Frequently Asked Questions

We have collected the frequently asked questions from the medical and critical care field on this page. In case you have questions which is not listed here, do not hesitate to contact us here

Patient setup and connectivity

Can I use TrachFlush with all Endotracheal Tube’s (ETT) and Tracheal Tube’s (TT) and cuff’s?


Yes, but only on cuffs filled with air.




Can I use TrachFlush with all ICU ventilators?


Yes




Can I use TrachFlush on all patients?


TrachFlush can be used on adult invasive mechanically ventilated patients.





TrachFlush as Cuff Controller

Can TrachFlush prevent subglottic aspirations?


Yes.

By using TrachFlush Cuff Controller the cuff pressure is constantly maintained, which blocks subglottic secretion aspirations. See relevant clinical articles here




Can TrachFlush reduce Ventilator Associated Pneumonia (VAP)?


Yes.

A cuff controller can reduce VAP by 50%.

See relevant clinical articles here




Why is TrachFlush better than other cuff controllers


TrachFlush is fast in regulation and thereby prevent subglottic aspiration more efficiently compared to other cuff controllers.

TrachFlush measures both the cuff pressure and the patient’s breathing pattern.

TrachFlush regulate the cuff pressure during every expiration cycle, meaning that regulation is performed breath by breath and instantly.

Other cuff controllers regulate over time (typically over 5-10 minutes and not breath by breath) since they are not measuring the patient’s breathing pattern.

It means that TrachFlush is fast in regulation and thereby prevent subglottic aspiration potentially more efficiently compared to other cuff controllers




We manually measure and control the cuff pressure today. What are the benefits of implementing TrachFlush?


You can skip the manual procedure of mainting Cuff pressure and save workload

It is also more safe to implement TrachFlush and use it to maintain Cuff Pressure

See relevant clinical articles here




How does TrachFlush monitor, maintain and adjust the cuff pressure?


TrachFlush continuously measures and maintains the actual cuff pressure during the patient’s expiration cycle.

If the set cuff pressure needs adjustment, the cuff pressure can be adjusted op and down by the user, by pressing arrow up and arrow down on the TrachFlush display to increase or decrease the cuff pressure.




Do I need to disconnect TrachFlush if I want to adjust the cuff pressure?


No.

You can use TrachFlush to increase or decrease the set cuff pressure during ventilation




Can I use TrachFlush with all Endotracheal Tube’s (ETT) and Tracheal Tube’s (TT) and cuff’s?


Yes, but only on cuffs filled with air




Can I use TrachFlush with all ICU ventilators?


Yes




Can I use TrachFlush on all patients?


TrachFlush can be used on adult invasive mechanically ventilated patients.





TrachFlush as Flush Controller (Secretion removal)

Why is TrachFlush better than manual secretion removal (tracheal suctioning)?


You save time:

Secretion removal with TrachFlush happens by the push of a button and a 30 seconds procedure

Secretion removal with tracheal suctioning is a +3 minutes procedure

Its more comfortable for the patient:

Secretion removal with TrachFlush is mimicking a normal cough

Secretion removal with tracheal suctioning is getting a vacuum cleaner in the airways

It’s safer for the patient:

Secretion removal with TrachFlush is done without interrupting the patient circuit, patient breathing and without loss of PEEP

Secretion removal with tracheal suctioning interrupts the patient circuit (open suctioning), interrupt the patient breathing and PEEP is lost

Its more efficient:

Secretion removal with TrachFlush removes secretion below and around the ETT/TT tip and below/around/above the cuff, since all secretion is pushed up

Secretion removal with tracheal suctioning removes secretion below the ETT/TT tip only.




How does TrachFlush remove secretions?


TrachFlush deflates the cuff during the inspiration cycle allowing the build-up high peak pressure in the lungs to push secretions from below the cuff to above the cuff.




Can TrachFlush remove secretions efficiently?


Yes.

The deflation of the cuff in alignment with the inspiration cycle and build-up high peak pressure in the lungs has proven to push secretion from below the cuff all the way up into the mouth.

See relevant clinical articles here




Will de-recruitment of patients with high PEEP happen during the Flush?


No.

TrachFlush deflates the cuff during inspiration maintaining PEEP.

See relevant clinical articles here




Can I use TrachFlush with all Endotracheal Tube’s (ETT) and Tracheal Tube’s (TT) and cuff’s?


Yes, but only on cuffs filled with air




Can I use TrachFlush with all ICU ventilators?


Yes




Can I use TrachFlush on Non-Invasive Ventilated (NIV) patients?


No




Can I use TrachFluhs on all Invasive Ventilated patients?


Yes, adults only




Do I need to perform subglottic suctioning prior to the TrachFlush Flush maneuver?


No.

The deflation of the cuff in alignment with the inspiration cycle and build-up high peak pressure in the lungs has proven to push secretion from below and above the cuff all the way up into the mouth.




Will the ETT or TT cuff be damaged by the rapid deflation and inflation of TrachFlush


No.

In an internal accelerated lifetime test of 180 Flush maneuvers (secretion removal 6 times per day in 30 days using the same ETT/TT), performed on 9 different/types of high-volume low-pressure (HVLP) cuffed endotracheal tubes (ETTs) and tracheostomy tubes (TTs) with different combinations of inner diameters to represent the size range, cuff shapes, and types of material used in most invasive ventilated patients, it was validated that TrachFlush did not show any signs of damage, wear or leakage.




Can the trachea be damaged by the rapid deflation and inflation of TrachFlush


No

It was shown in a study (see here) where they over-inflated the endotracheal tube cuff with 50 ml (approx.. 100cmH2O) air for 30 minutes, 8 times a day (above normal cuff pressure settings) = 480minutes of total over-inflation time, that no significant damage was found to the trachea

Since TrachFlush overinflate (above normal cuff pressure settings) the cuff at maximum 10cmH2O during inflation in the flush process for max 300mSec, TrachFlush will not introduce damage to the trachea either.