Name of the Procedure:

• Common Name: Tracheal Suctioning
• Technical Term: Tracheal Suction Catheter Insertion (any type other than closed system)

Summary

Tracheal suctioning is a medical procedure used to clear mucus and other secretions from the trachea (windpipe). It involves inserting a suction catheter through a patient's mouth or nose (or a tracheostomy tube if present) into the trachea to remove the secretions, thus helping the patient breathe more easily.

Purpose

• Medical Conditions: Pneumonia, chronic obstructive pulmonary disease (COPD), cystic fibrosis, postoperative care, respiratory distress.
• Goals: To clear the airway of mucus and secretions, improve gas exchange, prevent infections, and maintain or enhance the patient’s breathing.

Indications

• Patients with excessive mucus production.
• Difficulty in breathing due to blocked airways.
• Presence of secretions that cannot be cleared by coughing.
• Need to maintain airway patency in intubated patients or those with tracheostomies.

Preparation

• Pre-procedure Instructions: No specific fasting required unless combined with other surgical procedures.
• Assessments: Patient’s respiratory status, vital signs. May require chest X-ray if underlying respiratory issues are suspected.

Procedure Description

1. Gather all necessary equipment: a tracheal suction catheter, sterile gloves, suction unit, sterile saline, and a collection canister.
2. Explain the procedure to the patient and ensure informed consent where applicable.
3. Position the patient comfortably, typically in a semi-Fowler’s position.
4. Wash hands and don sterile gloves.
5. Connect the suction catheter to the suction unit.
6. Insert the catheter into the trachea through the mouth, nose, or tracheostomy tube, as applicable.
7. Apply intermittent suction while gently withdrawing the catheter, rotating it to maximize mucus removal.
8. Repeat if necessary, ensuring each suction attempt does not exceed 15 seconds.
9. Dispose of used equipment and clean the suction unit.

Duration

The procedure typically takes about 5 to 10 minutes per suction attempt, but this can vary based on the patient’s needs.

Setting

• Performed in hospitals, outpatient clinics, and sometimes at home care settings for patients with chronic conditions.

Personnel

• Nurses, respiratory therapists, and sometimes physicians.

Risks and Complications

• Common Risks: Discomfort, gagging, coughing, transient hypoxia (low oxygen levels).
• Rare Risks: Risk of infection, tracheal injury, bleeding, bronchospasm, prolonged hypoxia.

Benefits

• Immediate relief from airway obstruction.
• Improved breathing and oxygenation.
• Prevention of lung infections.
• Benefits are often felt immediately or within minutes after the procedure.

Recovery

• Post-Procedure Care: Monitor respiratory status, observe for signs of infection or complications.
• Recovery Time: Generally immediate, but continuous monitoring might be required for patients with severe conditions.
• Follow-Up: Regular monitoring and repeated suctioning as necessary.

Alternatives

• Other Options: Chest physiotherapy, nebulization, saline instillation, and chest percussion.
• Pros and Cons: Alternatives may be less invasive but might also be less effective in promptly clearing thick or obstructive mucus.

Patient Experience

• During Procedure: Possible discomfort, coughing, or gagging.
• Pain Management: Procedure is typically quick; discomfort is managed by reassuring the patient and minimizing suction time.