Endotracheal and Tracheostomy Suctioning and Reinsertion

Question 1

Endotracheal Suctioning
Indications

Answer 1

Patient with endotracheal or tracheostomy tube
AND
Airway obstruction or increased secretions

Question 2

Endotracheal Suctioning
Conditions

Answer 2

Anyone (who meets indications)

Question 3

Emergency Tracheostomy Reinsertion
Conditions
Other?

Answer 3

Other:
Patient with existing tracheostomy where the inner and/or outer cannula(s) have been removed from the airway
AND
Respiratory Distress
AND
Inabilty to adequately ventilate
AND
Paramedics presented with a tracheostomy cannula for the identified patient

Question 4

Emergency Tracheostomy Reinsertion
Contraindications

Answer 4

Inability to landmark or visualize

Question 5

Max attempts at emergency tracheostomy reinsertion?

Answer 5

2 attempts

Question 6

Endotracheal Suctioning
Treatment
< 1 year
≥ 1 year to < 12 year
≥ 12 years
Dose for all ages?
Max. Single Dose?
Dosing Interval?
Max # of Doses?

Answer 6

< 1 year - [60 - 100mmHg]
≥ 1 year to < 12 year - [100 - 120mmHg]
≥ 12 years - [100 - 150mmHg]
Max. Single Dose: 10 seconds
Dosing Interval: 1 minute
Max # of Doses: N/A

Question 7

Clinical Considerations prior to suctioning?

Answer 7

1. Pre-oxygenate with 100% oxygen
2. Alert patient, when possible, have patient cough to clear airway prior to suctioning