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

2. 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.

3. 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).

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

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

6. 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 .

7. 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.

8. 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 :

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

11. 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

12. 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

13. Yankauer Suction device

14. 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.

15. 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

16. 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

17. 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

18. PROCEDURE

19. PROCEDURE

21. PROCEDURE

22. PROCEDURE

23. PROCEDURE

24. PROCEDURE

25. After the Procedure

27. Video of Airway suctioning

28. References
Collins, S. (2014). Airway Management. Retrieved from management
Garcia, R. (2014). Suction catheter color code. Retrieved from
Murgo, M. (2016). Suctioning an airway. Retrieved from families/treatment-and-monitoring/suctioning-an-airway
Qureshi, F. (2016). Suctioning. Retrieved from
Handi Medical Supply. (2015). Suction Equipment for airway clearance instructions. Retrieved from f