Laurence Soriano Haena rose tamayo Pamela galang Sandeep kaur Airway Suctioning Laurence Soriano Haena rose tamayo Pamela galang Sandeep kaur

Outlines Airway definition. Definition of suctioning . Choosing the right size catheter. Sites for suction . Setting the correct pressure . Deferent between oropharengyeal / nasopharyngeal suctioning and endotracheal / tracheostomy suctioning . The procedure . Documentation. Complications of suctioning . Techniques to minimize or decrease the complications . Purposes for suctioning . Indications for suctioning.

What is an airway? An airway is a part of the body that conducts air to the lungs for breathing. The nose, the mouth and the trachea all form part of the airway. These parts of the airway clean, warm and moisten the air before it reaches the lungs. People who are unwell might need an artificial airway. Artificial airways are plastic tubes that can pass through the nose, the mouth or the neck as a tracheostomy. When an artificial airway is in place, some of the important protective functions of the natural airway are bypassed (Murgo, 2016).

Suctioning Definition Aspirating secretion through a catheter connected to a suction machine or wall suction outlet.

Sites for Suctioning Endotracheal. Tracheostomy Nasopharyngeal Oropharyngeal Sites for Suctioning Endotracheal. Tracheostomy

Oropharyngeal /Nasopharyngeal suctioning Tracheostomy suctioning Difference between Oropharyngeal /Nasopharyngeal suctioning and Endotracheal/ tracheostomy suctioning Oropharyngeal /Nasopharyngeal suctioning Remove secretion from the upper respiratory tract . Endotracheal/ Tracheostomy suctioning Remove secretion from the trachea and bronchi or the lower respiratory tract .

Tracheal/ Endotracheal suction Purpose of Suctioning Oral / Nasal suction maintain oral/ nasal hygiene. comfort for the patient. remove blood and vomit in an emergency situation. Tracheal/ Endotracheal suction Remove pulmonary secretions in patients who are unable to cough and clear their own secretions effectively.

Indications Oropharyngeal and Nasopharyngeal suctioning required for: Patient who has undergone head and neck surgery. Signs of respiratory distress . Evidence of unable to cough up and expectorate secretions. Obtain sample of secretion for diagnostic purposes Prevent infection. Oropharyngeal and Nasopharyngeal suctioning required for: Patients unable to clear their secretions themselves. Patients with mechanical ventilation. Tracheal suctioning required for :

Choosing the Right Catheter Adult Children Infant #12 to #18 French size #8 to #10 French size #5 to #8 French size

Setting the Correct Pressure for Suctioning Recommended Negative suction pressure: Portable Unit Wall Unit 10 to 15 mm Hg 100 to 120 mm Hg Adult 5 to 10 mm Hg 95 to 110 mm Hg Child 2 to 5 mm Hg 50 to 95 mm Hg . Infant

Equipments Required for Suctioning Nasal and Tracheal Suctioning Negative pressure source Suction canister Connective tubing Suction catheter Sterile Gloves Goggles Oral Suctioning Yankauer (Tonsil tip) Suction tip Distilled water or saline solution in container Sterile Gloves Goggles

Yankauer Suction device

What is Lavage? This procedure is used for those who have very thick secretions, and to help thin secretions or to stimulate coughing. It is done in conjunction with suctioning. It is the instillation into the trachea of sterile normal saline about 3- 5 cc, via pre filled vials (unit dose) or needleless syringe.

Possible Complications of Suctioning Bleeding in nasal areas Bleeding in tracheostomy area Equipment malfunction Airway infection (red inflamed skin around throat, foul smelling mucus) Trach tube falls out Low oxygen levels Trauma to the oral, tracheal, or airway mucosa

Operation of the Suction Unit Tips ➜ Always wash your hands before and after suctioning ➜ Always wear gloves when suctioning ➜ Make sure to follow either the sterile or clean technique that you were shown prior to discharge from hospital ➜ Properly discard used suction catheters and supplies ➜ Suctioning should only be done when necessary ➜ Keep up with ordering new supplies ➜ Check the function of your equipment regularly ➜ Take your suction unit with you when traveling or short trips

Precautions ➜ Make sure you are using the proper size and correct suction device ➜ Make sure caregivers are wearing proper protective equipment ➜ Make sure proper vacuum settings of suction unit ➜ Make sure you have “trained” caregivers helping with cares ➜ Make sure that the patient is well oxygenated prior to suctioning ➜ If artificial airway, make sure tracheostomy tube is in place and secure

PROCEDURE

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After the Procedure

Video of Airway suctioning https://www.youtube.com/watch?v=rTnYKscuH8U&t=378s

References Collins, S. (2014). Airway Management. Retrieved from https://www.slideshare.net/webservtech1/power-point-airway- management Garcia, R. (2014). Suction catheter color code. Retrieved from https://endorsedrn.wordpress.com/2014/04/07/suction-catheter-color-code/ Murgo, M. (2016). Suctioning an airway. Retrieved from https://www.aci.health.nsw.gov.au/networks/intensive-care/patients-and- families/treatment-and-monitoring/suctioning-an-airway Qureshi, F. (2016). Suctioning. Retrieved from https://www.slideshare.net/FIROZQURESHI/suctioning-64022835 Handi Medical Supply. (2015). Suction Equipment for airway clearance instructions. Retrieved from https://www.handimedical.com/Portals/0/Booklets/HM_Booklet_Suction.pd f