Suction is an invasive procedure and should NOT be carried out on a routine basis. But, suctioning is an integral part of the management of intubated/ventilated patients.
Is deep suctioning a sterile procedure?
Because the suctioning occurs deeper into the respiratory tract, there is increased risk of respiratory infection. As such the procedure must be sterile and thus observe principles of asepsis.
Why is suctioning considered a hazardous procedure for the patient?
Suctioning can stimulate the vagal nerve, predisposing the patient to bradycardia and hypoxia. Hypoxia can be profound from occlusion, interruption of oxygen supply, and prolonged suctioning. Mucosal trauma, physical injuries, and bleeding can result from blunt or penetrating trauma.
Is suctioning a clean procedure?
Suctioning is a method of removing mucous from the lungs. People with a spinal cord and/or brain injury may have problems breathing due to congestion. The muscles that help with breathing and coughing may not work well.
What type of procedure is an endotracheal suction?
Endotracheal tube (ETT) suction is necessary to clear secretions and to maintain airway patency, and to therefore optimise oxygenation and ventilation in a ventilated patient. ETT suction is a common procedure carried out on intubated infants.
How many times can you suction a patient?
If suctioning more than once, allow the patient time to recover between suctioning attempts. During the procedure, monitor oxygen levels and heart rate to make sure the patient is tolerating the procedure well. Suctioning attempts should be limited to 10 seconds.
What are the complications of suctioning?
What Are the Most Common Complications of Suctioning?
- Airway Trauma.
- Psychological Trauma.
- Ineffective Suctioning.
What is the biggest hazard of suctioning?
Psychological Trauma The suctioning procedure itself may add to the terror, especially if suctioning is painful. Pediatric patients, patients with dementia, and those with difficult airways or a history of mental health issues are especially vulnerable to psychological trauma.
When should you not suction a patient?
Do Not Suction Too Long Prolonged suctioning increases the risk of hypoxia and other complications. Never suction a patient for longer than 15 seconds. Rather than prolong suctioning, withdraw the catheter, re-oxygenate the patient, and suction again.
Can you reuse a suction catheter?
Rinse the catheters in cool water and air-dry. Allow the catheters to dry in a clear container. Do not reuse catheters if they become stiff or cracked.
How long can you live with a tracheostomy?
The median survival after tracheostomy was 21 months (range, 0-155 months). The survival rate was 65% by 1 year and 45% by 2 years after tracheostomy. Survival was significantly shorter in patients older than 60 years at tracheostomy, with a hazard ratio of dying of 2.1 (95% confidence interval, 1.1-3.9).
Do you remove inner cannula before suctioning?
When suctioning through a tracheostomy tube with an inner cannula, do not remove the cannula. The inner cannula remains in place during suctioning so that the outer cannula does not collect secretions.
How long should a suction procedure last?
Apply suction for a maximum of 10 to 15 seconds. Allow patient to rest in between suction for 30 seconds to 1 minute.
What are the indications for suctioning?
Indications for suctioning include:
- Audible or visual signs of secretions in the tube.
- Signs of respiratory distress.
- Suspicion of a blocked or partially blocked tube.
- Inability by the child to clear the tube by coughing out the secretions.
- Desaturation on pulse oximetry.
What is suction process?
Suctioning is ‘ the mechanical aspiration of pulmonary secretions from a patient with an artificial airway in place ‘. The procedure involves patient preparation, the suctioning event(s) and follow-up care. Nasotracheal suction may be undertaken directly via the nostril without an airway adjunct.
What happens if you suction too deep?
Deep suctioning goes in further than the end of the trach tube. Use deep suctioning only for emergencies when premeasured suctioning does not work or you have to do CPR. Since the suction tube goes in much deeper, deep suctioning can hurt the airway (trachea).