Cleaning And Disinfection - Fahl LARYNGOTEC Mode D'emploi

Proceed very carefully to avoid injury to the mucus membranes.
CAUTION!
If the tracheostoma is unstable, or in emergency situations (puncture/dilation tracheostomy),
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the tracheostoma can collapse after withdrawal of the tracheostomy tube, thereby impairing air
supply. A fresh tracheostomy tube must be kept ready for use in such cases and must be quickly
inserted if necessary. A tracheal dilator can be used for temporarily securing the air supply.
Step-by-step instructions to remove the Fahl tracheostomy tubes:
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The tracheostomy tubes should be removed with the head slightly tilted back. Grip the tube or button at
the side by the neck flange or the housing (see picture 5).
Carefully remove the tracheostomy tubes.
Note the following points in addition when removing the Fahl stoma button:
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To remove the button, hold one side of the top edge of the retainer housing with thumb and index finger
and pull carefully in the opposite direction (see picture 8).
This folds the button together and prevents irritation of the tracheostoma.
Pulling the button straight out may irritate the tracheostoma, causing coughing or bleeding.
IX. CLEANING AND DISINFECTION
CAUTION!
For reasons of hygiene and to avoid the risk of infection, you should thoroughly clean the Fahl
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tracheostomy tube at least twice a day, more often during heavier secretion production.
In case of an unstable tracheostoma, the airways must always be secured before removing the
tracheostomy tube and a replacement tube must be kept ready for insertion. The replacement
tube must be inserted immediately, even before cleaning and disinfecting the changed tube.
CAUTION!
The tracheostomy tubes must not be cleaned using a dishwasher, a steam cooker, a microwave
oven, a washing machine or similar appliances!
Keep this in mind, your personal cleaning schedule, including additional disinfection if required, must
always be determined in consultation with your doctor/physician and according to your individual needs.
Regular disinfection is only required if this is indicated from the medical point of view as ordered by
the doctor/physician. The reason for this is that the upper airways are not free of microbes in healthy
patients either.
General cleaning may be insufficient to meet the special hygiene requirements to prevent
infections for patients with specific problems (e.g. MRSA, ORSA etc.), who are subject to an
increased danger of re-infection. We recommend chemical disinfection of the tubes according to
the instructions provided below. Please consult your doctor/physician.
CAUTION!
Cleaning agent and disinfectant residues on the tracheostomy tube can lead to irritations of the
mucus membranes or other health impairments.
Tracheostomy tubes are considered as belonging to the category of instruments with hollow cavities.
Special care must therefore be taken when performing cleaning or disinfection that the tube is fully
wetted with the solution used and is unobstructed (see picture 8).
The solutions used for cleaning and disinfection must be freshly prepared prior to each use.
1. Cleaning
Fahl tracheostomy tubes must be cleaned / replaced regularly in accordance with the individual patient's
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needs.
Only use cleaning agents if the tube is outside the tracheostoma.
A mild, pH-neutral washing lotion can be used for cleaning the tube. We recommend using the special
cannula-cleaning powder (REF 31110) as directed by the manufacturer.
Never clean Fahl tracheostomy tubes with cleaning agents that are not approved by the manufacturer.
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Never use aggressive household cleaners, detergents, high-concentration alcohol or denture cleaners.
This may be very hazardous to health. The tube may also be destroyed or damaged.
Depending on the individual needs of the patient, which must be determined by the treating physician,
it may be necessary to immerse the tracheostomy tube in boiling water (212 degrees Fahrenheit/100
degrees Celsius) for at least 5 minutes but not more than 10 minutes.
WARNING
Let the tube/button cool before reinsertion to avoid scalds and burns.
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