What are the steps for endotracheal suctioning?
Table of Contents
What are the steps for endotracheal suctioning?
- Step 1: Gather the supplies.
- Step 2: Wash your hands.
- Step 3: Check portable suction equipment.
- Step 4: Place portable suction unit on a flat, dry and safe surface.
- Step 5: Set the suction pressure.
- Step 6: Pick up clean suction catheter.
- Step 7: Put on gloves.
- Step 8: Connect the tubing to the suction catheter.
What is appropriate regarding suctioning through an ET tube?
For adult patients, the appropriate level the suction vacuum should be set at is 80 to 120 mmHG. For pediatric patients, suction vacuums should be between 60 and 80 mm HG. Setting levels too high should be avoided and can lead to tissue damage.
How often should you suction an endotracheal tube?
Frequency of Suctioning It has been suggested by Pedersen et al3 that ETS should be performed at least every 8 hours to slow the formation of the secretion biofilm within the lumen of the endotracheal tube (ETT).
How much sterile water should be placed down an endotracheal tube prior to suctioning?
Fill with approximately 100 mL of sterile normal saline solution or sterile water.
What is endotracheal suctioning?
Endotracheal suctioning (ETS) is a necessary practice carried out in intensive care units. In involves the removal of pulmonary secretions from a patient with an artificial airway in place.
What should be monitored while suctioning?
Vitals should be monitored continuously, including heart rate, oxygen saturation, and intracranial pressure if transduced. Each pass should be less than 15 seconds in duration, and the patient should be allowed to recover between suction passes.
When suctioning the endotracheal tube the nurse should?
Suction should only be to the tip of the ETT, and should never exceed more than 0.5cm beyond the tip of the ETT, to prevent mucosal irritation and injury. Measurement of length to suction is to be predetermined at shift commencement.
Do you remove inner cannula before suctioning?
When suctioning through a tracheostomy tube with an inner cannula, do not remove the cannula. The inner cannula remains in place during suctioning so that the outer cannula does not collect secretions. If oropharyngeal or nasal suctioning is required, complete after tracheal suctioning.
What is the correct suction pressure for tracheal secretions?
80-120mmHg
The pressure setting for tracheal suctioning is 80-120mmHg (10-16kpa). To avoid tracheal damage the suction pressure setting should not exceed 120mmHg/16kpa. It is recommended that the episode of suctioning (including passing the catheter and suctioning the tracheostomy tube) is completed within 5-10 seconds.
When suctioning What should be monitored?
How long do you suction a patient?
Do not suction too long! The maximum suction time should only be 15 seconds. After suctioning, re-oxygenate the patient.
How long should tracheal suction be performed for?
Utilizing a non-touch technique gently introduce the suction catheter tip into the tracheostomy tube to the pre-measured depth. Apply finger to suction catheter hole & gently rotate the catheter while withdrawing. Each suction should not be any longer than 5-10 seconds.
