oral/nasal suctioning

[bdbrdb]

My pt is a year old and often needs suctioning, I need advise/tips on how to suction him. Is it okay to swaddle? I've seen his mom suction him by sitting him on her lap and holding his hands with one hand while trying to suction with the other. The only thing is that I noticed he had slight bruising on his hands from when she did that. Most of the secretions I hear are at the back of his throat, which is difficult to get out. I've tried talking to him, distracting him and even try to explain to him that I'm trying to help get his boogies out, in hopes of him understanding me and being calm. I pat on his back and have done steam showers and turn his humidifier on while he is asleep, but I'm not sure what else I could do to help. Any advise would be appreciated. Thanks.