the pilot balloon.
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