Suctioning a ventilated patient is indicated when there are signs of airway obstruction or increased airway secretions, which can manifest as decreased oxygen saturation, increased respiratory effort, or audible wheezing and gurgling sounds. Additionally, suctioning may be necessary when the patient exhibits signs of infection or when there is a need to clear secretions to improve ventilation and prevent complications such as atelectasis or pneumonia. Regular assessment of the patient's condition is crucial to determine the need for suctioning.
Indications include airway maintenance, airway suctioning, and preventing biting of an endotracheal tube. These are almost always used in unconscious patients. Contraindications include a conscious patient, a foreign object blocking the airway, and a present gag reflex.
Usually the standard sterile gloves, mask and goggles can suffice to protect you when suctioning.
Semisitting
to help patient
In Suctioning procedure it is important to keep the oxygen of the patient and also the sterility of the whole procedure. Oxygen is needed so that the patient does not become hypoxic. Making the whole procedure sterile will ensure that you lessen the risk of development of infection.
Bradycardia is wrong. In a trauma patient hypoxia is the the MOST significant complication!
indication for suctioning
The correct method of suctioning involves first ensuring that the suction equipment is functioning properly and that the appropriate catheter size is selected. The patient should be positioned appropriately, typically in a semi-Fowler's position. Insert the suction catheter gently into the airway without applying suction, then apply suction while withdrawing the catheter in a circular motion, limiting suction time to 10-15 seconds to prevent hypoxia. After suctioning, provide supplemental oxygen if needed and monitor the patient's response.
It is recommended to wait at least 20-30 minutes after suctioning or changing FIO2 before drawing an ABG to allow the patient's respiratory status to stabilize. This helps to obtain an accurate assessment of their blood gases.
The correct method for suctioning involves first ensuring that the equipment is ready and functioning properly. Position the patient appropriately, usually at a 30 to 45-degree angle. Insert the suction catheter gently into the airway without applying suction, then withdraw it while applying suction for no longer than 10-15 seconds, allowing the patient to rest in between attempts. Finally, assess the patient's response and repeat if necessary, ensuring to maintain proper hygiene and follow any specific guidelines relevant to the patient's condition.
The major electrolyte lost through nasogastric suctioning is chloride. This can lead to metabolic alkalosis if not properly monitored and corrected. It is important to monitor electrolyte levels, especially chloride, in patients undergoing nasogastric suctioning to prevent potential complications.
Administer 100% oxygen to reduce the effects of airway obstruction during suctioning