How to suction via a tracheostomy
Nicola Credland Lecturer in critical care and advanced practice, University of Hull, Hull, England
Patients with a tracheostomy tube may be unable to cough adequately to expel pulmonary secretions. Therefore, tracheal suction is essential in managing secretions and maintaining respiratory function and a patent airway. Tracheal suction reduces the risk of consolidation and atelectasis that may lead to inadequate ventilation.
Respiratory assessment of the patient should be carried out to identify when tracheal suction is required.
A suction pressure of 80-120mmHg is recommended, and suction should last no longer than 15 seconds.
Reassurance and support should be given to the patient to minimise any discomfort and distress that may result from tracheal suction.
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Nursing Standard. 30, 28,36-38. doi: 10.7748/ns.30.28.36.s46Correspondence
All articles are subject to external double-blind peer review and checked for plagiarism using automated software.
Received: 06 August 2014
Accepted: 02 February 2015