Tracoe twist 301-P Instructions D'utilisation page 15

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This effect is more marked with small sizes.
8. Attach the neck strap (12) to the neck flange (5) to keep
the tube in place.
9. Check the position of the tube (e.g. using bronchoscopy
or diagnostic radiology, see chapter 5. "General Precautions") as
well as its correct function (see chapter 6. "Warnings"). Careful-
ly suction the trachea and tube to ensure that the airways are
unobstructed.
Removing the Tube (see chapter 8.2)
8.4
Prepare to remove the tube as follows:
• Bend the patient's head slightly backwards and
• completely unblock the cuff of cuffed tubes
(see chapter 8.5).
8.5 Unblocking the Cuff
Before unblocking the cuff, ensure that as little secretion as possi-
ble can enter the bronchi. While the cuff is being unblocked, suc-
tion secretions with a suction catheter passed through the tube.
If tubes with subglottic suction have been used, also suction the
subglottic area before unblocking the cuff, see chapter 9.5.
To unblock the cuff, connect a syringe to the pilot balloon (2a).
Completely remove all air/condensate if applicable. (See chapter
5. "General Precautions").
If it is not possible to unblock the cuff, apply the following measures:
• Remove the inner cannula. Make sure that the inflation line
(2a) is not kinked and unblock the cuff again.
• If it is still not possible to unblock the cuff: carefully cut
through the inflation line between the 15 mm connector and the
neck flange (5).
8.6 Tube Change
Follow chapter 8.1 "Preparing the Tube".
.6.1 Tube Change for an Unstable Stoma
Insert a Seldinger wire into the trachea through the tracheostomy
tube in situ. When removing the tube, approximately 3 hand's
widths of the Seldinger wire should remain visible. The Seldinger
wire remains in the trachea. Now insert the tube as per chapter 8.3.
8.6.2 Tube Change for a Stable Stoma
Assemble the white obturator (15) in a spare outer cannula. Then
apply a pea-sized amount of lubricating gel to the tip of the obtu-
12