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Airway Suctioning

Suctioning Purpose Patent Airway, Specimen Collection, Stimulate Cough
Suctioning Indications Accumulated Secretions, Obstructed Airway, Depressed Cough, Inability to swallow
Suctioning Hazards of Suctioning Trauma to Mucosa (most common) lubricate catheter( nasal- tracheal-suctioning) use gentle technique
Suctioning Hazards of Suctioning Contamination use aseptic technique
Suctioning Hazards of Suctioning Hypoxemia-leading to tachycardia, arrhythmia (most severe)
Suctioning Hazards of Suctioning Bradycardia from vagus nerve stimulation
Suctioning Hazards of Suctioning suctioning to vigorous may cause bleeding
Suctioning Procedure 100% O2pre and post suction. oxygenate for 1-2 minutes Close cardiac monitoring to detect iatrogenic hypoxemia. Sterile catheter, solutions and gloves each time. Suction ET tube then mouth, change after suction mouth then ET tube
Suctioning Equipment: Vacuum regulators Used to adjust vacuum pressure
Suctioning Equipment: Vacuum regulators Adults 100-120mmHg
Suctioning Equipment: Vacuum regulators Child 80-100mmHg
Suctioning Equipment: Vacuum regulators Infants 60-80mmHg
Suctioning Equipment: Vacuum regulators Adjust with tubing occluded A built in shut off device in the collection bottle prevents aspirated secretions from entering the regulator and vacuum system when the bottle is full
Suctioning Equipment: Suction Catheter Specimen Collection Each designed to reduce trauma to mucosa must have a bevel tip with 2 opening to decrease tracheal damage and a thumb port
Suctioning Equipment: Suction Catheter Coude Tip Suction LEFT mainstem
Suctioning Equipment: Suction Catheter Ballard allow the patient to receive ventilation and oxygenation during suctioning.
Suctioning Equipment: Suction Catheter Ballard indicated for patients with high PEEP and oxygen requirements, pulmonary infection, frequent suctioning, hemodynamic instability. Plastic sleeve to prevent contamination
Suctioning Equipment: Sizes ideal catheter length 20-22 in French Units(Circumference) External no greater than ET tube internal diameter
Suctioning Equipment: Suction Catheter size Formula ID SIZE/2 x 3
Suctioning Equipment: Suction Catheter Yankauer/Tonsil used to suction mouth nose, throat aseptic technique
Suctioning Equipment: Lukens Trap Sterile Suction Trap used to collect sputum specimen placed in an upright position between suction catheter and suction tube. flush catheter with sterile water or isotonic saline
Modify Suction Difficultly Remove Secretions having difficult removing secretions verify appropriate cath size for patient ET Tube
Modify Suction Left Mainstem Bronchus Change To Coude Tip
Modify Suction Pt. Special Needs to Closed system Pt. has an infection, High PEEP levels, or desaturation during suctioning.
Modify Suction Alter Negative Pressure INCREASE: To remove Thick Tenacious Secretions DO NOT EXCEED recommended vacuum pressure
Modify Suction Instill irrigating solutions: Normal Saline 5-10mL Normal Saline- to dilute secretions too thick to aspirate through suction catheter
Modify Suction Instill irrigating solutions: Acetylcsteine 5-10mL of 10% Solution of Acetylcsteine (Mucomyst) can be used for thick secretions
Modify Suction Alter Frequency Suctioning is Hazardous and should be done (PRN)ONLY
Modify Suction Duration/Cardiac Arrhythmias Catheter should be in the airway no longer than 15secs If cardiac arrhythmias occur: STOP suction and decrease the amount of time in the airway
Modify Suction Adverse Reactions Suctioning should be STOPPED if hazards occur. The level of vacuum should be reduced and further suctioning should be gone gently and in less time.
Modify Suction Troubleshooting check catheter for patency, assure vacuum system working properly, change or empty a full collection bottle, check all connections
Created by: sukarieh