NASOPHRAYNGEAL AND OROPHARYNGEAL SUCTIONING

MODULE/LESSON TITLE

[School, program, section, Batch 20--] | [PROFESSOR NAME MODULE #

● Hyperoxygenation and hyperventilation should

be performed prior to the procedure to avoid the
TOPIC OUTLINE
most common hazards of suctioning
(hypoxemia, arryhtmias, and atelectasis)
● For nasal suctioning, increase the amount of O2
the patient is receiveing for a few minutes prior
SUCTIONING to the procedure and instruct the patient to take
➢ Indicated to client that is unable to clear several deep breaths
secretions or when audible or visible ● For tracheal suctioning, do the same. I If is on
➢ Suspected aspiration a ventilator, you can either hyperoxygenate and
➢ Clinically apparent increased work of breathing ventilate with the AMbubag orprovide a few
restlessness extra machine assisted breaths prior to the
➢ Unrelieved coughing procedure
➢ Emergency situations: a provider order is not
necessary for suctioning to maintain a
patient’s airway. However, routine suctioning COMMON COMPLICATIONS
does require a provider order
● Hypoxia
➢
○ MOST GUIDELINES RECOMMEND
LESS THAN 15 SECONDS
● In some clients, suctioning may stimulate the
NASOPHAYNGEAL & OROPHARYNGEAL vagus nerve, triggering
SUCTIONING ROUTES ● Airway trauma
● To remove accumulated saliva, pulmonary ○ Suctioning injury;
secretions, blood, vomitus, and other foreign ● Weaker muscles
materials that cannoyt be remove by ● To reduce the risk of airway trauma, use a
spontaneoous cough thin
○ details ● Bradycardia suctioning
○ Stimulates the bagus nerve, this
Assessment
ytiggers episodes of bradycardia
● Assess your facility’s policy to determine wheher ● Infection
a physician’s order is required ○ Suctioning can introduce microbes into
● Assess blood gas or oxygen saturation values the airway
and check VS ○ When reusing equipment, do not
● Assess ability to cough and deep breathr to properly sterilize reusable equipment, or
determine the ability to move secretions up do noyt wear protective gear
the tracheobronchial tree ○ When suctioning injures airway, the risk
● Assess the history for deviated septum, nasal for infection increases. Wounds in the
polyps, nasal obstruction, traumatic injury airway open the body to dangerous
microbes, especially when a client
○ already has an infection or has
SPECIAL CONSIDERATIONS! aspirated
○ Aspiration is also a risk for infection
● Suction only when clinically indicated and for ○ Ineffective suctioning
only up to 15 seconds at a atime to decrease the ■ Stressful and painful for clients
risk of respiratory complications

COURSE [SECTION] | [NAME OF CONTRIBUTOR] / [SUBJECT] | [TOPIC]

 ○ Ensure suctioning technique is sound
STUFF TO KNOW!
and right equipment is used ● Always check suctions when doing rounds
● 30 - 60 seconds rest bago isuction uli
● At least 3 times pwede magsuction
● Naso: 5- 6 inches to reach pharynx
STEPS ● Oro:3-4 inches to reach pharynx
● ALWAYS REVIEW AND FOLLOW AGENCY ●
POLICY REGARDING THIS SPECIFIC SKILL

○
TERMS:
1. Gather supplies:
➢ Right: Right
● Yankauer or suction catheter or sterile suction kit ➢
● Suction machine or wall suction device
● Suction canister
● Connecting tubing REFERENCES
● Pulse oximeters ● Link
● Stethoscope ● Powerpoint lecture
● Pen light
● PPE
● Sterile gloves for suctioning
● Towel
● Sterile basin
● Normal saline

OPEN OR CLOSE SUCTIONS SYTEM (ET)

➢ Open endotracheal Suctioning (OES)
○ Patien
➢ Closed System Suctioning (CSS)
○ Client remains attached to the ventilator,
or their supplemental breathing device.
A reusable inline (enclosed)

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COURSE [SECTION] | [NAME OF CONTRIBUTOR] / [SUBJECT] | [TOPIC]
COURSE [SECTION] | [NAME OF CONTRIBUTOR] / [SUBJECT] | [TOPIC]