Suctioning Flashcards
What are the 4 passages you can perform suctioning through
- Indwelling via tracheostomy tube
- Tracheostomy tube
- Oropharyngeal
- nasopharyngeal
What is indwelling suctioning
Closed system airway suctioning or in-line technique
Encased suction catheter in a sterile sheath attached to ventilator tubing
What are the benefits of indwelling suctioning
- Does not interrupt ventilatory support
- For those requiring PEEp to maintain oxygenation and continued ventilatory support it may reduce the risk of suction-induce hypoxia and dysrhythmias
- May reduce risk of infection contamination
For an indwelling suctioning via tracheostomy tube and tracheal suctioning via tracheostomy for pressure is used for adults
120-150 mmHg
For an indwelling suctioning via tracheostomy tube and tracheal suctioning via tracheostomy for pressure is used for children
80-120 mmHg
For an indwelling suctioning via tracheostomy tube and tracheal suctioning via tracheostomy for pressure is used for Infants
60-80 mmHg
What is tracheal suctioning
suctioning directly via a tracheostomy tube
What is modified sterile technique
sterile catheters and clean gloves
What is the appropriate suction catheter size for adults
10-16 Fr
What is the appropriate suction catheter size for children
6-10 Fr
What is the appropriate suction catheter size for infants
5-6 Fr
What is oropharyngeal suctioning
the patient does not have an artificial airway and one is suctioning the throat/trachea via an oral airway or throat directly
What additional piece of equipment is required for oropharyngeal suctioning
Oral airway - prevents the tongue from covering the epiglottis
What is nasopharyngeal suctioning
The patient does not have an artificial airway and one is suctioning the throat/trachea via a nasal trumpet or nasal passage directly
What additional equipment is required for nasopharyngeal suctioning
Nasal trumpet
What are 4 indications of suctioning
- patients unable to clear secretions
- loss of airway control
- lung pathologies
- to obtain sputum sample
What are 3 things you take into consideration when determining the frequency of suctioning
- patients ability to cough and clear own secretions
- oxygen saturation and arterial blood gases
- amount and consistency of secretions
What are contraindications to nasopharyngeal suctioning
- nasal bleeding or bleeding disorders
- Epiglottitis or croup
- Acute head or facial injury
- CSF leakage
- nasal stenosis
- nasal pathology
What are some complications of suctioning
- Cardiac arrest
- respiratory arrest
- gagging, laryngospasm or vomitting
- Blood pressure changes
- Mechanical trauma
- Hypoxia/hypoxemia
- Increase ICP
- Discomfort or pain
- Bronchospasm
- Uncontrolled coughing
- Nasocomial infection
