Trach Suctioning/Hyperventilation

[harley_fan]

I have a question regarding trach suctioning. I haven't done it since I was in school and things are different on a plastic dummy versus an actual person! I had another nurse come in with me to refresh my memory and the way she hyperoxygenated my patient was by turning up the oxgen to >15L. That was left on him for a minute and then she started suctioning. Put the O2 mask on again for about 30 seconds and then resuctioned.. etc. So, I am wondering if you have done this/seen this done ever. Do you think it offers the same benefits? On a quick side note.. RT came up when I started suctioning and she helped hyperoxygenate hime with a bag.. he seemed to become more restless with that method versus the O2 mask oxygenation. Thanks for any feedback!

[Dixiedi]

I have a question regarding trach suctioning. I haven't done it since I was in school and things are different on a plastic dummy versus an actual person! I had another nurse come in with me to refresh my memory and the way she hyperoxygenated my patient was by turning up the oxgen to >15L. That was left on him for a minute and then she started suctioning. Put the O2 mask on again for about 30 seconds and then resuctioned.. etc. So, I am wondering if you have done this/seen this done ever. Do you think it offers the same benefits? On a quick side note.. RT came up when I started suctioning and she helped hyperoxygenate hime with a bag.. he seemed to become more restless with that method versus the O2 mask oxygenation. Thanks for any feedback!

I've never seen that done.

Our methods:

Ventilated pt. - bag 3 or 4 times then sx. Bag a couple of times, repeat sx. Continue as needed usning good judgement here.

Non-vented pt. - Since I am in home care, most of out non-vented trach pts are on room air and require little sx. When they do it's done without hyperventilating first. But all have O2 available should they need it with an order for 1/2 L prn.