 suctioning

 2. Endotrachealsuctioning Definition Purposes Articles Procedure

Special consideration
 3. Endotrachealsuctioning Definition Removal of secretion from
tracheobronchial tree through an endotracheal tube with the help of
mechanical suction device
 4. Definition Removal of secretion from tracheobronchial tree through
an endotracheal tube with the help of mechanical suction device
Endotrachealsuctioning
 5. Maintaining theEndotrachealsuctioning Purposes Prevention
of respiratory tract infection from lodgment of secretionpatent airway by
removing the secretion
 6. Endotrachealsuctioning Articles Suction source: Portable
suction wall suction unit
 7. Endotrachealsuctioning Articles A clean tray Stethoscope A
sterile tray containing: •Sterile bowl •Bowl •Gauze pieces Alcohol swab
 Mask, face shield  Sterile gloves  Normal saline or sterile water in
a container  Sterile suction catheter containing :
 8. suctioncatheterofdifferentsize withcolorcode
 9. Assemble theEndotrachealsuctioning Procedure Open the
sterile tray. Place the catheter into sterile tray after removing from pack
contd... Wear the mask and wash the hand properly.  Provide semi
fowler’s position to patient  Assess the base line data and respiratory
status of patient i.e. breath sound, ABG value etc.  Explain the
procedure to patient or his relatives equipments and check the
functioning of suction apparatus.
 10. Wear theEndotrachealsuctioning Procedure contd... Turn on
suction unit with clean hand contd... Lubricate the catheter with sterile
water or normal saline  Ventilate the patient from AMBU bag 
Disconnect the patient from oxygen source i.e. ventilator, CPAP, or any
oxygen device.  Connect suction catheter from suction unit with other
hand (clean hand). sterile gloves and use the dominant hand for
suction
 11. Pinch theEndotrachealsuctioning Procedure contd... Rinse
the catheter from sterile water until it become clear from secretion.
contd... Hyperventilate the patient in between the suction or encourage
for deep breath and coughing  Time duration for suction should not be
more than 10 seconds  Apply the suction by releasing the pinch and
 withdraw the catheter by gentle rotating movement catheter and insert
the catheter without force until patient cough or as the feeling of
resistance take place.
 12. Repeat theEndotrachealsuctioning Procedure contd...
Remove the gloves and discard the catheter and gloves When
procedure is completed turn off the suction unit and disconnect the
suction tubing from suction catheter  Suction oral secretion from
oropharynx  When airway becomes clear connect the oxygen delivery
system to the patient procedure as needed and provide rest between
the suction.
 13. ReplaceEndotrachealsuctioning After care Record the
procedure with time and date, nature of secretion, and respiratory sound
before and after the procedure. Auscultate the lung area  Provide
comfortable position to the patient  Wash hands the article, clean
AMBU bag and mask with alcohol
 14. Endotracheal suctioning Special consideration Amount of
negative pressure for suctioning Portable suction unit Wall suction unit
Adult 8-15 mm of Hg 100-120mmHg Children 5-8 mm of Hg 50-100mm
of Hg Infant 3-5 mm of Hg 40-60mm of Hg
 15. Definition Removal of the secretion from the oral cavity or nasal
cavity and pharynx through the suction. Oropharyngealsuctioning
Nasopharyngealsuctioning
 16. Removing theOropharyngealsuctioning
Nasopharyngealsuctioning Purposes Preventing the infection
Obtaining the secretion for diagnostic purposes  Facilitating the
ventilation secretion from the airway
 17. Oropharyngealsuctioning Nasopharyngealsuctioning Articles
As needed in endotracheal suctioning
 18. Assemble theOropharyngealsuctioning
Nasopharyngealsuctioning Procedure Wear the mask and wash the
hand properly. Provide semi fowler’s position to patient  Assess the
base line data and respiratory status of patient i.e. breath sound, ABG
value etc.  Explain the procedure to patient or his relatives
equipments and check the functioning of suction apparatus.
 19. Place towelOropharyngealsuctioning
Nasopharyngealsuctioning Rinse the catheter with water until the
secretion is cleared from suction tubing. Replace the mask or oxygen
device  Insert catheter to mouth or nasal cavity move catheter in cavity
 until suction are cleared  Remove oxygen device  Turn on the suction
 Connect the suction catheter to suction tubing connected with suction
device  Apply gloves or water proof pad across the patient chest
 20. EvaluateOropharyngealsuctioning Nasopharyngealsuctioning
After care Document the procedure, finding and condition of patient
pre and post suction. Wash hand  Replace the articles  Wash and
clean the articles used in suction  Reposition the client in comfortable
position  Remove the towel and gloves the respiratory status