PMID: 18196852Jan 17, 2008Paper

Tracheostomy suction: a protocol for practice

Paediatric Nursing
Joanna Ireton

Abstract

The risks of suction are well documented. Nurses caring for children with tracheostomies must use their clinical judgement as well as a safe suction procedure based on evidence. Preperation, correct equipment and suction pressures, a safe suction procedure and post-procedure assessment are included in a proposed protocol for a self-ventilating child with a tracheostomy. Suction presures are recommented at the lower limits suggested by research, i. e. presures of 80-120 mmHg (10-16 Kpa) for adolescents, 80-100 mmHg (10-13 Kpa) for children and 60-80 mmHg (8-10 Kpa) for neonates. Three holed catheters are advocated of a size no larger than half the internal diameter of the patient's tracheostomy. It is recommended that the suction catheter not be inserted further than the end of the tracheostomy tube. Routine instillation of saline is not recommended. A combination of education, staff involvement and mechanisms for adult, evaluation and modification of the protocol are required to support implementation of the protocol and improvements in practice.

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal for Nurses in Staff Development : JNSD : Official Journal of the National Nursing Staff Development Organization
John P Harper
Anaesthesia
M E Fryer, R D Marshall
© 2021 Meta ULC. All rights reserved