Cleaning And Disinfection - Fahl Duratwix Mode D'emploi

2. Removing the tube
CAUTION!
Accessories such as a tracheostoma valve or HME (Heat Moisture Exchanger) must
EN
be removed first before proceeding to remove the Fahl
CAUTION!
If the tracheostoma is unstable, or in emergency situations (puncture/dilation
tracheostomy), 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 (REF
35500) can be used for temporarily securing the air supply.
The cuff must be emptied before removing the tracheostomy tube. The head should
be tilted back slightly for removal of the tube.
CAUTION!
Never use a cuff pressure gauge to empty the low-pressure cuff. Always use a
syringe for this.
Before the air is removed from the balloon by means of a syringe and the tracheostomy
tube is withdrawn, the region of the trachea above the balloon must first be cleaned by
suctioning off secretions and mucus. If the patient is responsive and reflexes are intact,
it is recommended that the patient be suctioned while at the same time unblocking the
tracheostomy tube. Suctioning is performed by inserting a suction catheter through the
cannula tube into the trachea. In this way, suctioning can be performed without any problems
and gently for the patient and cough stimulus and the risk of aspiration are minimised.
Next, deflate the low pressure cuff while suctioning off at same time.
If secretions are present, these are now taken up by the suction tube and can no
longer be aspirated. Please note that the tracheostomy tube must in every case be
cleaned, if necessary disinfected, and lubricated with stoma oil as specified below
prior to reinsertion.
Proceed very carefully to avoid injury to the mucus membranes.
The tube must always be cleaned and, if necessary, disinfected as follows before re-
inserting according to the instructions provided below.
Step-by-step instructions to remove the Fahl
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 7).
Carefully remove the tracheostomy tubes.
The outer cannula (if an inflated low-pressure cuff is present) remains in the tracheostoma.
When removing the inner cannula, the following must be observed: The connection between
inner and outer cannula must first be released by slight counterclockwise rotation (in
inserted condition from the patient's point of view).
Reinsertion of the inner cannula is performed in reverse sequence as described above.
IX. CLEANING AND DISINFECTION
CAUTION!
For reasons of hygiene and to avoid the risk of infection, you should thoroughly
clean the Fahl
secretion production.
CAUTION!
For reasons of hygiene and to avoid the risk of infection, you should thoroughly
clean the Fahl
secretion production.
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.
tracheostomy tube at least twice a day, more often during heavier
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tracheostomy tube at least twice a day, more often during heavier
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tracheostomy tube.
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tracheostomy tubes:
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