Cleaning And Disinfection - Fahl SILVERVENT Mode D'emploi

Pull the tracheostoma slightly apart with your free hand to allow the tip of the tube to fit into
the tracheostoma more easily.
Special aids for dilating the tracheostoma are also available (tracheal dilator). These allow
the tracheostoma to be dilated gently and evenly, for instance also in emergency situations
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with collapsing tracheostoma (see picture 6).
Make sure that the tube is not damaged by friction when using an instrument for assistance.
Now carefully insert the tube into the tracheostoma during the inspiration phase (while bre-
athing in) and tilt your head slightly back while doing this (see picture 7).
Advance the tube into the trachea.
Straighten your head once the tube has been inserted further into the trachea.
The tracheostomy tubes should always be attached with a special tube holder. This stabili-
ses the tube and thus ensures that the tracheostomy tube is securely seated in the tracheo-
stoma (see picture 1).
2. Removing the tube
CAUTION!
Accessories such as a tracheostoma valve or HMe (Heat Moisture exchanger) must
be removed first before proceeding to remove the Fahl tracheostomy tube.
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CAUTION!
If the tracheostoma is unstable, or in emergency situations (puncture/dilation tra-
cheostomy), the tracheostoma can collapse after with-drawal 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.
Proceed very carefully to avoid injury to the mucus membranes.
The tube must always be cleaned and, if necessary, disinfected as follows before re-inser-
ting according to the instructions provided below.
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. to remove the
tube, grip the tube at the side by the neck flange / the housing (see picture 7).
Carefully remove the tracheostomy tubes.
In the case of the silver tracheostomy tubes, the inner cannulas are held in place in the
outer cannula by means of a lever. to remove the inner cannula, this lever must be turned
sideways.
The inner cannula can now be removed from the outer cannula by pulling it gently.
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 tracheostomy tube at least twice a day, more often during heavier
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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 in-
sertion. 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 re-
quired, 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.
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