suctioning

suctioning -

suctioning is used to remove secretions from the mouth from the oropharynx and from the nasopharynxit is indicated in any infant who is unable to clear the secretions on his own but has poor muscle tone.

oropharyngeal suction.-

 we require -suction catheter which has a thumb control we use 5 to 6 French for a baby who's preterm and 8 French for a dumb baby .


 sterile gloves
distilled water
normal saline
suction machine



procedure -

wash the hands thoroughly.
 wear gloves
 attach appropriate sized suction catheter to the suction tubing occlude
the suction pot with your thumb and set the negative pressure at 100 millimeter of mercury before suctioning estimate.
the length of the catheter to be inserted by measuring the distance between the tip of the nose and the tip of the earlobe.
 make sure that the catheter does not touch the skin during the measurement.
insert the catheter gently into the mouth until the measured distance is reached remember.
negative pressure should not be applied while inserting the catheter apply suction while taking out the catheter.
slowly rotate the catheter to ensure proper removal of the secretion limit
attempt to about three to five seconds after suctioning the secretions from the mouth .
do nasal suction for this insert the catheter gently upwards and backwards into the Nerys and apply suction 
then repeat on the other side after suctioning rinse the catheter and then discard it as per the universal guidelines.


always reposition the infant after you have performed oropharyngeal suction remember avoid suctioning for 30 minutes to 1 hour after a feeding


nasopharyngeal suctioning - 

it is performed to remove secretions from the trachea when a patient is unable to clear them independently as the patient inhales deeply gently but quickly insert a well-lubricated suction catheter into one Narus without applying suction advance the catheter into the trachea

if acute coughing occurs pull the catheter back before suctioning turn the patient's head to the right to help suction the left mainstream bronchus.
turn the patient's head to the left to help suction the right mainstream bronchus.
.
apply suction while withdrawing the catheter limit the suction attempt to no more than 15 seconds

tracheostomy suctioning -

is important for their health before you begin gather all the supplies that you will need all equipment and supplies must be at the patient's bedside

 suction catheter- appropriate size based on tracheostomy size 
 suction machine-
 canister a bulb syringe or neo sucker 
 ambu-bag 
0.9% normal saline ampules .
gloves 


 there are two ways to suction a tracheostomy with a catheter and with a plastic bulb syringe.


procudure-

washing your hand
open the catheter package
maintaining catheter sterility
glove both hands and maintain sterility of the dominant hand
connect the suction catheter to the suction source instill three to four drops of sterile saline into the tracheostomy tube.
insert the catheter only up to half a centimeter below the tip of the tracheostomy tube this can be measured against the trach operator at bedside
do not force if an obstruction is encountered
apply intermittent suction by quickly
opening and closing the suction port withdraw the catheter using a rotating motion entire suctioning pass should not exceed three to four seconds
lastly remove your gloves and discard with the catheter.


 if ventilatory difficulty or patient discomfort persists repeat the suctioning procedure. you should always wash your hands after the procedure

extra -



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