97 Endotracheal Intubation and Tracheostomy Suctioning

Question 1

What are the INDICATIONS for the ET SUCTIONING and TRACH REINSERTION Medical Directive?

Answer 1

Patient with endotracheal/ tracheostomy tube
Airway obstruction or secretions

Question 2

What are the CONDITIONS for ET SUCTIONING

Answer 2

N/A

Question 3

SUCTION PRESSURE: under 1

Answer 3

60-100mmHg

Question 4

How long can we suction for?

Answer 4

10 seconds

Question 5

What interval do we suction?

Answer 5

1 minute

Question 6

SUCTION PRESSURE: 1-12

Answer 6

100-120mmHG

Question 7

SUCTION PRESSURE: 12 +

Answer 7

100-150 mmHG

Question 8

What are the CONDITIONS for TRACH REINSERTION

Question 9

What are the CONTRAINDICATIONS for TRACH REINSERTION

Question 10

What should be done before suctioning and reinserting a trach?

Answer 10

Pre-oxygenation

Question 11

If suctioning a trach is not effective, what should be done?

Answer 11

Assume FBAO
Remove inner cannula

Question 12

After removing the inner cannula and replacing it is not effective, what should be done?

Answer 12

Remove the outer cannula
Reinsert the trach

Question 13

How do you reinsert the trach?

Answer 13

Use obterator in outer cannula
Insert outer cannula at 30-90 degrees during inhalation phase
Remove obturator
Inflate balloon
Reinsert inner cannula

Question 14

Reinserting the trach is unsuccessful, what should be done?

Answer 14

Occlude stoma
Initiate oral BVM

Question 15

Oral BVM is unsuccessful, what should be done

Answer 15

BVM over the stoma

Question 16

What do you do if the inner cannula does not have a good 15mm adapter?

Answer 16

Use a face mask over the outer cannula

Question 17

What are the CONTRAINDICATIONS for ET SUCTIONING

Answer 17

N/A

Question 18

What are the CONDITIONS for TRACH REINSERTION

Answer 18

Has a trach
inner and outer cannulas removed
Respiratory distress
Presented with a trach for the patient

Question 19

How many trach reinsertion attempts?

Answer 19

2