Suctioning
Endotracheal Suctioning

 

Reviewed by Clinical Practice Committee
Novemeber 2015
Clinical Guidelines Back Newborn Services Home Page
Indications Complications Suction Frequency Equipment
Nursing Management Other Related Documents
 

Indications

Complications of ET Suctioning

Frequency of Suctioning

Equipment

ETT Size (mm) Suction Catheter Size
2.5 5-6 Fr
3.0 - 3.5 6-7 Fr
4.0 - 4.5 8 Fr

Nursing Management

Step Action

1

Auscultate lung fields.
  1. 2

Measure length required (just beyond tip of ET tube)
3 Check that the PIP (Babylog 8000)/ Pmax (VN500) is set at no more than 4 cmH2O above the given working inspiratory pressure (PIP)
4 Babylog 8000: consider to turn off VG prior to commencing suction.
VN500: Do NOT change ventilator settings and do NOT turn off VG
5 Silence ventilator alarms, remove flow sensor and reconnect circuit to ETT.
6
7 If the baby desaturates or it is anticipated that the baby will be unstable, escalate respiratory support as follows:

 

8 Gently suction oropharynx using a separate larger catheter.
9 Record colour, type, amount of secretions, baby’s tolerance of the procedure and ventilator setting required during suctioning on observation chart.
Note: Saline (NaCl 0.9%) instillation is only used if secretions are deemed to be thick and tenacious on individual assessment.