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suctioning the intubated pt...1 nurse/RT, or 2?



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No. 10
from Sweden
Old Nov 14, 2008, 01:27 PM

Default Re: suctioning the intubated pt...1 nurse/RT, or 2?
Originally Posted by tigkaskit View Post
(Trachs are easier to connect the bag to when you're bagging 1-handed.)
Hi
Iīm sorry if this is a dumb question, but why are you bagging when you are suctioning. When do you do it (before / after)?

Iīm a nicu nurse here in sweden and we never use bagging in conection to suctioning, but maybe itīs different with older children?

We try to use two persons for suctioning (except in extreme emergencies) simply because it cuts down the time the baby is without his/her ventilator. It also gives an extra set of hands to calm and support the baby. We donīt use RTīs here so itīs usually two nurses doing it. We donīt use in-suctioning in my unit and we only use clean gloves (not sterile) and then keep the catheter sterile.

Anna
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No. 11
from rnguy25
Old Nov 15, 2008, 02:08 PM

Default Re: suctioning the intubated pt...1 nurse/RT, or 2?
Originally Posted by Sweden View Post
Hi
Iīm sorry if this is a dumb question, but why are you bagging when you are suctioning. When do you do it (before / after)?

Iīm a nicu nurse here in sweden and we never use bagging in connection to suctioning, but maybe itīs different with older children?

We try to use two persons for suctioning (except in extreme emergencies) simply because it cuts down the time the baby is without his/her ventilator. It also gives an extra set of hands to calm and support the baby. We donīt use RTīs here so itīs usually two nurses doing it. We donīt use in-suctioning in my unit and we only use clean gloves (not sterile) and then keep the catheter sterile.

Anna
Hi Anna,

Bagging during suctioning is needed to maintain adequate arterial oxygenation levels and to maintain adequate lung volumes, especially for those patients who require a high PEEP. All of which, if lost, can induce hypoxia. Since you don't use in-line suction catheters on your unit, bagging will help those babies maintain good lung volumes while off the vent. It'll cut down even more time away from their needed pressures and oxygen as you were already doing.

-T
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No. 12
from RNNPICU
Old Dec 17, 2008, 11:10 AM

Default Re: suctioning the intubated pt...1 nurse/RT, or 2?
It depends on the pt and availability of extra hands. On pts who are unstable I always get that extra set of hands. For a sedated pt, I give sedation before I suction, then I suction by myself. It was hard to do at first but now I am comfortable with it. I had a pt on the oscillator who needed to have suctioning off the vent, obvioulsy two person suctioning (even though there was an inline, we needed to go much deeper). I even asked for the doc to stand by in case the pt crashed. Thankfully only slight decompensation. also, my neighbor nurse was aware and also on standby.
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