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How to perform nasal suctioningHHow to perform nasal suctioningHow to perform nasal suctioningEnglishRespiratoryChild (0-12 years);Teen (13-18 years)Lungs;TracheaRespiratory systemNon-drug treatmentCaregivers Adult (19+) Hospital healthcare providersNA2017-06-29T04:00:00ZReshma Amin, MD, FRCPC, MSc;Faiza Syed, BHSc, RRT;Tuyen Tran, RRT000Flat ContentHealth A-Z

 

 

How to perform nasal suctioning2930.00000000000How to perform nasal suctioningHow to perform nasal suctioningHEnglishRespiratoryChild (0-12 years);Teen (13-18 years)Lungs;TracheaRespiratory systemNon-drug treatmentCaregivers Adult (19+) Hospital healthcare providersNA2017-06-29T04:00:00ZReshma Amin, MD, FRCPC, MSc;Faiza Syed, BHSc, RRT;Tuyen Tran, RRT000Flat ContentHealth A-Z<ol class="akh-steps"><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-02_EN.jpg" alt="An oxygen saturation monitor on a finger." /> </figure> <p>Gather your <a href="/Article?contentid=2929&language=English">equipment and supplies</a>.</p></li><li><p>Make sure the <a href="/Article?contentid=2962&language=English">oximeter​</a> is on and providing an accurate reading. </p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-04_EN.jpg" alt="Settings on a portable suction machine" /> </figure> <p>Have <a href="/Article?contentid=2958&language=English">oxygen</a> available. </p></li><li><p>Make sure the suction machine is at the correct setting.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-05_EN.jpg" alt="A sterile water bottle and a labelled cup of sterile water for suctioning" /> </figure> <p>Fill a clean container with sterile water or saline.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-06d_EN.jpg" alt="Tracheostomy suction tubing" /> </figure> <p>Attach the suction tubing to the correct size suction catheter. Keep the catheter in the packaging until just before use.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-06a_EN.jpg" alt="Tracheostomy suction catheter" /> </figure> <p>Do not touch the end of the catheter that will go into your child’s nose.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach_ties_change_02.jpg" alt="Caregiver washing their hands" /> </figure> <p> <a href="/Article?contentid=2914&language=English">Wash your hands​</a> well.<br></p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-08_EN.jpg" alt="Child with a tracheostomy sitting comfortably" /> </figure> <p>Make sure your child is in a comfortable position (lying or sitting).</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-09_EN.jpg" alt="Dipping the tracheostomy catheter into sterile water before suctioning" /> </figure> <p>Suction a small amount of sterile water or saline through the suction catheter to lubricate it.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-10a_EN.jpg" alt="Inserting a suction catheter into a nostril" /> </figure> <p>Insert the suction catheter into your child’s nostril to the length instructed by your healthcare team. Be careful not to force the catheter. If you meet resistance, try the other nostril. Keep your thumb off the suction control port.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-11_EN.jpg" alt="Suction is applied by holding the thumb over the suction control port" /> </figure> <p>Apply suction by holding your thumb over the suction control port. Slowly remove the catheter while “twirling” it between your fingers to remove mucus. Limit suctioning to 5 to 10 seconds.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-09_EN.jpg" alt="Dipping the tracheostomy catheter into sterile water before suctioning" /> </figure> <p>Once the catheter is out, clean it by dipping it in the sterile water or saline and suctioning. Repeat suctioning as needed, allowing at least 20 seconds between suctioning. Alternate nostrils each time you repeat the suctioning. Once you are finished, discard the catheter and replace the tip connector onto the suction tubing.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-14_EN.jpg" alt="A child with a tracheostomy tube" /> </figure> <p>After suctioning, assess your child’s respiratory status and oxygen needs.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-15_EN.jpg" alt="Pressing the on and off switch on a suction machine" /> </figure> <p>Turn off the suction unit.Empty and clean the suction drainage bottles and containers, if needed.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach_ties_change_02.jpg" alt="Caregiver washing their hands" /> </figure> <p>Wash hands well. Prepare the suction equipment and supplies for the next use.</p></li></ol><div class="caution"><h3>Precautions</h3><p>Do not perform nasal suctioning if:</p><ul><li>your child has had recent nose, sinus or throat surgery</li><li>there is a partial upper airway obstruction, for example by the epiglottis or swollen cells around the throat or vocal cords (if your child has an infection such as croup)</li><li>your child has a bleeding disorder.​​</li></ul></div> ​ <p></p> ​ <a class="btn btn-primary" href="https://www.aboutkidshealth.ca/trachvent">Return to trach-vent learning hub</a><br>How to perform nasal suctioningTruehttps://www.aboutkidshealth.ca/Article?contentid=2931&language=Englishhttps://www.aboutkidshealth.ca/Article?contentid=2929&language=English

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