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Suction

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Suction is the flow of a fluid into a partial vacuum, or region of low pressure. The pressure gradient between this
region and the ambient pressure will propel matter toward the low pressure area. Suction is popularly thought of as
an attractive effect, which is incorrect since vacuums do not innately attract matter. Dust being "sucked" into a
vacuum cleaner is actually being pushed in by the higher pressure air on the outside of the cleaner. The higher
pressure of the surrounding fluid can push matter into a vacuum but a vacuum cannot attract matter.
umans can create a sucking effect with the use of the lips, as in the case of drinking through a straw.
Pumps[edit]
!ain article" #ump
See also" Suction pump
#umps typically have an inlet where the fluid enters the pump and an outlet where the fluid comes out. The inlet
location is said to be at the suction side of the pump. The outlet location is said to be at the discharge side of the
pump. $peration of the pump creates suction %a lower pressure& at the suction side so that fluid can enter the pump
through the inlet. #ump operation also causes higher pressure at the discharge side by forcing the fluid out at the
outlet. There may be pressure sensing devices at the pump's suction and(or discharge sides which control the
operation of the pump. For e)ample, if the suction pressure of a centrifugal pump is too low, a device may trigger
the pump to shut off to keep it from running dry* i. e. with no fluid entering.
+nder normal conditions of atmospheric pressure suction can draw pure water up to a ma)imum height of
appro)imately ,-.. m %.../ feet&.
0,1
This is the same as the ma)imum height of a siphon, which operates by the
same principle.
021
3n medicine, suction devices are used to clear airways of materials that would impede breathing or cause infections,
to aid in surgery, and for other purposes.
See also[edit]
4ook up suction in Wiktionary, the free dictionary.
3mplosion
sucks 5 a %sometimes vulgar& term of disparagement
Suction cup
Suction cupping
6acuum
6acuum cleaner
References[edit]
,. Jump up ^ %7alvert 2---, "!a)imum height to which water can be raised by a suction pump"&
2. Jump up ^ %7alvert 2---, "The siphon"&
7alvert, 8ames 9. %,, !ay 2---&, Hydrostatics
Suction Curettage or Vacuum Aspiration Abortion:
Abortion Methods
Suction Aspiration
The mouth %cervi)& of the womb is stretched open. : suction curette %hollow tube with a knife;like top& is inserted
into the womb. : strong suction %<- times that of a vacuum cleaner& tears the body into pieces, drawing it into a
container. This is the most common method of abortion. =reat care must be used to prevent the womb from being
damaged. 7ommon concerns are" failing to remove the entire body of the child thus causing ma>or infection,
accidentally puncturing another organ such as the liver, kidney?s or bowels. :nd last but not least leaving scar
tissue on the inside of the womb which can cause difficulty in conceiving a child at a later date and sometimes even
cause infertility.
Dilation and urettage !D"#
This is similar to the suction method,
e)cept for the use of sharp loop;shaped knife
%curette&. The knife cuts the baby apart.
The pieces are then removed through the cervi).
Dilation and $vacuation
The cervi) is stretched open. The opening must
be larger than for a suction aspiration. Specially
designed tools are used to dismember the body
of the baby and to crush the baby?s skull. @o fetal
anesthetic is used. :ll of the dissected and crushed
parts of the baby?s body are removed using ring
forceps. This method is used up to,A weeks gestation.
Saline %n&ection
Though outlawed in some countries because of it?s risk to the mother, this procedure is used in 7anada after the
forth month of pregnancy. : concentrated salt solution is in>ected into the sac surrounding the baby. The baby
inhales and swallows the solution, has convulsions, and dies one to two hours later from salt poisoning dehydration
and hemorrhages of internal organs. The mother goes into labour. : dead or dying baby is delivered within <A
hours.
Prostaglandin Abortion
#rostaglandin?s are hormones that induce labour. They are in>ected into the sac surrounding the baby or given in a
shot or vaginal suppository form. The mother then goes into labour, giving birth to a child either dead or too young
to survive. Sometimes poisonous salts are in>ected with the prostaglandin?s to kill the baby.
'ysterectomy Abortion
4ike a caesarean section, the abdomen and the womb are opened surgically. 3n the hysterectomy, however, the baby
who is lifted out is usually too young to survive without immediate medical treatment. The baby is simply put aside
to die.
Partial (irth Abortion
This procedure involves birthing an almost full;term baby feet first, in the breech position. When only the baby?s
head is left in the birth canal, the body is turned so that the head is face down. Surgical scissors are inserted into the
back of the scull, and a suction aparatus is passed through the hole. The baby?s brains are suctioned out of its head,
collapsing the scull. Then the dead baby is fully removed from its mothers body. To learn more about
the controversy surrounding this procedure clic) here.
For more information and to see the references and sources, please visit Abortion%nanada.ca
For testimony from three abortionists regarding the most commonly;used method of abortion, visit the #riests For
4ife website page" http*++,,,.priestsforlife.org+resources+medical+suctione-planation.htm
For information on abortion methods from a source outside the pro;life community, as confirmation of the facts on
our website, visit the Pregnancy enters ,ebsite.
Photographs and videos
!any people who have seen pictures showing the truth of abortion is, and how it destroys babies, change their
minds from being pro;choice and become pro;life. !any pregnant women who were considering abortion changed
their minds once they saw the photographic evidence. That has been the e)perience of Father Frank #avone of
#riests For 4ife, who has received hundreds of emails testifying to the effect of the photographs. ere are links for
the photographs on the #riests For 4ife website. :lso here are links of videos of abortions being performed. These
images are disturbing, but they show the ugly truth.
Pictures*
http"((www.abortioninstruments.com
http*++,,,.priestsforlife.org+images+inde-.asp-.galleries
/ideos*
http"((www.abortioninstruments.com
http*++en.gloria.tv+0media12234
http*++,,,.catholic.org+video+0v156
Suctioning a Tracheostomy
The upper airway warms, cleans and moistens the air we breath. The trach tube bypasses these
mechanisms, so that the air via the tube is cooler, dryer and not as clean. 3n response to these
changes, the body produces more mucus. The trach tube is suctioned to remove mucus from the
tube and trachea to allow for easier breathing. =enerally, the child should be suctioned every <
to B hours and as needed. There may be large amounts of mucus with a new tracheostomy. This
is a normal reaction to an irritant %the tube& in the airway. The heavy secretions should decrease
in a few weeks. While a child is in the hospital, suctioning is done using sterile techniCue,
however a clean techniCue is usually sufficient for most children at home. 3f your child has
freCuent respiratory infections, trach care and suctioning techniCues may need to be addressed.
FreCuency of suctioning will vary from child to child and will increase with respiratory tract
infections. Try to avoid suctioning too freCuently. The more you suction, the more secretions
can be produced.
are Techni7ues
Sterile Technique: sterile catheters and sterile gloves
Modified Sterile Technique: sterile catheters and clean gloves
Clean Technique: clean catheter and clean hands
The siDe of the suction catheter depends on the siDe of the tracheostomy tube. SiDe B, A or ,-
French are typical siDes for neonatal and pediatric trach tubes. The larger the number, the larger
the diameter of the suction catheter. +se a catheter with an outer diameter that is about half the
inner diameter of the artificial airway this will allow air to enter around it during suctioning.
Eou can also compute the catheter siDe with this formula" !ultiply the artificial airways
diameter in millimeters by two. For e)ample, A mm F 2 G ,B, so a ,B French catheter. :lso see
Tracheostomy SiDing 7hart for recommended catheter siDes for specific 9ivona and Shiley
pediatric tracheostomy tubes.
$lder children may be taught to suction themselves.
Suction Depths
Shallow Suctioning: Suction secretions at the opening of the trach tube that the child has
coughed up.
Pre-measured Suctioning: Suction the length of the trach tube. Suction depth varies
depending on the siDe of the trach tube. The obturator can be used as a measuring guide.
Deep Suctioning: 3nsert the catheter until resistance is felt. %Deep suctioning is usually
not necessary. 9e careful to avoid vigorous suctioning, as this may in>ure the lining of
the airway&.
Signs That a hild 8eeds Suctioning
Hattling mucus sounds from the trach
Fast breathing
9ubbles of mucus in trach opening
Dry raspy breathing or a whistling noise from trach
$lder children may vocaliDe or signal a need to be suctioned.
Signs of respiratory distress under Tracheostomy 7omplications
$7uipment
Suction machine
Suction connecting tubing
Suction catheters
@ormal saline
Sterile or clean cup
.cc saline ampules %IbulletsJ&
:mbu bag
Tissues
=loves %optional for home care, use powder;free gloves&
=ambar
3llustration courtesy of the Department of $tolaryngology, 7incinnati 7hildren's
ospital !edical 7enter, 7incinnati, $hio
Suctioning a Tracheostomy
Procedure
K)plain procedure in a way appropriate for child's age and understanding.
Wash hands.
Set up eCuipment and connect suction catheter to machine tubing.
#our normal saline into cup.
#ut on gloves %optional&.
Turn on suction machine %suction machine pressure for small children L-;,--mm g, for
older children(adults ,--;,2-mm g&
#lace tip of catheter into saline cup to moisten and test to see that suction is working.
3nstill sterile normal saline with plastic sCueeDe ampule into the trach tube if needed for
thick or dry secretions. K)cessive use of saline is not recommended. +se saline only if
the mucus is very thick, hard to cough up or difficult to suction. Saline may also be
instilled via a syringe or eye dropper, which is less e)pensive than single dose units.
Hecommended amount per instillation is appro)imately ,cc.
=ently insert catheter into the trach tube without applying suction. %Suction only length
of trach tube ; premeasured suctioning. Deeper insertion may be needed if the child has
an ineffective cough.&
#ut thumb over opening in catheter to create suction and use a circular motion %twirl
catheter between thumb and inde) finger& while withdrawing the catheter so that the
mucus is removed well from all areas. :void suctioning longer than ,- seconds because
of o)ygen loss. @ote" Some research has shown that by applying suction both going in
and then out of the tube takes less time and therefore results there is less hypo)ia. :lso,
there are now holes on all sides of the suction catheters, so twirling is not necessary.
Draw saline from cup through catheter to clear catheter.
For trach tubes with cuffs, it may be necessary to deflate the cuff periodically for
suctioning to prevent pooling of secretions above trach cuff.
4et child rest and breathe, then repeat suction if needed until clear %allow at least .-
seconds between suctioning&.
$)ygenate as ordered %e)tra o)ygen may be given before and after suction to prevent
hypo)ia&.
Some children need e)tra breaths with an :mbu bag %appro)imately . ; L breaths&.
#urposes of bagging" hypero)ygenation, hyperinflation, and hyperventilation of the
lungs. owever, this is usually not needed for stable children with no additional
respiratory problems.
=br
3llustration Source"
The 7enter for #ediatric Kmergency !edicine %7#K!&, Teaching Hesource for 3nstructors in #rehospital
#ediatrics. 3llustrations by Susan =ilbert. http"((www.cpem.org(html(giflist.html
The child's mouth or nose may also be suctioned, if needed after suctioning the trach,
then dispose of that catheter %do not put same catheter back into trach&.
Turn off the machine, dispose of the suction catheter, saline and gloves. 3n home care,
catheters may sometimes be used more than once before disposal or cleaning if the child
needs freCuent suctioning. Meep the tip of the catheter clean, and store it in the original
package. Some catheters have a protective sleeve to help keep it clean.
=br
9ard !edical Division Tracheal Suction 7atheter
: bulb syringe may be used between suctioning if the child is able to cough up some
secretions on his(her own.
9e aware of color, odor, amount and consistency of the secretions and notify doctor of
changes in secretions.
=br
3llustration Source"
The 7enter for #ediatric Kmergency !edicine %7#K!&, Teaching Hesource for 3nstructors in #rehospital
#ediatrics. 3llustrations by Susan =ilbert. http"((www.cpem.org(html(giflist.html
9ther Suctioning Devices
: newer suction techniCue, which is used most often in hospitals for children on
ventilator support is a closed multiuse catheter system, also called an "in;line" catheter.
This closed system allows suctioning without disconnecting the ventilator. The catheter
is protected inside a sleeve and is usually changed only once a day.