This section describes the process by which tracheal secretions are removed from an Endotracheal Tube while using the closed system suction unit called Trach Care®
Trach Care enables aspiration to be performed without disconnecting the Ventilator circuit.
The advantages are:
Better control of infections
Protection of the health care givers against air-borne germs breathed out by the patient
Protection of the patient against the pathogenic agents present in the environment
Reduced risk of cross contamination
Respect of aseptic procedures
Physiological and psychological benefits
Maintain artificial ventilation
Maintain the respiratory parameters (which normally drop very quickly and recover very slowly)
Alcohol based hand rub (ABHR)
Appropriated sized closed tracheal suction system with appropriate size Y adaptor.
Low wall suction unit with control regulator gauge.
Sterile normal saline for clearing trachcare
Assess indication for suctioning which include:
decrease in oxygen saturations
decrease in chest movement
audible rales/rhonchi on auscultation
Check suction is working and maintain a pressure of 12-15 KPA/80-12mm by occluding suction tubing
Measure the required distance the Trachcare will be advanced from the end of ETT (where it is cut ) plus 6 cms
The measurement is marked by the colour-coded measurement on the Trachcare®
Remove protective cap and unlock the inline suction valve by turning the suction thumb valve to open
Attach the suction tubing to the end of the Trachcare®
Open irrigation port and attach a 2ml syringe with 1ml of saline.
Stabilize Trachcare® with non dominant hand and advance the catheter in its plastic sleeve to the premeasured distance (colour coded).
Withdraw the Trachcare® catheter over 5 seconds whilst depressing the suction control valve, till the black tip is visible in the window dome.
Observe amount, colour and consistency in the window near control valve prior to releasing suction
Allow baby to recover before repeat suctioning
Reassess baby to evaluate the effectiveness of the procedure.
Flush the Trachcare® by instilling normal saline into the irrigation port, apply continuous suctioning via control valve.
Rotate suction thumb valve to locked position.
Disconnect suction tubing and replace protective cap.
Ensure the irrigation port is free of normal saline by withdrawing syringe prior to removal of syringe.
Close irrigation port and discard syringe.
Document colour consistency and amount of secretions on NICU flow char
Trachcare suction units are changed every 3 days or earlier if required
Suction tubing is changed daily.
Back to Table of Contents
Share with your friends:
The database is protected by copyright ©dentisty.org 2019