B & D Electromedical NIPPY Clearway, Instructions For Use Manual

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Intended Use
This device is intended to assist with cough and/or clear secretions in patients
whose expiratory flow during cough is severely reduced due to;-
fatigue associated with intrinsic lung disease, spinal cord injury, neuro-muscular
weakness.
Secretions will usually be cleared to the mouth so yankauer suction may be required
to clear from the mouth. Very young or weak individuals may still need to use naso
pharengeal suction.
Nippy Clearway must be prescribed by, and used only under the supervision
of a qualified physician.
Contraindications
Pneumothorax or pneumo-mediasinum
Facial trauma – interface should be considered
Tracheoesophageal fistula,
Recent or existing barotrauma,
Bullous emphysema
Spinal Instability
High/low blood pressure – monitor
Acute pulmonary oedema
Acute lung injury