Suction Therapy

Question 1

How do you determine the suction catheter size (for closed suction) in adults?

Answer 1

(2 x ETT) - 2

Question 2

What is Closed Suction therapy procedure?

Answer 2

1. Auscultate the Pt and assess for indications to suction
2. Increase O2 by 10-15% (100% for adults)
3. Check broslow tape for the appropriate size of the suction catheter
4. Insert the suction catheter until resistance is met and pull back a little
5. Apply suction and pull back
6. Assess the COCA of secretions and if another suction pass is required
7. Check the Pt vitals before going in for another (and instill saline if you do)
8. Auscultate after suctioning and return O2 levels back to what they were prior

Question 3

What is the timeline for suction procedures to be performed as clean vs sterile?

Answer 3

• 0-72hrs = Sterile
• 72hrs+ = clean

Question 4

On neo and Ped Pts with a Trach, How do you determine open suction depth?

Answer 4

Its based on the size of the Trach tube/inner cannula.

• Ask the prof for another trach to so you can measure it
• Catheter size should be based on brosolow tape

Question 5

When would you perform inline suction on a neo or ped population?

Answer 5

Done on a trach patient or ETT pt where an inline catheter isn’t present

• Check for patient vitals and auscultate (most likely for crackles for suctioning)

Question 6

What is open suction procedure for neos/peds?

Answer 6

1. Turn the suction on to -100mmHg
2. Insert the catheter to appropriate depth
3. Apply suction and pull out
4. Inspect the catheter for COCA of the secretions
5. Always clear the catheter w/saline solution before going for another pass

Question 7

What is open suction procedure for adults?

Answer 7

1. Gather either size 12 or 14 Fr suction catheter
2. Turn the suction pressure to -100mmHg
3. Preoxygenate patient at 100% for 2 mins
4. Have another person help to disconnect the vent from Pt ETT
5. Advance the suctinon catheter until resistance is met and move back a few cm
6. Apply suction pressure and pull the catheter out slowly
7. Comment on the color, odor, consistency amount
8. If large amount, advance for a second pass