AboutKidsHealth

 

 

How to perform deep suctioningHHow to perform deep suctioningHow to perform deep 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 deep suctioning2934.00000000000How to perform deep suctioningHow to perform deep 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.<br></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, distilled water or saline.</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 down). If your child wears an HME, a tracheostomy cap, a speaking valve or a mask, remove it.</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, distilled water or saline.</p></li><li><p>Put on clean gloves.</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-27_EN.jpg" alt="Slowly pull a tracheostomy suction catheter from its package" /> </figure> <p>Withdraw the catheter from the package slowly just before use. Hold it four to six inches from the end.</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> <strong>Do not touch</strong> the end of the catheter that goes into the tracheostomy tube. Keep the catheter inside the packaging until you use it.</p></li><li><p>Remove the ventilator, trach cap, HME or speaking valve from the trach tube. If necessary, manually ventilate the child with the manual resuscitation bag.</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-17_EN.jpg" alt="Inserting a tracheostomy suction catheter" /> </figure> <p>Gently insert the suction catheter into tracheotomy tube with your thumb off the suction control port.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-26_EN.jpg" alt="Person holding their thumb on a tracheostomy suction catheter suction control port" /> </figure> <p>Once you meet resistance or your child starts to cough, pull the suction catheter back a small amount and apply suction by holding 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 max).</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach-suctioning-09_EN.jpg" alt="Person dipping a tracheostomy catheter into sterile water before suctioning" /> </figure> <p>Clear the suction catheter by dipping it in the sterile water or saline and suctioning.</p></li><li><p>Give your child a break of 30 to 60 seconds before repeating deep 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 tube" /> </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 onto 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="" /> </figure> <p>Wash hands well.</p></li><li><p>Prepare the suction equipment and supplies for the next use.<br></p></li></ol><p></p><div class="caution"><h3>Precautions</h3><p>Only perform deep suctioning if your child continues to have difficulty breathing after tube suctioning.</p></div> <a class="btn btn-primary" href="https://www.aboutkidshealth.ca/trachvent">Return to trach-vent learning hub</a> How to perform deep suctioningTruehttps://www.aboutkidshealth.ca/Article?contentid=2935&language=Englishhttps://www.aboutkidshealth.ca/Article?contentid=2933&language=English

Thank you to our sponsors

AboutKidsHealth is proud to partner with the following sponsors as they support our mission to improve the health and wellbeing of children in Canada and around the world by making accessible health care information available via the internet.