I just started working at an LTAC facility and have a lot of patients on vents, so I'll probably have a lot of posts in this section for a while.
Yesterday I had a patient on a trach collar, SaO2 95% on 4-6L of O2 (I don't remember exactly). He had recent bacterial pneumonia infection. LOC probably x1, restless, agitated.
So, he was expelling a lot of secretions through his trach by coughing all throughout the day. I would clean around his trach frequently. Still, he sounded pretty coarse and I asked my orientating nurse if I should maybe deep suction him a few times to help him out. She told me not to because he was expelling a lot on his own and his SaO2 was normal. Is this what your recommendation would have been, or would you have deep suctioned?
I regret going against my best judgement and not suctioning because I now feel maybe his agitation/restlessness was somewhat low Pa02. He was also getting a lot of opiates/benzos, but still....