Endotracheal Suctioning

Question 1

Endotracheal suctioning

Answer 1

Suctioning is the application of negative pressure in the airway through a collecting tube to remove secreation
Retained secreations or other semiliquid fluids are removed through suctioning

★To avoid complications rt needs to be
Pre oxygenate
Limit negative pressure
Use sterile technique

Question 2

2 techniques

Answer 2

Open :sterile technique requires disconnecting the patient from the ventilator

Closed : technique uses a sterile in closed in line suction catheter attached to ventilator
Closed suction done is coma COVID ,tb

Deep suctioning: when the catheter is inserted untile resistance is met the. It’s withdrawn approximately 1 cm applying suction

Shallow suctioning:whenthe catheter is advanced to predetermined depth which is usualy the length of the airway

Question 3

Indication

Answer 3

Need to maintain patency and integrity of artificial airway need to remove accumulated pulmonary secreations evidenced by the following

1.saw tool pattern-flow volum ventilator
Coarse crackles in trachea both are strong indicators for retained secreations

2 increased peak inspiratory pressure on volume control ventilation/decreased tidal volume or pressure control ventilation

3.deterioration of 02 saturation or blood gas value

4.visible secreations inthe airway

5 inability of pt to generate an effective cough

6.acute respiratory distress

7.aspiration. Of gastric upper airway secreations

8 when there is a need for sputum specimen to rule out desease conditions

Question 4

Contraindications

Answer 4

Endotracheal suctioning is necessary procedure for patient with artifial airways so most of the contraindications are related to the risk of developing adverse conditions as a result of procedure

When indicated there is no absolute contra indications it may be only avoided if the patient is DNR or to avoid adverse reaction may be lethal

Question 5

Complications

Answer 5

Decrease in the lung compliance and functional residual capacity
atelectasis
hypoxemia
hypoxia
Trauma to the tissue of trachea and bronchus
Bronchoconstriction
Bronchoscopasm
Increased icp
Hypertension hypotension
Cardiac dysarrythmias