2. Introduction to ET Tube Care
ET tube care is essential for maintaining
the patency and functionality of the
endotracheal tube.
Proper care reduces the risk of
complications such as infections and tube
occlusion.
Regular monitoring and maintenance are
crucial to ensure optimal patient outcomes.
3. Equipment for ET Tube Care
Sterile gloves must be worn during ET tube
care to minimize the risk of contamination.
Clean and sterile water should be used for
cleaning the tube and its components.
A sterile suction catheter is necessary for
routine suctioning to clear any secretions or
debris.
4. Daily ET Tube Inspection
Inspect the ET tube for any signs of
damage, such as cracks or leaks.
Ensure that the cuff is intact and properly
inflated to prevent aspiration.
Check the position of the tube to ensure it
is securely in place.
5. Oral Hygiene for ET Tube Patients
Perform regular oral care to prevent the
buildup of bacteria and maintain oral
health.
Use a soft toothbrush or foam swabs to
gently clean the teeth and gums.
Apply an antimicrobial mouthwash to
reduce the risk of oral infections.
6. Suctioning Techniques
Assess the patient's need for suctioning
based on clinical signs and symptoms.
Use sterile technique and appropriate
suction pressure to prevent trauma to the
airway.
Preoxygenate the patient before suctioning
to minimize hypoxia.
7. Preventing ET Tube Obstruction
Regularly monitor ET tube cuff pressure to
prevent overinflation, which can cause
tracheal damage.
Encourage adequate hydration and
humidification to prevent mucus plugs and
secretions from obstructing the tube.
Suction the tube as needed to remove any
accumulated secretions or debris.
8. Preventing Infections
Adhere to strict hand hygiene protocols
before and after any contact with the ET
tube.
Change the ventilator circuit and ET tube
as per hospital policy to prevent bacterial
colonization.
Administer prophylactic antibiotics as
prescribed to reduce the risk of ventilator-
associated pneumonia.
9. Documentation of ET Tube Care
Accurately document all care provided to
the ET tube, including suctioning, cuff
pressure monitoring, and oral care.
Note any complications, changes in tube
position, or signs of infection.
Regularly review and communicate the
documented care to the healthcare team
for continuity of care.
10. Troubleshooting ET Tube Issues
If the ET tube becomes dislodged or
blocked, immediately call for assistance.
Provide manual ventilation with a bag-mask
device while repositioning or replacing the
tube.
Be prepared to perform an emergency
reintubation if necessary.
11. Summary of ET Tube Care
ET tube care involves regular inspection,
oral hygiene, suctioning, and prevention of
complications.
Proper documentation and communication
are vital for providing optimal care.
Prompt recognition and management of
tube-related issues are crucial to ensure
patient safety and comfort.
