what is suctioning
the aim of suctioning is to clear secretions , improve ventilation and oxygenation, reducing the work of breathing
removal of the pulmonary secretions from the respiratory tract.using an negative pressure
11-16 kpa is reccomended
up to 20 for thick secretions
80/120 -machine
when should we use suction as a treatment
when the patient is unable to clear secretions
when secretions compromise oxgenation
peak cough flow
measures your cough’s maximum strength using a special meter to assess how effectively you can clear secretions from your lungs
yankeur suctioning
cleaning mouth area,can be used to stimulate coughing
nasopharyngeal
used when patient is countious- goes through the nose
guedel guided suction
used to keep the tongue in place and good passage way for the suctioning. only used on sedated patients becauce its uncomfortable and can trigger vomit
endotracheal suction
goes through the trachea, can be used if patient is on a ventilator , disconnected temporarily .
precautions of suctioning
bleeding
intercranial pressure
pulmonary oedema
unstable cvs
cancer -respiratory
blood clotting disorders
hazards and complications
-Hypoxaemia/Hypoxia
-Atelectasis, especially in infants
-Cardiac arrest
-Oral- risk of gag and vomit
-Anxiety to patient
-Hyper/hypotension
-Pneumothorax
-Raised intracranial pressure