Suctioning

Definition

Aspirating secretion through a catheter

connected to a suction machine or wall
suction outlet.
Nasopharyngeal Oropharyngeal

Sites for Suctioning

.Endotracheal
Tracheostomy
 Oropharyngeal Endotracheal/Tracheostomy
/Nasopharyngeal suctioning
suctioning

Remove secretion from Remove secretion from the trachea

the upper respiratory and bronchi or the lower respiratory
tract . tract .
 P
U Tracheal/
Oral / Nasal R Endotracheal
suction P
O suction
1- maintain S
E Remove
oral/ nasal
S pulmonary
hygiene. of
secretions in
2- comfort for S
u patients who
the patient.
C are unable to
3- remove T
cough and clear
blood and I
O their own
vomit in an
N secretions
emergency I
effectively.
situation. N
G
 Indications
Oropharyngeal and
Nasopharyngeal suctioning
required for:
1- Patient who has undergone head and
neck surgery.
2- Signs of respiratory distress .
3- Evidence of unable to cough up and
expectorate secreations .
5- Obtain sample of secretion for diagnostic
purposes
6- Prevent infection.
Tracheal suctioning required for :
1- Patients unable to clear their secretions
themselves.
2- patients with mechanical ventilation.
 Choosing the Right Size
Catheter

Size
Adult to #18 #12
Children to # 10 #8
Infant to #8 5 #
• Half the diameter (or less) of the tracheal
tube.
 Choosing the Right Size
’Catheter Cont
Tow types of suctioning catheter :
1- Whistle – tipped catheter .
2- Open – tipped catheter .

whistle – tipped open – tipped catheter

catheter
Less irritate the airway More effective for
removing thick mucus
. plugs
 Setting the Correct
Pressure

Wall Unit Portable Unite

Adult 100to 120 mm Hg . to 15 mm Hg 10

Child . to 110 mm Hg 95 to 10 mm Hg 5

Infant . to 95 mm Hg 50 to 5 mm Hg 2
 Documentation
The amount .
Consistency .
• Record the Color .
procedure : Odor of the mucus .
Client breathing status
before and after.

• If the technique is carried out frequently it

may be appropriate to record only once , how
ever the frequency of suctioning must be
record
Hypoxemia Trauma to
the airway

Complications

Cardiac
Nosocomial
dysrhythmi
infection
a
1- Suction only as needed .
2- sterile technique .
3- Hyperinflation .
4- Hyperoxygenation .
5- safe catheter size .
6- No saline instillation.
Thank you for your
listening