Suction machines work on the principle of negative pressure that creates a vacuum effect to pull out secretions from a person's oral cavity. To create this negative pressure, several components of the suction machine work in conjunction. These include: Vacuum pump, which causes the negative pressure.
7. Endotracheal suctioning
Definition
Removal of secretion from tracheo-
bronchial tree through an endo-tracheal
tube with the help of mechanical suction
device.
Definition
Removal of secretion from tracheo
bronchial tree through an endo tracheal
tube with the help of mechanical suction
device Endotracheal suctioning
8.
9. PURPOSE
Maintaining the patent airway by removing the secretion
Prevention of respiratory tract infection from lodgment of
secretion
28. procedure
Turn on suction apparatus to appropriate
negative pressure for: adults-100-120 mmHg
children-50-100 mmHg infants-40-60 mmHg.
Perform handPerform hand hygiene, wash
hands.hygiene, wash hands. It reducesIt reduces
transmission oftransmission of
microorganisms.microorganisms.
Open the end of the suction catheterOpen the
end of the suction catheter package & connect it
to suctionpackage & connect it to suction tubing
(If you are alone)tubing (If you are alone)
Wear sterile gloves with sterileWear sterile
gloves with sterile techniquetechnique
29. With a help of an assistantWith a help of an assistant
disconnect the ventilatordisconnect the ventilator
Kink the suction tube & insert theKink the suction tube &
insert the catheter in to the ETtube until catheter in to the
ETtube until resistance is felt resistance is felt
Resistance is felt when the catheter Resistance is felt when
the catheter impacts the carina or bronchial impacts the
carina or bronchial mucosa, the suction catheter mucosa,
the suction catheter should be withdrawn 2cm out before
applying suction before applying suction
Apply continuous suction while rotating the suctionwhile
rotating the suction catheter during removal catheter
during removal The duration of each
The duration of each suctioning should be 10-
15sec.suctioning should be 10-15sec.
Instill 3 to 5ml of sterile Instill 3 to 5ml of sterile normal
saline in to thenormal saline in to the artificial airway, if
required artificial airway, if required
Give four to five manual Give four to five manual breaths
with bag or ventilatorbreaths with bag or ventilator
30. Return patient to ventilatorReturn patient to
ventilator
Flush the catheter with NSFlush the catheter with
NS in the suction trayin the suction tray
Suction nares & oropharynxSuction nares &
oropharynx above the artificial airwayabove the
artificial airway
Discard used equipmentsDiscard used
equipments
Flush the suction tube withFlush the suction tube
with hot waterhot water
Wash handsWash hands
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46. DOCUMENTATION…
Record the time of suctioning, nature
&suctioning, nature & amount of
secretions.amount of secretions.
Document indications for suctioning & any
for suctioning & any changes in vitals
&changes in vitals & patient’s tolerance.
patient’s tolerance.