Tracoe twist 301-P Instructions D'utilisation page 17

EN
valve is introduced, the patient must be instructed by trained
personnel and carefully monitored while becoming accustomed
to it; make sure that the patient can breathe sufficiently.
Unblock the cuff before using a speaking valve. Do not use a
speaking valve during sleep.
CAUTION: Patients with laryngeal stenosis, vocal cord paralysis,
severe tracheal stenosis, respiratory tract obstructions, respira-
tory tract infections or copious mucous secretions must not use
a speaking valve.
9.3 Occlusion Cap of the Fenestrated Tube for Weaning
The fenestrated inner cannula can be closed by attaching the
enclosed occlusion cap (10) to the 15 mm connector.
CAUTION: When preparing the tube, ensure that the patient's up-
per respiratory tract is unobstructed. The upper respiratory tract
can be cleared by coughing out or suctioning the secretions. The
cuff needs to be unblocked. When closing the tube, the patient's
breathing and vital signs must be monitored by a nursing pro-
fessional. If any signs of breathing difficulties are detected, the
occlusion cap must be removed immediately.
9.4 Keeping the Fenestration Open
If the tube is used over a prolonged period, it must be ensured at
regular intervals that the fenestration is not blocked by secretions,
incrustation or in-growing tissue. If required, replace the tube.
9.5 Application of REF 306-P, REF 888-306-P
with Subglottic Suction Line
These tubes are fitted with a flat suction line (9) that is fixed to
the outer curve of the outer cannula and ends with two openings
immediately above the cuff (2). The suction line has a female Luer
connector, through which any secretion can be removed using a
syringe. As an alternative, a special suction device with a vacu-
um controller connected to the enclosed connectors (11) can be
used. After suctioning, ensure that the Luer connector is closed.
CAUTION:
• Ensure during suctioning that no excessive vacuum is
used over a prolonged period (- maximum of 200 mbar).
• To prevent the subglottic area from drying out, we recom-
mend the use of intermittent suction.
• The suction line may get blocked due to accumulated se-
cretions or adhesions to the tracheal mucosa. If it is intended to
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