6
with a cuff pressure measuring device. The pilot balloon is only
intended to indicate the presence or absence of volume of pressure
or vacuum in the cuff and is not intended to provide an indication of
intracuff pressure level.
• Use only with equipment having standard 15mm connectors.
• If lubrication is used on the device prior to insertion, follow the
manufacturer’s application instructions.
• Prior to use, check that the obturator can be inserted or removed
without difficulty.
• During an MRI scan the pilot balloon should be secured near the
Y connector of the ventilator circuit at least 3 cm from the area of
interest to prevent movement and image distortion.
Instructions
1. The physician should determine whether a Shiley Neonatal or
Pediatric tube should be used.
NOTE: A Neonatal tube has the same inner and outer diameter as
the Pediatric tube of the same size but has a shorter cannula. A long
Pediatric tube has the same inner and outer diameter as a standard
Pediatric tube of the same size, but has a longer cannula.
2. Test the cuff, pilot balloon and valve for integrity by inflation
prior to use. This test can be performed as follows: Inflate the cuff
with the volume of air indicated in Table 1. Then either observe
for deflation over several minutes or immerse the tube in sterile
saline and observe for air leakage. After test inflation, completely
evacuate the air.
NOTE: Inflation volumes are for test purposes only. Consult the
physician or home care provider for the appropriate inflation volume
when the tube is positioned within the trachea.
3. A thin film of water soluble lubricant should be applied to the
tube and protruding portion of the obturator to facilitate ease
of inserting the tube. When using a water soluble lubricant, verify
that the lubricant does not enter and occlude the tube lumen which
may restrict ventilation.
4. Insert the obturator into the proximal end of the tracheostomy
tube. The obturator, when completely seated in the tracheostomy
tube will protrude slightly from the distal tip.
5. After the tube is properly in place, immediately remove the
obturator. The obturator should be cleaned* and then stored in
an accessible location near the patient should it be needed for
reintubation.
Содержание Shiley NCF
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