trach/endotrach tube suctioning...please help!

  1. ]in lab we learned about tracheostomy tubes and endotrach tubes. we learned and received lecture notes on how to suction through the trach tube. the instructor in lab then also mentioned suctioning through the nares (putting some saline on the tip if the suctioning tube and inserting through nose). i am wonderign when you would suction directly by placing sucting tubing into trach tube and when you would insert suction tubing into the nares instead.

    thanks for any help, i am really confused on this!
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  2. 4 Comments

  3. by   leslie :-D
    Quote from sweetie715
    ]in lab we learned about tracheostomy tubes and endotrach tubes. we learned and received lecture notes on how to suction through the trach tube. the instructor in lab then also mentioned suctioning through the nares (putting some saline on the tip if the suctioning tube and inserting through nose). i am wonderign when you would suction directly by placing sucting tubing into trach tube and when you would insert suction tubing into the nares instead.

    thanks for any help, i am really confused on this!
    i would imagine that suctioning through the nares would be for upper respiratory secretions and through the trach for deeper/ lower respiratory secretions.....
  4. by   mo_louiseRN
    Suctioning thru the nares is indicated with a lot of upper airway secretions and is also very useful to stimulate a good cough reflex for those patients who just can't seem to get the lower airway secretions moving.
    This is of course...assuming the patient has a trach or ETT. and ALWAYS...remember to hyperoxygenate first.
    Last edit by mo_louiseRN on Apr 5, '05
  5. by   oldrealnursern
    Quote from sweetie715
    ]in lab we learned about tracheostomy tubes and endotrach tubes. we learned and received lecture notes on how to suction through the trach tube. the instructor in lab then also mentioned suctioning through the nares (putting some saline on the tip if the suctioning tube and inserting through nose). i am wonderign when you would suction directly by placing sucting tubing into trach tube and when you would insert suction tubing into the nares instead.

    thanks for any help, i am really confused on this!
    i think your instructor was referring to the need to suction someone through the nose if they did not have a trach or et tube. this would be someone who could not cough or had a poor non-productive cough.
    a person who can't clear their own secretions and does not have any other access like a trach or et tube will not be oxygenating well.
  6. by   oldrealnursern
    Quote from oldrealnursern
    I think your instructor was referring to the need to suction someone through the nose if they did not have a trach or ET tube. This would be someone who could not cough or had a poor non-productive cough.
    A person who can't clear their own secretions and does not have any other access like a trach or ET tube will not be oxygenating well. Soooo... you will have to suction them thru their nose. You may also use a nasal "trumpet" to make the suctioning a little easier. If you use a "trumpet" you will have to use some lubricant like K-Y jelly or normal saline to get the catheter through the trumpet.
    Good luck in all your studies and on the job!
    All the best
    :wink2:

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