University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

9

Pages:

2
Author:

Mariam A. A.

Basics • • • • Wash hands Wear appropriate PPE. Patient should be in semi-fowler or sitting position with bath towel, cloth or paper drape over their chest. Fill cup or wash basin with water or normal saline Oropharyngeal suctioning (adults) 1. 2. 3. 4. 5. If possible, pre-oxygenate. Ensure that catheter is connected to tubing. Test for adequate suction by occluding the side port on catheter. Under direct vision, insert the catheter along the gum line into the oropharynx. Verify that the suctioning mechanism is working by suctioning a small amount of sterile water. 6. Occlude the side port to commence suctioning. 7. Keep rinsing catheter by placing it in the cup or washbasin -> prevents catheter and tubing from clogging. Oropharyngeal suctioning (neonates) 1. If possible, pre-oxygenate. 2. Ensure the catheter is connected to the tubing. 3. Test for adequate suction by occluding the side port on the catheter into the nasopharynx. 4. Occlude the side port to commence suctioning while gently withdrawing catheter. 5. Repeat procedure for oropharynx. Tracheal suctioning 1. 2. 3. 4. 5. 6. 7. 8. 9. Ensure comprehensive non-invasive monitoring. Pre-oxygenate prior to procedure. Ensure Y catheter is connected to tubing. Test for adequate suction by occluding the side port on catheter. Disconnected the ventilating bag from the tracheal tube. Insert the catheter into tracheal tube to the proper depth, without applying suction. Occlude the side port to begin suctioning. Reconnect ventilating bag. Ventilate patient with 100% oxygen from approximately 30 seconds and flush the suction catheter and tubing with saline prior to any repeat of the procedure. Contradictions None Complications • • • • Airway trauma Stimulate coughing or gagging. Hypoxia from delays in ventilation and tracheal tube suctioning. Bradycardia and hypotension due to vagal stimulation. Reporting and documentation • • Bring an abnormal observation to the attention of a senior staff member. Document any abnormal observations. Other Information • • • • • If the patient has an oxygen mask removed it. It they have a nasal oxygen cannula then you can keep it. If resistance is met (i.e. you pump the catheter into something) or if acute coughing occurs, pull the catheter backwards before suctioning. Turn the patient’s head to the left, to help suction the left mainstream bronchos and vice versa. Apply suction while withdrawing the catheter and limit the suction attempt to no more than 15 seconds.