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ª 

Airway suctioning removes excess


secretions from the respiratory tract
by insertion of a
catheter and the application of a
negative Pressure
it can be oral, nasal & tracheal root..
m m
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˜hy we want to remove
secretion??
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jlosed suctioning techniques
((inline))
ôA closed system
multiuse suction catheter
can be used for a pt
receiving ventilatory
suppport .
ô hese systems are
incorporated directly into
the ventilator circuit and
used repeatedly.
 
ôAll catheters should be used as instructed by the
manufacturer,All catheters should be checked
for their FG size and the expiry date.
ô he frequency of suctioning is dependent on
the patient¶s individual need. It is
advisable that the suction catheter is no more
than half the diameter of the
tracheostomy tube to minimise a fall in the
arterial oxygen . o calculate
this simply multiply the tracheostomy tube size
by three and then divide by two
         
   
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for infant 60-80


children 80-100
adult 100-120
À #)  
racheal trauma can be reduced by ensuring:
suction pressure is not above 100
suction is only applied on withdrawal of catheter
multi-eyed catheters are used.
Hypoxia can occur during tracheal suctioning because oxygen
as well as secretions are removed.
Limiting the time of suctioning to a maximum of 10-15
seconds can relieve this .
Infection can occur during suctioning technique. An aseptic
technique reduces this risk.
" "" "

Portable or mains suction machine


jonnection tubing from the unit to
the suction catheter
An appropriate suction catheter if
performing tracheal suctioning
Yankeur suction tube if
performing oral suctioning
Bottle of tap water
Disposable sterile gloves
Disposable plastic apron
Antibacterial hand rub
Ambo bagging to hyperventilate
suctioned pt..
„   * +

1. he procedure should be
fully explained to the
patient and Reassuranc
given throughout.
2. Obtain informed consent.
3. ˜ash hands and dry thoroughly
and put on the disposable apron
and steril gloves
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kuctioning through tracheotomy
km m   

1. Assess the need for suctioning
2. he procedure should be fully explained to the
patient and reassurance
given throughout.
3. Obtain informed consent
4. ˜ash hands and dry thoroughly.
5. Attach appropriate suction
catheter to suction tubing via
thumb control valve.
6. Put on disposable gloves
and slide catheter from sleeve,
avoiding contact with anything
other than the gloved hand.
6. Gently insert the catheter into the E tube .
without applying suction until
resistance is met, then withdraw 1-3
centimetres before application of
suction .
8. Apply suction whilst withdrawing the
catheter, interrupting the vacuum
briefly every 1-2 seconds. Do not rotate the
catheter or use a stirring
action.
M. Limit the duration of the suctioning to 10
seconds.
10.Monitor
10 .Monitor the patient¶s response to the procedure
and discontinue if the
patient displays any sign of trauma or breathing
difficulties and respond
appropriately to this situation.
11.Gather
11 .Gather catheter into gloved hand and remove
glove enclosing catheter.
Dispose in a clinical waste bag.
12.Repeat
12 .Repeat procedure until secretions are cleared
allowing a minimum of 30
seconds between suction attempts.
13.˜ash
13 .˜ash and dry hands thoroughly
xasotracheal suctioning
jontraindication

Absolute Relative

xasal
epiglottitis croup
bleeding
Other relative
contraindications
ôAcute head injury , facial , or neck injury .
ôLaryngospasm.
ôIrritable airway.
ôBronchospasm.

x 
jonsider using a nasopharyngeal airway to help
reduce mucosal trauma in the nose of pt who require
long term nasotracheal suctioning. Do not forget to
lubricate ur catheter before going through the nasal
root
Hazard
Hypoxia / hypoxemia .
xasal , pharyngeal , tracheal
trauma / pain.
jardiac or resp. arrest .
Atelectasis.
Bronchospasm.
Mucosal hemorrhage.
Elevated intracranial pressure .
Gagging / vomiting .