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NOTE: The assembly should be directed perpendicular to the axis of the
trachea during insertion for uniform dilation between tracheal cartilages.
Once the tracheostomy tube is within the tracheal lumen, the assembly
may be directed caudad. NOTE: proper positioning and alignment may
help minimize complications (e.g., stenosis).
19. Advance the tracheostomy tube to its flange. Remove the dilator,
guiding catheter and wire guide, leaving the tracheostomy tube in place.
(Fig. 13) NOTE: At this point, the bronchoscope may be inserted into the
tracheostomy tube to confirm correct placement. NOTE: If using a dual
cannula tracheostomy tube, insert the inner cannula at this point.
20. Connect the tracheostomy tube to the ventilator, inflate the balloon
cuff, and remove the endotracheal tube. NOTE: Prior to complete
removal of the endotracheal tube, test for adequate ventilation through
tracheostomy tube.
21. Perform suction to determine if any significant bleeding or possible
obstruction exists that has not been noted to this point.
22. If necessary, one suture may be taken at the bottom of the initial incision.
Post-Placement
Follow hospital protocol for post-tracheostomy care and maintenance.
HOW SUPPLIED
Supplied sterilized by ethylene oxide gas in peel-open packages. Intended
for one-time use. Sterile if package is unopened or undamaged. Do not use
the product if there is doubt as to whether the product is sterile. Store in a
dark, dry, cool place. Avoid extended exposure to light. Upon removal from
package, inspect the product to ensure no damage has occurred.
REFERENCES
These instructions for use are based on experience from physicians and (or)
their published literature. Refer to your local Cook sales representative for
information on available literature.
ČESKY
PERKUTÁNNÍ TRACHEOSTOMICKÝ ZAVADĚČ
CIAGLIA BLUE RHINO® G2 ADVANCED
POZOR: Podle federálních zákonů USA smí tento prostředek být prodáván
pouze lékařem nebo na předpis lékaře (nebo kvalifikovaného zdravotníka
s licencí).
POPIS PROSTŘEDKU
Souprava/tácek perkutánního tracheostomického zavaděče Ciaglia Blue
Rhino G2 Advanced obsahuje tyto hlavní komponenty: zaváděcí jehlu, vodicí
drát s hrotem J, zaváděcí dilatátor, vodicí katetr, nasazovací dilatátory a
jednofázový dilatátor Ciaglia Blue Rhino G2 Advanced. Dilatace se provádí
v jednom kroku dilatátorem Blue Rhino G2 Advanced pomocí Seldingerovy
techniky. Správné zarovnání komponent je vyobrazeno na obr. 1.
Содержание Ciaglia Blue Rhino G2
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