suctioning


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suctioning

 [suk´shun-ing]
removal of material through the use of negative pressure, as in suctioning an operative wound during and after surgery to remove exudates, or suctioning of the respiratory passages to remove secretions that the patient cannot remove by coughing. Suctioning of the nose and mouth is a relatively simple procedure requiring only cleanliness and sensible care in the removal of liquids obstructing the nasal and oral passages. Suctioning of the deeper respiratory structures (deep or endotracheal suctioning) demands special skill and meticulous care to avoid traumatizing the delicate mucous membranes and introducing infection into the respiratory tree.



Another complication arising from improper tracheal suctioning is hypoxia, which occurs when prolonged suctioning removes the oxygen from the patient's airway and thus adds to existing respiratory distress. The use of a catheter too large in diameter can cause obstruction of the bronchus and subsequent collapse of a lobe of the lung. Because of the potential hazards inherent in the procedure, tracheal suctioning should be reserved only for those patients too weak and debilitated to cough up thick and tenacious sputum. When deep suctioning is necessary, it should be done only by those persons who are skillful in the technique and knowledgeable about the complications that can result from improper use of the suctioning equipment. Guidelines for suctioning patients in either acute care settings or the home have been published by the American Association for Respiratory Care and are available on their web site at http://www.aarc.org.
airway suctioning in the nursing interventions classification, a nursing intervention defined as removal of airway secretions by inserting a suction catheter into the patient's oral airway and/or trachea.
Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.

suctioning

The use of suction to remove debris or body fluids from an airway, body cavity, orifice, or surgical site.
See: suction.
Medical Dictionary, © 2009 Farlex and Partners
References in periodicals archive ?
Subsequently a similar historical-comparison trial in 1988 and a 1992 observational comparison of infants suctioned before or after delivery of the shoulders failed to find any benefit from suctioning before shoulder delivery.
Even in four high-risk subgroups, intrapartum suctioning did not decrease the incidence of meconium aspiration syndrome.
The purpose of this article is to analyze and synthesize the research on saline instillation for suctioning in order to determine the best practice for critically ill patients.
A 14Fr catheter was used to perform the suctioning procedure for 8 seconds.
Macmillan (1995) surveyed nursing and physiotherapy staff regarding reasons for NP suctioning, suctioning practices, and knowledge of adverse effects.
The indications for ET suctioning include the need to maintain the patency and integrity of the artificial airway and removal of accumulated pulmonary secretions as evidenced by either visible secretions in the airway, a saw-tooth pattern on the flow-volume loop, the presence of coarse crackles over the trachea, an increased peak inspiratory pressure during volume-controlled mechanical ventilation or decreased tidal volume during pressure-controlled ventilation, deterioration in oxygen saturation and/or arterial blood gas values, patient's inability to generate an effective spontaneous cough, acute respiratory distress and suspected aspiration of gastric or upper-airway secretions and the need to collect a sputum specimen (4).
All those patients intubated with conventional ETT were managed by Open Endotracheal Suctioning and designated to Group OES.
Taking into account the multiple risks that represent the ET suctioning for the pediatric population, which increases with its frequency, the fact of decreasing the number of suctions could be reflected in a decrease of accidental extubations and its consequences, such as the negative inherent effects from the suctions.
The colony counts in air cultures collected 10 cm, 50 cm, and 100 cm away from the endotracheal intubation site in the open suctioning group were significantly greater than the counts in the closed suctioning group (colony-forming units [CFU]/plate: 72.3 [+ or -] 142.4, 57.8 [+ or -] 144.9 and 15.7 [+ or -] 26.2 vs.
The length and diameter of the suction tubing itself will play a vital role in the suctioning task.
[7-9] Good, evidence-based clinical practice suggests that in order to ensure pulmonary secretions are easily manageable with suctioning, adequate humidification of inspired gas is likely to be more effective than instillation of normal saline.