How to perform tube suctioningHHow to perform tube suctioningHow to perform tube 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 tube suctioning2933.00000000000How to perform tube suctioningHow to perform tube 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><p>Gather your <a href="/Article?contentid=2929&language=English">equipment and supplies</a>.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-02_EN.jpg" alt="An oxygen saturation monitor on a finger" /> </figure> <p>Make sure the <a href="/Article?contentid=2962&language=English">oximeter</a> is on and providing an accurate reading.</p></li><li><p>Have <a href="/Article?contentid=2958&language=English">oxygen</a> available. </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>Make sure the suction machine is at the correct setting.</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.</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-08_EN.jpg" alt="Child with a tracheostomy tube sitting comfortably" /> </figure> <p>Make sure your child is in a comfortable position (lying or sitting down).</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-23_EN.jpg" alt="Opening a tracheostomy suction catheter package" /> </figure> <p>Open the catheter by pushing the base through the paper packaging.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-24_EN.jpg" alt="Attaching suction tubing to a tracheostomy suction catheter" /> </figure> <p>Attach the suction tubing to the correct size suction catheter.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-16_EN.jpg" alt="Person holding the suction catheter four to six inches from the end" /> </figure> <p>Withdraw the catheter from the package slowly just before use. Hold it four to six inches from the end. <strong>Do not touch</strong> the end of the catheter that goes into the tracheostomy tube. Place the catheter inside the packaging until you use it.</p></li><li><p>Remove the ventilator, tracheostomy cap, HME, mask or speaking valve from the tracheostomy tube. If necessary, manually ventilate your child with the manual resuscitation bag.<br></p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-09_EN.jpg" alt="Person 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 wet it and make it easier to insert.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-17_EN.jpg" alt="Inserting a tracheostomy suction catheter" /> </figure> <p>Insert the suction catheter into the tracheostomy tube to the length instructed by your healthcare team. Make sure your thumb is not touching the suction control port.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-26_EN.jpg" alt="Holding thumb on a tracheostomy suction catheter suction control port" /> </figure> <p>Hold your thumb over the suction control port.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-25_EN.jpg" alt="Twirling the tracheostomy suction catheter" /> </figure> <p>Slowly remove the suction catheter while “twirling” it between your fingers to remove mucus (10 seconds maximum).</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-26_EN.jpg" alt="Holding thumb on a tracheostomy suction catheter suction control port" /> </figure> <p>Clear the suction catheter by dipping it in the sterile water and suctioning.</p></li><li><p>Give your child a break of 30 to 60 seconds before repeating tube suctioning. Give your child some big breaths using the manual resuscitation bag if needed. In the event of oxygen desaturation, use oxygen as prescribed by your child’s healthcare team.</p></li><li><p>When done, replace the tracheostomy cap, HME, speaking valve or ventilator, if they use one.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-14_EN.jpg" alt="A child with a tracheostomy" /> </figure> <p>Assess and tend to your child’s respiratory status and oxygen needs.</p></li><li><p>Once you are finished, discard the catheter and replace the tip connector on the suction tubing.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-15_EN.jpg" alt="Person pressing the on and off switch on a suction machine" /> </figure> <p>Turn off the suction unit.</p></li><li><p>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.</p></li><li><p>Prepare the suction equipment and supplies for the next use.<br></p></li></ol> <a class="btn btn-primary" href="https://www.aboutkidshealth.ca/trachvent">Return to trach-vent learning hub</a> <br>How to perform tube suctioningTruehttps://www.aboutkidshealth.ca/Article?contentid=2934&language=Englishhttps://www.aboutkidshealth.ca/Article?contentid=2932&language=English

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