RSPT 1410 Tracheal Aspiration 1 1 RSPT 1410 2 Tracheal Aspiration • …is the use of ________________ to facilitate the removal of secretions from the respiratory tract. • Under normal circumstances, patients with normal coughing do not have difficulty in removing secretions. 3 Tracheal Aspiration • Indications – CNS depression – Placement of ________________ – Debilitating diseases – Pain – Anything that decreases the patient’s ability to _______________ – When there is a overwhelming amount of secretions, even when patient can cough
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24tracheal asp student - Amarillo College Procedure • Suctioning Simulation – Nasotracheal suctioning – Artificial airway (ETT) suctioning – Closed system suctioning 18 Suction
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RSPT 1410 Tracheal Aspiration
1
1
RSPT 1410
2
Tracheal Aspiration
• …is the use of ________________ to facilitate the removal of secretions from the respiratory tract.
• Under normal circumstances, patients with normal coughing do not have difficulty in removing secretions.
3
Tracheal Aspiration
• Indications – CNS depression – Placement of ________________ – Debilitating diseases – Pain – Anything that decreases the patient’s ability to
_______________ – When there is a overwhelming amount of secretions,
even when patient can cough
RSPT 1410 Tracheal Aspiration
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4
To Promote Cough
• Ask patient • ________________
– Spontaneous – Ambu bag, mask – IPPB – 5% CO2
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To Promote Cough
• Insert sterile ________________ into trachea • Instill sterile ________________ into trachea
through suction catheter, ETT • Suprasternal notch pressure
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Orotracheal Suctioning
• Best done sitting up 45° • Difficult to hit trachea • Causes gagging, vomiting
RSPT 1410 Tracheal Aspiration
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Nasotracheal Suctioning
• Better ________________ • Easier to hit trachea • Does not cause gagging, etc.
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Suction Equipment
• Suction source – Portable or piped-in wall outlet
Suction setting"intermittent or"
continuous"
Collecting"bottle"
One-way valve"
Connecting tube"
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Suction Equipment
• Safe suction ranges – Adult: ________ to _______ mmHg – Pediatric: -60 to -80 mmHg – Neonatal: -40 to -60 mmHg
RSPT 1410 Tracheal Aspiration
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Suction Equipment
• One-way valve – __________ valve
– __________ valve
• Collection jar – Glass or plastic – Marked in ml to measure – Special containers for sterile samples
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Suction Equipment
• Catheters should not take up more than 50% of airway – Sizes 6-18 Fr. (Fr. = O.D. x 3)
Catheter with"thumb control"
Catheter without"thumb control"
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Suction Equipment
In-Line or Closed "suction catheter"
RSPT 1410 Tracheal Aspiration
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Suction Equipment
Yankauer"
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Suction Equipment
• Catheters are designed as ___________ • Procedure should be sterile
– sterile catheter – 2 gloves
• Catheters should have thumb port
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Suction Equipment
• Distal end of catheter is designed to reduce trauma to mucosa – standard or “whistle tip” – ring tip – Coudé tip
• Trauma to the airway – Catheter tip contacts mucosa + suction =
• Hemorrhage • Mucosal damage • Local inflammation
– Well documented by autopsy reports: when suction applied, mucosa is elevated into catheter holes - epithelial cells are removed for entire length of suction time