Pass a suction catheter
through tracheostomy tube to confirm its patency.
They also emphasise that, for patients requiring a high-inspired oxygen concentration (FiO2) or a high PEEP and for patients at risk of lung derecruitment, closed suction catheter
systems should be used so that ventilator disconnection and loss of lung recruitment does not occur.
Using sterile conditions for the entire procedure, suction catheter
of less than half the internal diameter of endotracheal tube was selected, and vacuum pressure was set at less than 150 mmHg.
Sidney Yankauer developed a rigid suction catheter
. The Yankauer tip inspired modifications in the years that immediately followed, including the Poole and the Andrews-Pynchon, both of which provided for more precise suction during procedures.
Attempts to pass a suction catheter
through the ETT were unsuccessful.
The first instrument you reach for is a 14-French suction catheter
. It is clear plastic and about nine inches long.
(size 18 F or above) was positioned in between the two layers of foam.
Also, NRP guidelines do recommend clearing the airways with a bulb syringe or suction catheter
if airway obstruction is evident or positive-pressure ventilation is required.
(Figure 1) Tracheal suction with a suction catheter
down the ET tube was undertaken so that the tip of the suction catheter
was never beyond the tip of the ET tube (to avoid further trauma to the trachea).
A separate quasiexperimental study with 30 subjects reported that insertion of the suction catheter
and tracheal stimulation, independent of suctioning, increased ICP values by an average of 2 mmHg (Brucia & Rudy, 1996).
That day a PCICU nurse, Janice Migniuolo, inspected the ETT, advanced a suction catheter
down it, and to keep the ETT from becoming obstructed with mucous and interfering with ventilation.
Towel clips as the name suggests can be used to secure drapes around the operative site or to secure items such as a diathermy quiver or suction catheter